Category Infection prevention

Preoperative nasal screening for Staph. aureus carriage and load reduction (HNE LHD)

Indications for preoperative screening for Staphylococcus aureus (MSSA or MRSA) nasal carriage and preoperative staphylococcal load reduction (HNE LHD): Open cardiac and valve procedures Shoulder, hip or knee joint total arthroplasties: primary or revision procedures Aortic work (stent and open) and all lower limb open surgery for vascular reconstructions (bypass, endarterectomy). Iliac stents (as they […]

Science Photo Library: PASIEKA

Enhanced standard precautions prevent spread of COVID-19 in healthcare

Amongst the anxiety and misinformation about how best to protect healthcare staff from infection and the profusion of minorly conflicting State, National and Medical Specialist society advice, it is important that healthcare organisations and staff, in particular, appreciate and apply the basics of infection prevention & control (IPC). There is good evidence from China, Hong […]

Outpatient MRSA eradication instructions

Your recent pathology test showed that you are carrying a strain of resistant Staphylococcus aureus (MRSA) bacteria (germ) that may cause boils or other more serious infections (See also NSW MRSA Fact sheet).    Eradication treatment aims to completely remove MRSA from your body. In more than half of the people treated in this way, MRSA […]

Zika transmission prevention not just for men- updated WHO guidance

The World Health Organization (WHO) has strengthened its advice on preventing sexual transmission of the Zika virus. The interim guidance report recommends that both men AND women practice safe sex for six months after returning from an area where an infection is present, even if they have no symptoms. The previous guidelines, published in June 2016, stated […]

Hepatitis C- updates on biology and new treatments from Prof. Josh Davis

Guest posting: A/Prof Josh Davis, Infectious Diseases Physician, John Hunter Hospital,  NSW, Principal  Research Fellow, Menzies School of Health Research, NT, Australia. Hepatitis C Virus ID_Micro tute August 2016 HCV treatment John Hunter Hospital ID meeting 2016

Micro comments: Clostridium difficile testing

Here are our local Pathology North (NSW) comments together with their rationale: Positive CDI test result comment (no test of clearance required!): The duration of contact precautions following recovery are controversial. Patients will continue to excrete C. difficile for weeks following recovery and can represent a cross infection risk. However continent patients with formed stool who […]

Recurrent community-acquired Clostridium difficile infection (CDI) – what to do?

A call from a local GP last week – 53 year old woman who was given a course of oral amoxycillin+clavulanate for respiratory infection and then developed moderately severe enteritis associated with CT evidence of colitis. Stool testing for C. difficile toxin genes was positive, confirming a diagnosis of CDI. She responded to a 10 day course […]

2016 European Congress of Clinical Microbiology and Infectious Diseases

The ECCMID recently met in Amsterdam to talk all things Microbiology and Infectious Diseases. They have made the majority of the presentations made at the meeting freely available to all online. With over 200 sessions, including 11 keynote lectures, over 100 symposia and oral sessions and 3000 abstracts presented over 4 days there is something […]

Managing patients with asplenia and hyposplenia

People who have had a splenectomy or have poorly functioning spleens are at higher risk of infection. These patients require education about early identification of infections and may require additional immunisations or prophylactic antibiotics. Spleen Australia is an organisation in Melbourne that provides resources to both patients and health professionals for dealing with absent or poorly functioning […]

Australian National Antimicrobial Resistance Strategy: Objective Four, Infection Prevention & Control- What does it mean for HNE?

Objective Four of the  Australian strategy focuses on infection prevention and control across all sectors.  Since the days of Ignaz Semmelweis (pioneer of hand disinfection in 1840s Vienna which saved the lives of women affected by nosocomial puerperal sepsis),  consistent practice of infection prevention and control has been one of the most important, challenging (and neglected) aspects of healthcare.  Controlling the […]