Avd. for sykehushygiene 04/2007 Egil Lingaas Rikshospitalet – Radiumhospitalet HF Universitetsklinikk PC og smittespredning i sykehus Egil Lingaas Avd.

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Presentation transcript:

Avd. for sykehushygiene 04/2007 Egil Lingaas Rikshospitalet – Radiumhospitalet HF Universitetsklinikk PC og smittespredning i sykehus Egil Lingaas Avd. for sykehushygiene Rikshospitalet-Radiumhospitalet HF 19. april 2007

Avd. for sykehushygiene 04/2007 Egil Lingaas Rikshospitalet – Radiumhospitalet HF Universitetsklinikk

Avd. for sykehushygiene 04/2007 Egil Lingaas Rikshospitalet – Radiumhospitalet HF Universitetsklinikk

Avd. for sykehushygiene 04/2007 Egil Lingaas Rikshospitalet – Radiumhospitalet HF Universitetsklinikk

Avd. for sykehushygiene 04/2007 Egil Lingaas Rikshospitalet – Radiumhospitalet HF Universitetsklinikk

Avd. for sykehushygiene 04/2007 Egil Lingaas Rikshospitalet – Radiumhospitalet HF Universitetsklinikk Dokumentasjon av indirekte smitte l Påvisning av mikrober l Overlevelse l Overføring l Infeksjon l Effekt av dekontaminering

Avd. for sykehushygiene 04/2007 Egil Lingaas Rikshospitalet – Radiumhospitalet HF Universitetsklinikk Smitte fra “miljøet” l C. difficile l Stafylokokker l Enterokokker (VRE) l Acinetobacter l Norovirus

Avd. for sykehushygiene 04/2007 Egil Lingaas Rikshospitalet – Radiumhospitalet HF Universitetsklinikk Prosent av flatene som er forurenset Forurensning av utstyr og flater i rom med MRSA-pasient

Avd. for sykehushygiene 04/2007 Egil Lingaas Rikshospitalet – Radiumhospitalet HF Universitetsklinikk MRSA og miljøet 2

Avd. for sykehushygiene 04/2007 Egil Lingaas Rikshospitalet – Radiumhospitalet HF Universitetsklinikk MRSA og miljøet 3

Avd. for sykehushygiene 04/2007 Egil Lingaas Rikshospitalet – Radiumhospitalet HF Universitetsklinikk MRSA og miljøet 4

Avd. for sykehushygiene 04/2007 Egil Lingaas Rikshospitalet – Radiumhospitalet HF Universitetsklinikk MRSA og miljøet 5

Avd. for sykehushygiene 04/2007 Egil Lingaas Rikshospitalet – Radiumhospitalet HF Universitetsklinikk MRSA og miljøet 6

Avd. for sykehushygiene 04/2007 Egil Lingaas Rikshospitalet – Radiumhospitalet HF Universitetsklinikk MRSA og miljøet 7

Avd. for sykehushygiene 04/2007 Egil Lingaas Rikshospitalet – Radiumhospitalet HF Universitetsklinikk Forurensede overflater øker risiko for kryss-smitte. Hayden M, ICAAC, 2001, Chicago, IL. X representerer VRE positive steder Forurensede overflater øker risiko for kryss-smitte. Hayden M, ICAAC, 2001, Chicago, IL.

Avd. for sykehushygiene 04/2007 Egil Lingaas Rikshospitalet – Radiumhospitalet HF Universitetsklinikk

Avd. for sykehushygiene 04/2007 Egil Lingaas Rikshospitalet – Radiumhospitalet HF Universitetsklinikk

Avd. for sykehushygiene 04/2007 Egil Lingaas Rikshospitalet – Radiumhospitalet HF Universitetsklinikk Acinetobacter og miljøet

Avd. for sykehushygiene 04/2007 Egil Lingaas Rikshospitalet – Radiumhospitalet HF Universitetsklinikk

Avd. for sykehushygiene 04/2007 Egil Lingaas Rikshospitalet – Radiumhospitalet HF Universitetsklinikk

Avd. for sykehushygiene 04/2007 Egil Lingaas Rikshospitalet – Radiumhospitalet HF Universitetsklinikk

Avd. for sykehushygiene 04/2007 Egil Lingaas Rikshospitalet – Radiumhospitalet HF Universitetsklinikk Clay et al. Am J Infect Control 2006;34:41-3.

Avd. for sykehushygiene 04/2007 Egil Lingaas Rikshospitalet – Radiumhospitalet HF Universitetsklinikk Clay et al. Am J Infect Control 2006;34:41-3. Conclusion: Feline calicivirus (and perhaps Norovirus) can survive on fomites such as computers, telephones, and faucets and may be transmitted to humans using these contaminated materials. This may necessitate regular cleaning or disinfection of these items, especially in hospitals and nursing homes and after known outbreaks of Norovirus.

Avd. for sykehushygiene 04/2007 Egil Lingaas Rikshospitalet – Radiumhospitalet HF Universitetsklinikk Funn av RSV etter forurensning med nesesekret Hall CB et at. J Infect Dis 1980;141:98 TITER (log 10 TCID 50 /ml)

Avd. for sykehushygiene 04/2007 Egil Lingaas Rikshospitalet – Radiumhospitalet HF Universitetsklinikk Overføring av RSV til hender fra flater forurenset med nesesekret Hall CB et at. J Infect Dis 1980;141:98 TITER (log 10 TCID 50 /ml)

Overlevelse av influensavirus

Avd. for sykehushygiene 04/2007 Egil Lingaas Rikshospitalet – Radiumhospitalet HF Universitetsklinikk Overlevelse av virus på flater

Avd. for sykehushygiene 04/2007 Egil Lingaas Rikshospitalet – Radiumhospitalet HF Universitetsklinikk

Avd. for sykehushygiene 04/2007 Egil Lingaas Rikshospitalet – Radiumhospitalet HF Universitetsklinikk Rutala et al. Infect Control Hosp Epidemiol 2006;27:372

Avd. for sykehushygiene 04/2007 Egil Lingaas Rikshospitalet – Radiumhospitalet HF Universitetsklinikk ”Our data suggest that microbial contaminatin of compute keyboards is prevalent and that kayboards may be succesfully decontaminated with disinfectants. Keyboards should be disinfectrd daily or when visibly soiled or if they become contaminated with blood.” Rutala et al. Infect Control Hosp Epidemiol 2006;27:372

Avd. for sykehushygiene 04/2007 Egil Lingaas Rikshospitalet – Radiumhospitalet HF Universitetsklinikk

Avd. for sykehushygiene 04/2007 Egil Lingaas Rikshospitalet – Radiumhospitalet HF Universitetsklinikk

Avd. for sykehushygiene 04/2007 Egil Lingaas Rikshospitalet – Radiumhospitalet HF Universitetsklinikk

Avd. for sykehushygiene 04/2007 Egil Lingaas Rikshospitalet – Radiumhospitalet HF Universitetsklinikk

Avd. for sykehushygiene 04/2007 Egil Lingaas Rikshospitalet – Radiumhospitalet HF Universitetsklinikk

Avd. for sykehushygiene 04/2007 Egil Lingaas Rikshospitalet – Radiumhospitalet HF Universitetsklinikk Hartmann B, et al. J Clin Monit 2004; 18: 7-12

Avd. for sykehushygiene 04/2007 Egil Lingaas Rikshospitalet – Radiumhospitalet HF Universitetsklinikk Hartmann B, et al. J Clin Monit 2004; 18: 7-12

Avd. for sykehushygiene 04/2007 Egil Lingaas Rikshospitalet – Radiumhospitalet HF Universitetsklinikk Hartmann B, et al. J Clin Monit 2004; 18: 7-12

Avd. for sykehushygiene 04/2007 Egil Lingaas Rikshospitalet – Radiumhospitalet HF Universitetsklinikk Hartmann B, et al. J Clin Monit 2004; 18: 7-12

Avd. for sykehushygiene 04/2007 Egil Lingaas Rikshospitalet – Radiumhospitalet HF Universitetsklinikk BRIEF REPORT CID 2006:42 (1 February) 385

Avd. for sykehushygiene 04/2007 Egil Lingaas Rikshospitalet – Radiumhospitalet HF Universitetsklinikk

Avd. for sykehushygiene 04/2007 Egil Lingaas Rikshospitalet – Radiumhospitalet HF Universitetsklinikk

Avd. for sykehushygiene 04/2007 Egil Lingaas Rikshospitalet – Radiumhospitalet HF Universitetsklinikk Medigenic tastatur

Avd. for sykehushygiene 04/2007 Egil Lingaas Rikshospitalet – Radiumhospitalet HF Universitetsklinikk l Testing in the medical surgical ICU at University College London Hospitals showed significant log reduction in bacterial contamination in the range of 0.5 log log (71% - 96%) at cleaning alert settings ranging from 1.5 to 12 hours. l The cleaning alert afforded a significant advantage in the Medigenic design in promoting a high level of cleaning compliance and a reduction in bacterial contamination during use in the ICU." Medigenic Keyboard Test Results Peter Wilson, Medical microbiologist