1. Infection Prevention Update – March 2016 Marie Kassai, RN, MPH, CIC

2. The Law and HIV Testing If the HIV serostatus of the source patient is unknown, consent, if it is your policy, for voluntary HIV testing of the source patient should be sought as soon as possible after the exposure. Still need to apply for the license to do so Second Request Letter sent to State

3. Hepatitis C – New Definition CDC Definition Delineates the criteria for Hepatitis C Includes Clinical and Laboratory Criteria Defines Probable and Confirmed Cases When criteria are met, report Available on the CDC.gov site

4. New Organisms to Consider Propionbacterium acnes Bacteria that lives in hair follicle Can cause post op wound infection Implanted devices Shoulder Cases` Potential pathogen Results in late infections Not sure of real role it plays

5. New Organisms to Consider Enterococcus faecalis endocarditis Cluster of cases Patients who underwent invasive oral surgery within six months of symptom Symptom onset after January 1, 2015 Patients not high risk for infection Now reportable to NJDOH

6. ZIKA VIRUS Means “Overgrown” Forest in on edge of Lake Victoria near Uganda Mosquito – A albopictus, of the Aedes species – responsible for transmission Has been followed for 70 years Brazil reported first case in 2015 – Currently, outbreaks occurring in many countries

7. ZIKA VIRUS Symptoms: fever, rash, joint pain or conjunctivitis – typically mild Begin 2-7 days after being bitten by infected mosquito Virus stays in stay in blood for a week No treatment No vaccine – everyone susceptible Diagnosis reverse-transcriptase polymerase chair reaction (RT-PCR)

8. ZIKA VIRUS CDC Advisories Council woman of child bearing age Avoid travel Protective sex if male partner is traveling and woman is pregnant Report exposure during 2-12 weeks Protect against mosquito bites Is a reportable disease – CDC and state looking for cases Deferrals related to blood donations

9. Temperature and Humidity Sterile Storage Is one of primary foci of recent inspections by State and accrediting agencies Difficulties in maintaining the parameters Temperature – OR – 68 to 75 Humidity – 30% – 60% What to do – An assessment Is it all the time ? Is it seasonal ? What impacts the changes ?

10. Temperature and Humidity Sterile Storage What to do !! Options Local or in room Building changes – may be difficult if building is rented Seek advice of consultant if necessary At a minimum – have a plan Once you have a plan, go forward

11. Temperature and Humidity Sterile Storage Monitoring Should be 24/7 Contract or alarms to a source How do you keep track? What do you do with products exposed to temperatures out of range ? Set guidelines Follow them

12. New Issues New Jersey State Survey Who – distributed to many healthcare facilities Why – research only – Assessing the Infection Prevention aspects Consequences – None Choices – to take or not to take Request for on site survey – choice is yours

13. Survey Emphasis Dating and discarding of antiseptics Cleaning of pulse ox Cleaning of lead aprons IV solutions in Warmers Eye wash station training Manufacturer's instructions Temperature and humidity and actions taken