Hi Anne,
Our hosptial as well as fitness centers, doctors offices and etc. have
changed over to the alcohol "wash".
In our NICU we do our original 3 min. scrub but use the alcohol between
each patient contact. It was
told to the staff (we didn't really like it at first) that it kills 99%
bacteria and viruses and would decrease the
number of nosicomial infections. It seems to be working in our unit. We
still have soap for initial scrub & the
public restrooms. I have noticed not all the hospitals locally use this
exclusively. The near by military hospital
does though.
This was a result of the CDCs recomendation: (I could not locate the exact
reference)
I n October of 2002, the CDC (Center for Disease Control and Prevention)
released a
recommendation to use an alcohol-based hand sanitizer instead of an
anti-bacterial hand soap,
because it is a much more efficient method "to reduce the spread of
viruses and bacteria."
Hope this helps, sorry I could not locate the exact reference. You might
find it on the CDC web site.
Ann Slaughter RN, IBCLC
------------------------------
Date: Tue, 25 May 2004 15:19:11 -0700
From: "Duret, Anne" <[log in to unmask]>
Subject: MRSA / VRE
Posted with ListMom permission:
We had an in-service at our facility today about MRSA / VRE as it is on =
the rise in our community, especially in the outpatient world. The =
biggest take-away for me was, the facility wants us to use the alcohol =
hand gel for cleaning in between handwashing.
I have read here on LactNet and in other places (sorry, can't recall any =
references...) that the rise of MRSA and yeast may be attributable to =
the increased use of these hand gels and antibacterial soaps, etc. I =
myself have avoided such products, and have counseled moms I work with =
to avoid them as well, particularly when I get a mom with persistent =
yeast who has been using an antibacterial soap.
Of note, we have had two patients in the last 18 months who called with =
c/o mastitis who went on to have MRSA infections which required =
hospitalization.
So my question to the list is what are people doing in your =
facilities/communities in regards to working with moms/babies, keeping =
yourselves well-protected at work, and how do you advise the moms you =
work with? I see how this might de-escalate to become non-breastfeeding =
related, so just info specifically about using antibacterial soaps and =
gels for hands and breasts is what I'm after.
Anne Duret, RN
Maternity Care Coordinator
PHMG-OB Area F
687-6251
Fax 687-6089=20
=20
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