Re: Use of hand sanitizers - California DOH

[Guest guest]

I don't have the original reference that cause our hospital to post the

requirement, but googling " soap " " c diff " " infection " found this:

http://www.cdc.gov/ncidod/dhqp/id_CdiffFAQ_general.html

http://www.virginia.edu/uvaprint/HSC/pdf/08005.pdf

http://www.cbsnews.com/stories/2006/10/12/health/webmd/main2087188.shtml

Digna Cassens wrote:

Thanks, Holly, for this response. This is one additional fact to

support my argument. Where can I find the reference regarding c-diff? This Digna

Re: Use of hand sanitizers - California DOH

Hand sanitizers do not stop c.diff. So we have made it a policy in the PICU (and

it's posted) that soap & hot water must be used.

Holly Lee Brewer, MS RD CDE

Pediatric Dietitian & Diabetes Educator

Las Vegas, NV

.

__________________________________________________

[Guest guest]

Here's some info I located from google.com search.

Dianne Kiyomoto, RD

Fresno, CA

http://www.cdc.gov/ncidod/EID/vol12no03/05-1064.htm

Clostridium difficile Infection in Patients Discharged

from US Short-stay Hospitals, 1996–20031

L. Clifford Mc,* Owings,* and B.

Jernigan*

Because alcohol is not sporicidal, alcohol-based,

waterless hand sanitizers may not be as effective as

soap and water in removing C. difficile; this factor

has led to the recommendation that " during outbreaks

of CDAD, washing hands with a nonantimicrobial [agent]

or antimicrobial soap and water after removing gloves

is prudent " (26).

---------------------------------------------------

http://mqa.dhs.state.tx.us/QMweb/Cdif.htm

Proper hand hygiene - wash your hands thoroughly with

non-antimicrobial or antimicrobial soap and water

before and after caring for every resident.[10]

Alcohol-based hand sanitizers are not effective for

killing C. difficile spores. To further prevent

spreading the C. difficile, wear gloves when caring

for residents with C. difficile-associated diarrhea.

----------------------------------------------------

Clostridium difficile Colitis and the Use of.

Alcohol-based Hand Sanitizers. By. yen Dang,

PharmD. Pharmacy Practice Resident. Pharmacy &

Therapeutics

http://www.musc.edu/pharmacyservices/PnT/May05.pdf

======================================================

--- hl brewer wrote:

> Hand sanitizers do not stop c.diff. So we have made

> it a policy in the PICU (and it's posted) that soap

> & hot water must be used.

>

> Holly Lee Brewer, MS RD CDE

> Pediatric Dietitian & Diabetes Educator

> Las Vegas, NV

===================================================

> Digna Cassens wrote:

This is for California practitioners in

> LTC. There is a DOHS letter from years ago that

> outlines their policy on using hand sanitizers in

> the SNF kitchens under the Title 22 regulations.

> Specifically it states that the only acceptable

> method to sanitize hands is to use hot water and

> soap and follow the hand washing procedure. I cannot

> find the DOH letter sent to all nursing home

> administrator and operators because it is so old.

> Recently some of my facilities have been installing

> these hand sanitizers because nursing can use them,

> and they're being installed in the nursing stations,

> lobbies, etc. I do not want them in the kitchens bc

> I know what trouble they'll us to,but without that

> document I cannot really enforce my opinion.

NOTICE: This confidential message/attachment contains information intended for a

specific individual(s) and purpose. Any inappropriate use, distribution or

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__________________________________________________

[Guest guest]

Thank you!!!

Re: Use of hand sanitizers - California DOH

Hand sanitizers do not stop c.diff. So we have made it a policy in the PICU

(and it's posted) that soap & hot water must be used.

Holly Lee Brewer, MS RD CDE

Pediatric Dietitian & Diabetes Educator

Las Vegas, NV

.

__________________________________________________

[Guest guest]

Thanks Diane. I am not very well versed in doing searches and my daughter who

used to do them for me is tied down full time with her newborn baby. Digna

Re: Use of hand sanitizers - California DOH

Here's some info I located from google.com search.

Dianne Kiyomoto, RD

Fresno, CA

http://www.cdc.gov/ncidod/EID/vol12no03/05-1064.htm

Clostridium difficile Infection in Patients Discharged

from US Short-stay Hospitals, 1996-20031

L. Clifford Mc,* Owings,* and B.

Jernigan*

Because alcohol is not sporicidal, alcohol-based,

waterless hand sanitizers may not be as effective as

soap and water in removing C. difficile; this factor

has led to the recommendation that " during outbreaks

of CDAD, washing hands with a nonantimicrobial [agent]

or antimicrobial soap and water after removing gloves

is prudent " (26).

---------------------------------------------------

http://mqa.dhs.state.tx.us/QMweb/Cdif.htm

Proper hand hygiene - wash your hands thoroughly with

non-antimicrobial or antimicrobial soap and water

before and after caring for every resident.[10]

Alcohol-based hand sanitizers are not effective for

killing C. difficile spores. To further prevent

spreading the C. difficile, wear gloves when caring

for residents with C. difficile-associated diarrhea.

----------------------------------------------------

Clostridium difficile Colitis and the Use of.

Alcohol-based Hand Sanitizers. By. yen Dang,

PharmD. Pharmacy Practice Resident. Pharmacy &

Therapeutics

http://www.musc.edu/pharmacyservices/PnT/May05.pdf

======================================================

--- hl brewer wrote:

> Hand sanitizers do not stop c.diff. So we have made

> it a policy in the PICU (and it's posted) that soap

> & hot water must be used.

>

> Holly Lee Brewer, MS RD CDE

> Pediatric Dietitian & Diabetes Educator

> Las Vegas, NV

===================================================

> Digna Cassens wrote:

This is for California practitioners in

> LTC. There is a DOHS letter from years ago that

> outlines their policy on using hand sanitizers in

> the SNF kitchens under the Title 22 regulations.

> Specifically it states that the only acceptable

> method to sanitize hands is to use hot water and

> soap and follow the hand washing procedure. I cannot

> find the DOH letter sent to all nursing home

> administrator and operators because it is so old.

> Recently some of my facilities have been installing

> these hand sanitizers because nursing can use them,

> and they're being installed in the nursing stations,

> lobbies, etc. I do not want them in the kitchens bc

> I know what trouble they'll us to,but without that

> document I cannot really enforce my opinion.

NOTICE: This confidential message/attachment contains information intended for

a specific individual(s) and purpose. Any inappropriate use, distribution or

copying is strictly prohibited. If received in error, notify the sender and

immediately delete the message, please.

__________________________________________________