Cross infection in Hospitals (Dixie, please read!)

[Guest guest]

This is exactly why I've ranted and raved for years that respiratory

therapists and other medical caregivers should NEVER, EVER, EVER use any

bottle of nebulizer solution except the patient's own bottle brought from

home!

If the patient doesn't bring his/her med from home, a bottle is charged from

the hospital pharmacy to the patient. So why do we allow respiratory

therapists to carry the same bottle room to room? People's hands shake,

people get jostled, people make mistakes -- that tip of the dropper can

easily come into contact with each person's neb cup and then the whole bottle

is contaminated!

And don't EVEN get me started on the whole bit about not changing neb cups

after each use -- leaving the slobbery neb cup hanging for 24 hours is

disgusting and a filthy practice (sort of like that mom-in-law who doesn't

wash her hands after changing a diaper or using the bathroom -- boy, I'd

never eat at her house again or allow my kids to eat what she cooked; and I'd

insist she be checked for hepatitis C!).

If you want to keep your kids healthier, either keep them out of clinics and

hospitals as much as possible -- or at the very least, be with them during

the times you know treatments and lab work will be done so you can monitor

and log everything that happens. And insist on bringing your own meds from

home -- and insist that community albuterol bottles be banned from your

child's room!

Kim

[Guest guest]

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?

cmd=Retrieve&db=PubMed&list_uids=11583210&dopt=Abstract

Infect Control Hosp Epidemiol 2001 Jul;22(7):423-6

Burkholderia cepacia lower respiratory tract infection

associated with exposure to a respiratory therapist.

Ramsey AH, Skonieczny P, Coolidge DT, Kurzynski TA, Proctor ME,

JP.

Wisconsin Division of Public Health, Epidemiology Program

Office, Center for Disease Control and Prevention, Atlanta,

Georgia, USA.

OBJECTIVE: To investigate and control a nosocomial outbreak of

Burkholderia cepacia lower respiratory tract infection.

DESIGN: Outbreak investigation and case-control study.

SETTNG: A 260-bed community hospital.

PATIENTS: Participants were mechanically ventilated intensive

care patients without cystic fibrosis. A case was

defined as a hospitalized patient with a sputum

culture positive for B. cepacia between January 1

and November 6, 1998.

METHODS: Respiratory therapy infection control policies and

practices were reviewed; laboratory and

environmental studies and a retrospective

case-control study were conducted. Case-patients

were matched with control-patients on age, gender,

diagnosis, and type of intensive care unit.

RESULTS: Nine case-patients were identified; B. cepacia likely

caused pneumonia in seven and colonization in two.

Two respiratory therapy practices probably

contributed to the transmission of B. cepacia:

multidose albuterol vials were used among several

patients, and nebulizer assemblies often were not

dried between uses. B. cepacia was grown from

cultures of three previously opened multidose vials;

pulsed-field gel electrophoresis patterns of B.

cepacia from seven case-patients and two multidose

vials were indistinguishable. Case-patients had

longer durations of heated humidified mechanical

ventilation (mean, 9.8 days vs 4.4 days; P=.03) and

were more likely to have exposure to one particular

respiratory therapist than controls (odds ratio,

undefined; 95% confidence interval, 4.7-infinity;

P=.001). The association with the respiratory

therapist, a temporary employee, persisted after

controlling for duration of heated humidified

ventilation. No new B. cepacia infections were

identified after control measures were implemented.

CONCLUSIONS: B. cepacia probably was transmitted among

patients through use of extrinsically contaminated

multidose albuterol vials. Respiratory therapy

departments must pay close attention to infection

control practices, particularly among new or

temporary staff.

[Guest guest]

YEA KIM----GO GET 'EM!!

THAT IS THE TRUTH FOR SURE ! ! IF ANYONE WANTS SOME " WASH YOUR HANDS

BUTTONS ---LET ME KNOW---- WEAR THEM IN HOSPITAL .AS A PATIENT---AS A

VISTOR---CLINICAN -MAINTANCE --HOUSEKEEPER .WHATEVER..........! ! WE HAVE

TO KEEP REMINDING ALL -----ALL THE TIME TOO.

I WILL NEED YOUR MAILING ADDRESS TO SEND TO YOU BUT I WILL DO IT AS

SOON AS I GET YOUR POST OR CALL.

LOVE & HUGS,

GRANDMOMBEV

Re: Cross infection in Hospitals (Dixie, please

read!)

This is exactly why I've ranted and raved for years that respiratory

therapists and other medical caregivers should NEVER, EVER, EVER use any

bottle of nebulizer solution except the patient's own bottle brought from

home!

If the patient doesn't bring his/her med from home, a bottle is charged from

the hospital pharmacy to the patient. So why do we allow respiratory

therapists to carry the same bottle room to room? People's hands shake,

people get jostled, people make mistakes -- that tip of the dropper can

easily come into contact with each person's neb cup and then the whole

bottle

is contaminated!

And don't EVEN get me started on the whole bit about not changing neb cups

after each use -- leaving the slobbery neb cup hanging for 24 hours is

disgusting and a filthy practice (sort of like that mom-in-law who doesn't

wash her hands after changing a diaper or using the bathroom -- boy, I'd

never eat at her house again or allow my kids to eat what she cooked; and

I'd

insist she be checked for hepatitis C!).

If you want to keep your kids healthier, either keep them out of clinics and

hospitals as much as possible -- or at the very least, be with them during

the times you know treatments and lab work will be done so you can monitor

and log everything that happens. And insist on bringing your own meds from

home -- and insist that community albuterol bottles be banned from your

child's room!

Kim

PLEASE do not post religious emails to the list.

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

The opinions and information exchanged on this list should

IN NO WAY

be construed as medical advice.

PLEASE CONSULT YOUR PHYSICIAN BEFORE CHANGING ANY MEDICATIONS OR TREATMENTS.

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

[Guest guest]

There is NO charge,I need mailing address is all . (how many )??

love, grandmomBEV

Re: Cross infection in Hospitals (Dixie, please

read!)

bev,

how much are the buttons?? i need some. thanks

tammie

clint's mom

Re: Cross infection in Hospitals (Dixie, please

> read!)

>

>

> This is exactly why I've ranted and raved for years that respiratory

> therapists and other medical caregivers should NEVER, EVER, EVER use any

> bottle of nebulizer solution except the patient's own bottle brought from

> home!

>

> If the patient doesn't bring his/her med from home, a bottle is charged

from

> the hospital pharmacy to the patient. So why do we allow respiratory

> therapists to carry the same bottle room to room? People's hands shake,

> people get jostled, people make mistakes -- that tip of the dropper can

> easily come into contact with each person's neb cup and then the whole

> bottle

> is contaminated!

>

> And don't EVEN get me started on the whole bit about not changing neb cups

> after each use -- leaving the slobbery neb cup hanging for 24 hours is

> disgusting and a filthy practice (sort of like that mom-in-law who doesn't

> wash her hands after changing a diaper or using the bathroom -- boy, I'd

> never eat at her house again or allow my kids to eat what she cooked; and

> I'd

> insist she be checked for hepatitis C!).

>

> If you want to keep your kids healthier, either keep them out of clinics

and

> hospitals as much as possible -- or at the very least, be with them during

> the times you know treatments and lab work will be done so you can monitor

> and log everything that happens. And insist on bringing your own meds

from

> home -- and insist that community albuterol bottles be banned from your

> child's room!

>

> Kim

>

> PLEASE do not post religious emails to the list.

>

>

> -------------------------------------------

>

>

> The opinions and information exchanged on this list should

> IN NO WAY

> be construed as medical advice.

>

> PLEASE CONSULT YOUR PHYSICIAN BEFORE CHANGING ANY MEDICATIONS OR

TREATMENTS.

>

> --------------------------------------------------

>

>

>

[Guest guest]

In a message dated 10/10/01 12:35:00 AM Mountain Daylight Time,

aberdeen95@... writes:

> CONCLUSIONS: B. cepacia probably was transmitted among

> patients through use of extrinsically contaminated

> multidose albuterol vials. Respiratory therapy

> departments must pay close attention to infection

> control practices, particularly among new or

> temporary staff.

>

This is exactly the study that persuaded me to quit using multi-dose

albuterol bottles. I now carry only unit dose vials. If I have to use a

different dose than unit dose (which is full strength) then I draw it up in a

sterile syringe before I walk into the patient's room. Now I can't imagine

that I ever thought it was okay to carry a bottle from one room to another.

Nice thing is, I've been really vocal about this and the whole department

seems to be changing their practice.

In clinic I never ever use anything but unit dose vials.

I'm vigilant about washing my own hands, but if you all are in the hospital

or the clinic, please don't be shy about asking your respiratory

therapist/doc/nurse/whomever to wash their hands. I'll do it, even if I've

just washed.

I do appreciate you posting this study. I needed to find it for our

infection control people. We have not seen B. cepacia in our hospital and we

don't want to.

Thanks!

Dixie

[Guest guest]

Ack, I was looking for a different study (one that came out in October 2000).

That's the one that persuaded me to quit using multi dose vials. This one

further persuades.

Thanks, my hospital's infection control people will be interested in this

study as well.

:-)

Dixie

[Guest guest]

I'll send out in the morning .GREAT.......If any others you know want

them, give me a post..with addy's :):

LOVE, GRDMBEV

Re: Cross infection in Hospitals (Dixie, please

read!)

here is my address :

tammie neal

8711 finney road

glasgow, ky. 42141

about 10

thanks!

Re: Cross infection in Hospitals (Dixie, please

> > read!)

> >

> >

> > This is exactly why I've ranted and raved for years that respiratory

> > therapists and other medical caregivers should NEVER, EVER, EVER use any

> > bottle of nebulizer solution except the patient's own bottle brought

from

> > home!

> >

> > If the patient doesn't bring his/her med from home, a bottle is charged

> from

> > the hospital pharmacy to the patient. So why do we allow respiratory

> > therapists to carry the same bottle room to room? People's hands shake,

> > people get jostled, people make mistakes -- that tip of the dropper can

> > easily come into contact with each person's neb cup and then the whole

> > bottle

> > is contaminated!

> >

> > And don't EVEN get me started on the whole bit about not changing neb

cups

> > after each use -- leaving the slobbery neb cup hanging for 24 hours is

> > disgusting and a filthy practice (sort of like that mom-in-law who

doesn't

> > wash her hands after changing a diaper or using the bathroom -- boy, I'd

> > never eat at her house again or allow my kids to eat what she cooked;

and

> > I'd

> > insist she be checked for hepatitis C!).

> >

> > If you want to keep your kids healthier, either keep them out of clinics

> and

> > hospitals as much as possible -- or at the very least, be with them

during

> > the times you know treatments and lab work will be done so you can

monitor

> > and log everything that happens. And insist on bringing your own meds

> from

> > home -- and insist that community albuterol bottles be banned from your

> > child's room!

> >

> > Kim

> >

> > PLEASE do not post religious emails to the list.

> >

> >

> > -------------------------------------------

> >

> >

> > The opinions and information exchanged on this list should

> > IN NO WAY

> > be construed as medical advice.

> >

> > PLEASE CONSULT YOUR PHYSICIAN BEFORE CHANGING ANY MEDICATIONS OR

> TREATMENTS.

> >

> > --------------------------------------------------

> >

> >

> >

[Guest guest]

Dear Bev,

I just posted a notice about how do I get hold of the button when I read

your message:-

Can you post me any? What's the cost?

Margaret Todd

63 Angelo Avenue

Howick

Auckland

New Zealand

Rgds, Margaret Todd

Re: Cross infection in Hospitals (Dixie, please

> read!)

>

>

> This is exactly why I've ranted and raved for years that respiratory

> therapists and other medical caregivers should NEVER, EVER, EVER use any

> bottle of nebulizer solution except the patient's own bottle brought from

> home!

>

> If the patient doesn't bring his/her med from home, a bottle is charged

from

> the hospital pharmacy to the patient. So why do we allow respiratory

> therapists to carry the same bottle room to room? People's hands shake,

> people get jostled, people make mistakes -- that tip of the dropper can

> easily come into contact with each person's neb cup and then the whole

> bottle

> is contaminated!

>

> And don't EVEN get me started on the whole bit about not changing neb cups

> after each use -- leaving the slobbery neb cup hanging for 24 hours is

> disgusting and a filthy practice (sort of like that mom-in-law who doesn't

> wash her hands after changing a diaper or using the bathroom -- boy, I'd

> never eat at her house again or allow my kids to eat what she cooked; and

> I'd

> insist she be checked for hepatitis C!).

>

> If you want to keep your kids healthier, either keep them out of clinics

and

> hospitals as much as possible -- or at the very least, be with them during

> the times you know treatments and lab work will be done so you can monitor

> and log everything that happens. And insist on bringing your own meds

from

> home -- and insist that community albuterol bottles be banned from your

> child's room!

>

> Kim

>

> PLEASE do not post religious emails to the list.

>

>

> -------------------------------------------

>

>

> The opinions and information exchanged on this list should

> IN NO WAY

> be construed as medical advice.

>

> PLEASE CONSULT YOUR PHYSICIAN BEFORE CHANGING ANY MEDICATIONS OR

TREATMENTS.

>

> --------------------------------------------------

>

>

>

[Guest guest]

bev,

how much are the buttons?? i need some. thanks

tammie

clint's mom

Re: Cross infection in Hospitals (Dixie, please

> read!)

>

>

> This is exactly why I've ranted and raved for years that respiratory

> therapists and other medical caregivers should NEVER, EVER, EVER use any

> bottle of nebulizer solution except the patient's own bottle brought from

> home!

>

> If the patient doesn't bring his/her med from home, a bottle is charged

from

> the hospital pharmacy to the patient. So why do we allow respiratory

> therapists to carry the same bottle room to room? People's hands shake,

> people get jostled, people make mistakes -- that tip of the dropper can

> easily come into contact with each person's neb cup and then the whole

> bottle

> is contaminated!

>

> And don't EVEN get me started on the whole bit about not changing neb cups

> after each use -- leaving the slobbery neb cup hanging for 24 hours is

> disgusting and a filthy practice (sort of like that mom-in-law who doesn't

> wash her hands after changing a diaper or using the bathroom -- boy, I'd

> never eat at her house again or allow my kids to eat what she cooked; and

> I'd

> insist she be checked for hepatitis C!).

>

> If you want to keep your kids healthier, either keep them out of clinics

and

> hospitals as much as possible -- or at the very least, be with them during

> the times you know treatments and lab work will be done so you can monitor

> and log everything that happens. And insist on bringing your own meds

from

> home -- and insist that community albuterol bottles be banned from your

> child's room!

>

> Kim

>

> PLEASE do not post religious emails to the list.

>

>

> -------------------------------------------

>

>

> The opinions and information exchanged on this list should

> IN NO WAY

> be construed as medical advice.

>

> PLEASE CONSULT YOUR PHYSICIAN BEFORE CHANGING ANY MEDICATIONS OR

TREATMENTS.

>

> --------------------------------------------------

>

>

>

[Guest guest]

here is my address :

tammie neal

8711 finney road

glasgow, ky. 42141

about 10

thanks!

Re: Cross infection in Hospitals (Dixie, please

> > read!)

> >

> >

> > This is exactly why I've ranted and raved for years that respiratory

> > therapists and other medical caregivers should NEVER, EVER, EVER use any

> > bottle of nebulizer solution except the patient's own bottle brought

from

> > home!

> >

> > If the patient doesn't bring his/her med from home, a bottle is charged

> from

> > the hospital pharmacy to the patient. So why do we allow respiratory

> > therapists to carry the same bottle room to room? People's hands shake,

> > people get jostled, people make mistakes -- that tip of the dropper can

> > easily come into contact with each person's neb cup and then the whole

> > bottle

> > is contaminated!

> >

> > And don't EVEN get me started on the whole bit about not changing neb

cups

> > after each use -- leaving the slobbery neb cup hanging for 24 hours is

> > disgusting and a filthy practice (sort of like that mom-in-law who

doesn't

> > wash her hands after changing a diaper or using the bathroom -- boy, I'd

> > never eat at her house again or allow my kids to eat what she cooked;

and

> > I'd

> > insist she be checked for hepatitis C!).

> >

> > If you want to keep your kids healthier, either keep them out of clinics

> and

> > hospitals as much as possible -- or at the very least, be with them

during

> > the times you know treatments and lab work will be done so you can

monitor

> > and log everything that happens. And insist on bringing your own meds

> from

> > home -- and insist that community albuterol bottles be banned from your

> > child's room!

> >

> > Kim

> >

> > PLEASE do not post religious emails to the list.

> >

> >

> > -------------------------------------------

> >

> >

> > The opinions and information exchanged on this list should

> > IN NO WAY

> > be construed as medical advice.

> >

> > PLEASE CONSULT YOUR PHYSICIAN BEFORE CHANGING ANY MEDICATIONS OR

> TREATMENTS.

> >

> > --------------------------------------------------

> >

> >

> >