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disposable gown, cap, mask, gloves and overshoes, this can be very costly. Cross
contamination can be minimized by paying special attention to clothes, forearms,
hands and the soles of shoes. Good quality nylon aprons that can readily be
cleaned and disinfected, adhering to proper skin decontamination procedures,
wearing either overshoes or using a disinfecting footbath at the entrance to the
facility which is changed daily should be regarded as a minmum. Tip: plastic refuge
bags with holes cut for head and arms double up effectively as once-off protective
gowns (Acknowledgement Sr. Cornelia Hanekom) |
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Drainage from an isolation area must not run through any other area that is in
contact with hospitalised or visiting animals. Drainage points must receive special
attention in the cleaning and disinfection programme and regular removal of biofilm
around drain outlets prior to cleaning and disinfection is essential. |
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Cleaning equipment for the isolation area should be clearly marked and kept
separate from other sets used in the hospital. |
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TERMINAL DISINFECTION |
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Terminal disinfection goes beyond routine hygiene practice and is a deep cleaning
and high level disinfection process that must be carried out after a patient has been
discharged from the isolation facility or in the event of an outbreak of disease in the
hospital or when a hospital-acquired infection has been identified. |
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Product Selection |
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When dealing with any infectious disease, it is important to make sure that an
effective broad spectrum product such as F10SC VETERINARY DISINFECTANT
(Reg.No.G3707) is used with good in-depth efficacy capable of eliminating the
most resistant micro-organisms from the environment and contaminated objects. It
is absolutely essential that only products which have been assessed for their
spectrum of efficacy and registered by the Dept of Agriculture, Act 36/1947 be used
in these high risk facilities – remember if the label doesn't say it's effective against
Canine parvovirus, it isn't. |
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Since moving really sick animals can cause them stress it is also highly desirable to
use a disinfectant that can be safely used with the animal present. |
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Attention to detail |
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The main difference between the regular disinfection regime and terminal
disinfection lies with the attention to detail, e.g . identifying the critical control points
and introducing measures to eliminate these risks - “kennel cough” will have
contaminated air spaces and air conditioning ducts and therefore fogging these
areas in addition to the regular disinfecting regime is necessary. |
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Cleaning principles |
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During the first campaign we encountered areas with such severe biofilm build-up
that normal daily “cleaning” could be considered totally useless. |
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Cleaning and disinfection processes must take into account the likelihood of a
biofilm build-up and its removal must be build into standard hygene procedures:- |
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Remove organic matter |
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Daily washing (and scrubbing) with water and a disinfectant/detergent
supplemented by periodic deep cleans with a biofilm removing product. |
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Rinsing |
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High level disinfection |
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IT IS AFFORDABLE! |
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Beware of the temptation to cut costs to the point where your biosecurity measures
are no more than a token gesture! |
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It makes good business sense. |
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Achieving and maintaining Best Practice Hygiene and Infection Control Standards
in the practice provides your patients with a safer environment, your clients with
more confidence, your staff with more job satisfaction - and brings peace of mind to
yourself. |
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Over the next few months our team of professionals will present the case for proper
but practical isolation and terminal disinfection procedures and assist in staff
compliance through awareness training and compliance aids. |
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For further information kindly contact me.
Sr. Linda Muller
0829084386
linda@healthandhygiene.co.za |
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References |
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| 1. |
Chandler S. Isolation in Simpson G (ed) Practical Veterinary Nursing 3rd Edition pp 182 –
183 BSAVA Cheltenham 1994 |
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| 2. |
Lane D.R. & Cooper B. BSAVA Textbook of Veterinary Nursing 4th Edition Butterworth-
Heineman 2007 |
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| 3. |
Rosdahl C. & Kowalski M. Textbook of Basic Nursing 9th Edition pp 445 – 450 Lippencott,
Williams and Wilkens 2007 |
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| 4. |
Block S.S Disinfection, Sterilization and Preservation 4th Edition Lea & Febiger 1991 |
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| 5. |
Bland vd Berg P. Muller L. Verwoerd D.J Temperley J.P Burger A.P SABS SAVA MEDCO
Disinfectants and Antiseptics in Veterinary Practice 2001 |
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| 6. |
Weston D. Infection Prevention and Control Wiley-Interscience (online service) 2008 |
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