Good Stuff Happens in 1:1 Meetings: Why you need them and how to do them well
Virusolve+ Case Studies
1. : Comments From Hospital & Care Home Users
“We use Virusolve+ concentrate, ready-to-use trigger sprays and FWC in all areas of our home for all
our cleaning needs including carpets, soft furnishings, offices and kitchens.
The literature, posters and instructions we received with the first order were excellent. They are clear
and easy for staff to follow. They underpinned our policies for infection control, COSHH and
Health & Safety.
Virusolve+ has replaced floor cleaners, carpet cleaners, anti-bacterial sprays, toilet cleaners and
multi-purpose sprays. Virusolve+ is very simple to use, effective in controlling infection and leaves a
freshness in the home that was almost impossible to achieve by using individual products. We would
certainly recommend it to others.”
Marion Southwell, Assistant Administrator, Brendoncare Chiltern View, Aylesbury Jul. 2010
We wanted to prevent urine odours and infectious diseases. One reason for choosing Virusolve+ is
the fact that we could use one product for all surfaces. The performance of Virusolve+ is excellent. I
like the lemon fragrance and the effectiveness against infectious diseases is better than the other
products assessed. Virusolve+ has replaced: Microclean, Combat, Blue-away, Polish.
Annette Freeman, Support Services Manager, Redlands Independent Hospital Sept. 2010
“We wanted to prevent infection in our home, and Cairn helped us achieve our goals. We
implemented a clever cleaning system which is safe to use on furniture & fittings and deals with
problems like MRSA, C-diff spores and Norovirus. We also reviewed our entire cleaning policy.
Cairn provided product training and support on this project which helped us achieve and retain high
standards of cleanliness and hygiene in our home.”
Jane Pitts, Owner, Wellington House Nursing Home, Bradford Sept. 2010
“I think that Virusolve overall has been very successful within Atkinson Morley Wing. The product is
well liked by the domestic staff for its ease of use and the fact that we only require two Virusolve
products to clean all areas of a ward. The dilution system is good which means there is no wastage.
Due to this we have seen a reduction in the amount of cleaning chemicals that are required on site.
From a scoring point of view I would give Virusolve a 4 (out of 5). The only comment I have is the
price of the product but having said that our infectious clean call outs have reduced and I believe
that microbiology tests done on areas cleaned with Virusolve have come back good so it is obviously
reducing hospital infection. For this reason I would say it is worth spending that little extra on a
good product.”
James Hearn, Contracts Manager, St. George’s Hospital (Atkinson Morley Wing) Oct. 2008
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2. “I was looking for a cost effective broad spectrum hard surface disinfectant and cleaner which
was available in a ready to use spray for general cleaning and disinfectant of cleanroom work
surfaces and decontamination of transport containers prior to re-use. Virusolve+ had the supporting
data to show that it is a very effective disinfectant. Virusolve+ is also an effective cleaner leaving
surfaces visibly clean which encourages staff to use it more and effectively. Virusolve+ does
everything I thought it would do prior to purchase.”
Mike Lawton, HSDU Manager, Macclesfield District General Hospital Oct. 2010
“We are very happy with Virusolve+. It has met all the criteria we set and has not produced any
symptoms for staff members. We would definitely recommend the product to others.”
Ted Ngono, Theatre Manager, New Victoria Hospital Jan. 2007
“The key feature that Virusolve+ has, is that it can be used on soft furnishings without removing
colour and that is does not smell as strongly as bleach-based products. We’re very happy with all
aspects of the product. It’s easy to use and effective at killing C-diff spores and MRSA. And it’s long-
term use doesn’t erode fabrics, metals, wood etc. I’d recommend this product to others.”
Natalie Illingworth, Lead Infection Control Specialist Nurse, Paignton Community Hospital Mar. 2008
“On a performance scale of 1 to 5 (5 = excellent), we would rate Virusolve+ as 5. It has drastically cut
down on infection on Midgley Ward.”
A M Wilson, HSA, Torbay Hospital Aug. 2008
“In the kitchen I can see a big difference in the trolleys and surfaces there. It has made a big
difference in the bathrooms and toilet areas.”
Corinne Jeffs, Manager, Acorn Regency Healthcare, Bradford Feb. 2009
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3. : Case Studies
Case Study on Patient A08 with Clostridium Difficile and the use of Virusolve+ Trigger Spray & Solution
Background
Prior to leaving the District General Hospital (DGH) back in February 08 patient A08 had been tested for C-Difficile and was found to be
negative, however the patient continued to have diarrhoea at home.
On 25 March a loose stool specimen was sent to the lab by the G.P and on 26 March patient A08 was confirmed as being Clostridium
Difficile (CDT) positive. Patient A08’s details were entered onto the Health Care Associated Infection’s (HCAI’s) database; however
information about treatment given to the patient is unavailable at this time.
Looking back over patient A08’s stool sample history using the IHCS system, patient A08 continued to have loose stools at home and
as an inpatient at the DGH during June 2008, but all specimens sent to the lab came back negative to C-Difficile. On 19 June 2008,
patient A08 was discharged back home.
A telephone call was received on 9 July 2008 from a G.P concerning patient A08 having recurrent episodes of diarrhoea since February
2008. The G.P had spoken to the microbiologist who had suggested he ask the Infection Control Team from Torbay Care Trust (TCT)
to organise a deep clean in patient A08’s home, using Virusolve, to try and eradicate the bug from within his environment.
In the afternoon of 9 July, patient A08 was contacted by telephone to arrange a home visit from the Infection Control Team, to discuss
a deep clean of the home, using Virusolve and also the use of a Virusolve trigger spray. Patient A08 and their relative were unsure if
this was necessary as a deep clean of the home had previously been carried out before being discharged from the DGH. Patient A08
was still having offensive diarrhoea so the Infection Control Team requested a stool sample to be sent to the lab.
On 10 July a formed stool specimen from patient A08, was sent to the lab by the G.P and was confirmed as CDT positive.
Metronidazole treatment was commenced for two weeks.
On 18 July the Infection Control Team visited patient A08 in their home with a relative present. We discussed patient A08’s p roblems
around re-infection and some ways to decrease the risk such as; good hand hygiene, use of disposable wipes to wash with, soiled
laundry to be put into the washing machine by carers and not left to soak.
A trigger spray of Virusolve was given to patient A08 and it was explained how and when to use it; after using the toilet spray the toilet
area and all flat surfaces, leave for a few seconds and wipe away with a disposable wipe such as kitchen roll. It was also explained
that it could be used on soft furnishings as well; the relative present passed this information on to the carers.
We discussed the possibility of a deep clean in patient A08’s home and undertook a risk assessment of the environment. Although
there would be some manual handling issues and a small working space, it was felt the cleaning team had been adequately train ed to
carry out the deep clean in a safe and effective manner. The deep clean was arranged and carried out on 23 July at 09.30hrs, using
Virusolve solution.
On 25 July we contacted patient A08’s relative to ask if they were happy with how the deep clean was done and the result. Th ey were
very happy and at this point patient A08 had no further symptoms and antibiotic treatment for CDT had been completed.
On 28 July the Infection Control team were informed by Patient A08’s relative that patient A08 had been admitted to the DGH o n 26
July with a suspected relapse of CDT. Their relative felt that patient A08 had been re-infecting themselves due to their inability to
maintain effective hand hygiene. Patient A08 was confirmed CDT positive by a loose stool sample sent from the DGH on 27 July.
Patient A08 was treated for CDT with Metronidazole as an inpatient and was discharged home on 4 August.
From the time of giving the Virusolve trigger spray to patient A08, they remained
symptom free for 8 days and after the deep clean patient A08 was symptomatic within
three days. Patient A08 had been treated for a urinary tract infection with antibiotics
within this time span also, which would have contributed to their relapse along with
poor hand hygiene compliance.
Patient A08 has continued to use the Virusolve trigger spray in their home and has
remained symptom free to date – 22 September 08.
Anne Harding, Infection Prevention & Control Nurse,
Torbay Care Trust Sept. 2008
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4. : Case Studies
Case Study on Patient C08 with Clostridium Difficile and the use of Virusolve+ Trigger Spray.
Background
Patient C08 was confirmed Clostridium Difficile Toxin (CDT) positive on 24/09/08. Two days later we were informed and arranged to
visit them at home. Patient C08 had been having diarrhoea for about a week, but also had episodes within the last month; they had
been treated with multiple antibiotics during this time. Patient C08 has a history of Irritable Bowel Syndrome.
Action
24/09/08 G.P prescribed patient C08 Metronidazole 400mg 3 times a day for ten days once confirmed CDT positive.
26/09/08 during the home visit we discussed general hygiene, made recommendations to declutter the bathroom, and gave a leaflet on
CDT and the Virusolve information sheet explaining how to use and the benefits of Virusolve Spray. There was carpet in the upstairs
bathroom and so advised them not to hoover while symptoms remained, but could use Virusolve to clean the carpet if needed. Patient
C08 was very pleased we visited and keen to do all they could to prevent cross or re-infection.
Follow-up
29/09/08 telephone contact made with Patient C08, they reported feeling better and had passed a formed stool that day.
02/10/08 telephone contact made with Patient C08, spoke to their spouse who confirmed Patient C08 was feeling a lot better and was
still taking the Metronidazole.
03/10/08 Patient C08 contacted us by telephone, concerned about the diarrhoea starting again when the antibiotics are finished – due
04/10/08, reassurance was given and advised to keep using the Virusolve spray.
06/10/08 telephone contact was made with Patient C08, no further diarrhoea experienced since stopping the antibiotics.
16/10/08 telephone contact made with Patient C08, no signs of infection present and has used all the Virusolve Spray. Patient C08 has
been discharged from our care.
Patient C08 has remained infection free for 18 days so far to date 16/10/08.
Anne Harding, Infection Prevention & Control Nurse,
Torbay Care Trust Oct. 2008
Case Study on Patient D08 with Clostridium Difficile and the use of Virusolve+ Trigger spray
Background
Patient D08 was confirmed Clostridium Difficile Toxin (CDT) positive on 25/09/08. The next day we were informed and contacted
Patient D08 by telephone, offered general hygiene advice and reassurance and agreed to arrange a home visit after the weekend.
Patient D08 had been abroad recently, but had no symptoms while away or immediately after their return, neither had they taken any
antibiotics recently. Patient D08 had recently attended the local DGH on two occasions prior to being symptomatic.
Action
25/09/08 G.P prescribed Metronidazole for two weeks.
29/09/08 carried out home visit and discussed the use of the Virusolve Spray around the home and in particular in the toilet area, there
was no carpet in the bathroom, but advised not to hoover until symptoms cease. We discussed general hand hygiene and gave a CDT
leaflet and the Virusolve information sheet to Patient D08. They and their family were very keen to do all they could to prevent cross
or re- infection.
Follow-up
02/10/08 telephone contact made with Patient D08, said they were feeling much better had passed a soft formed stool, continues on
the Metronidazole.
06/10/08 telephone contact made with Patient D08, not available as had gone back to work,
spoke with their parent, patient D08 much better and now passing formed stools.
No signs of infection present at this time, so discharged from our care.
Patient D08 has remained infection free for 15 days so far to date 16/10/08
Anne Harding, Infection Prevention & Control Nurse,
Torbay Care Trust Oct. 2008
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5. : Case Studies
Case Study on Patient B08 with Clostridium Difficile and the use of Virusolve+ Trigger Spray
Background
Patient B08 was confirmed Clostridium Difficile Toxin (CDT) positive on 10/06/08. Patient B08 had
recently been an inpatient in out of area hospitals, during this time they were treated for CDT.
On 13 June we visited patient B08 at home to discuss the best ways to prevent re-infection. The G.P
had prescribed Vancomycin on a tapering regime which commenced on 16/06/08. Patient B08 used a
separate bathroom, so cross infection to other family members was minimal.
We explained how to use the Virusolve spray and left it with patient B08; we checked at regular intervals
how patient B08 was progressing, throughout their treatment and supplied more Virusolve spray as
needed.
Patient B08 was contacted on 11/08/08 two weeks after the Vancomycin was completed. There
have not been any relapses of the CDT during the two months of using the Virusolve Spray and
patient B08 remains symptom free to date – 11/08/08.
Anne Harding, Infection Prevention & Control Nurse,
Torbay Care Trust Sept. 2008
For further information, please contact us:
Phone: 0845 226 0185 Fax: 0845 226 0186 e-mail: info@cairntechnology.com
www.cairntechnology.com
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