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Hospital pillows - Infection control risks and measures to reduce them.

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Slide set examining medical literature, identifying risks and outlining measures to reduce risks. Includes observations of Infection Control staff at UK NHS Hospital facilities.

www.sleepangel-medical.com.
Stand 30, IPS 2014.

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Hospital pillows - Infection control risks and measures to reduce them.

  1. 1. The pillow is a vector for infection Reduce infection risks, Improve patient care, Save your hospital money Supported By: Acknowledgement to: 1
  2. 2. Pillows as a Risk Area 2 Exterior surface of 100 pillows swabbed • Previously cleaned with a quaternary ammonium Pillows as a Risk Area Lange V. AJIC (2014) 42 S34-35 compound 38% contaminated • MRSA, VRE, Coliforms, inc E. coli and K. pneumoniae Concluded • Reusable hospital pillows may serve as reservoirs for nosocomial pathogens • Clear and rigorous guidelines should be established for decontamination of patient beds and pillows • Outbreak investigations should include…pillows and mattresses • Currently reviewing options such as a barrier pillow cover Control of CA-MRSA in a Burn Centre Shik N., Ford S. et al AJIC (2014) 34(5) E100- 102 Burn Centre • Nurses discovered patient pillows varied in weight and detected stains on some pillow covers Presence of small manufactured openings for air exchange within the pillow core • Potential for wound drainage contamination and transfer of microorganisms 2 outbreaks in a Burns Unit • During the outbreak investigation it was noted that pillows used in the hospital were not fluid-proof, and when cut open, many were visibly contaminated with body fluids Examination of Pillow Cores Mottar R., Roth M et al AJIC (2006) 34(5) E107- 108 Patient pillows and a control (unused) sent for testing • Pillow seams and pillow label tags were found to be a mechanism for pillow contamination allowing for drainage wicking from outside the pillow to the pillow core Multiple pathogens found growing within pillow cores of all patient pillows • Correlation to organisms from colonised and infected patients • Acinetobacter cultured from a patient with colonisation of the face Study looking at 100 standard and 100 barrier pillows (Sleepangel™, a class 1 medical device) • Pneumapure™ nanofilter membrane In use for 3 months and sent for analysis • External contamination of both types • Internal contamination of standard pillows, all barrier pillows contamination free • 60% of standard pillows failed mechanically at 3 months, no barrier pillows failed • Whole Trust replacement programme  Significant MRSA and CDI reduction Pillow is a Vector Tucker A., Dewhurst, M. Abstract, IPS Conf 2012
  3. 3. Pillows – pathogen ingress and transmission routes 3
  4. 4. Does the clinical community care? Infection control and cross-infection present a major problem for hospitalsi greatly increasing risk to health and causing considerable expense. Bedding interiors colonised with bacteria, become a reservoir of infectionii, posing an increased risk of Hospital Acquired Infections. (i) Wilson, Jenny Infection control in clinical practice Balliere Tindall, London 1995 4 “A key element of this strategy is to control the dispersal of microbes via contaminated bed linen, mattresses and other points of close contact with infected individuals” Thilagavathi, G. Kannaian, T. 2008 Indian Journal of Fibre and Textile Research, Dual antimicrobial and blood repellent finishes for cotton hospital fabrics “Often only the bedrail has been sampled during investigation of outbreaks, rather than more important potential reservoirs of infection, such as mattresses and pillows, which are in direct contact with patients. It is essential that these items and other bed components are adequately decontaminated to minimise the risk of cross-infection.” Creamer E, Humphreys H. The contribution of beds to healthcare-associated infection: the importance of adequate decontamination J Hosp Infect. 2008 May;69(1):8-23. “As a result evidence is clear: good practice in infection control in hospital, should include the deployment of CE medical device infection control pillows such as SleepAngel, as well as diligence in cleaning and disinfection, together with the implementation of a pillow audit protocol.” Diane Wake, Chief Operating Officer, Liverpool & Broadgreen University NHS Trust, Reducing HCAI Conference, London, 2013
  5. 5. Medical device hospital pillow SleepAngel® with PneumaPure™ Filter Technology 5 Class I Medical Device
  6. 6. SleepAngel™ Testing and Validation Please visit youtube to view this video www.youtube.com/watch?v=EQjKz9eDDB0?list=PLshwoY7GBQqcFmbcX38m 6 ws6N5ig_JDWC9 Dr. Bruce Mitchell, Clinical Immunologist and CEO, Airmid Healthgroup
  7. 7. Post market evaluation – NHS Hospital Same story – pillows as a potential vector 7 • They don’t just get used under heads.. Respiratory ward – a problem area (Abx, revolving door) • Prior to intervention; 0.52 CDI/month • Post intervention; 0.12 CDI/month • No other differences (virtually all other wards increased) Although antibiotic prescribing targets were raised the ward was already meeting new standards Very popular with staff • Plus: Easy to clean, robust and comfortable for patients; Less numerically required • Concern: Disappearing act.. Beds of Roses Maintenance of safe patient environments by nurses, Reducing HCAI Conference, London, June, 2014 Martin Kiernan Chair Education Committee HIS, Former President of World Infection Prevention Societies Nurse Consultant, Southport and Ormskirk NHS Hospitals Trust CLICK LINK TO VIEW MARTIN KIERNAN MASTER CLASS SLIDES (Slides 33 on refer to hospital pillows) www.bit.ly/bedsofroses_2014
  8. 8. Post market evaluation – NHS Hospital 8 Reducing HCAI Conference, London 2013 Diane Wake, Chief Executive Officer (previously Director of Infection Prevention and Control at Liverpool & Broadgreen University NHS Trust) • “One of the most insidious pockets of resistance is the hospital bedding” • 100 new SleepAngel pillows and 100 standard hospital pillows were deployed in wards • After 90 days, sample pillows were sent for microbiological analysis: • Majority of standard hospital pillows tested contained “potentially dangerous organisms” • None of the SleepAngel® pillows tested contained pathogens • 60% of standard hospitals pillows tested had failed mechanically (ripped or flattened) • None of the SleepAngel® pillows tested had failed mechanically • Recommendation “to deploy CE marked infection control pillows such as SleepAngel®” Highlights of HCAI Reduction Strategy MRSA reduces from 34 to 4 cases (-94%) C Diff reduces from 363 to 64 cases (-84%)
  9. 9. Reducing HCAI Conference, 2013 9 Please visit youtube to view this video www.youtube.com/watch?v=HK6Xh0aD1VE
  10. 10. Save Your Hospital Money 10 SleepAngel™ Cost of Ownership Benefit • Use less - two per bed not three or four (1) • Replace less – observed to last up to 4 times longer than wipe down pillows (2) • Launder less – pillow laundry becomes obsolete, pillow case laundry is reduced • Dispose less – reduce costs associated with product obsolence and disposal Our financial model shows that replacing standard wipe down pillows with SleepAngel™ pillows can achieve meaningful cost savings over the lifecycle of the product, before the benefits associated with contamination reduction and infection risk reduction are factored in. Our cost saving calculator demonstrates how savings are achieved. (1) Post market observation., Galway University Hospital, Therese Byrne , Purchasing officer in Hermitage Clinic , Dublin (2) Marie Dewhurst, Infection Control Team Leader, Royal Liverpool and Broadgreen University Hospitals Trust
  11. 11. 11 Thank You Copyright of Gabriel Scientific www.sleepangel-medical.com

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