eflow

[2perfectboys]

Oh Amy. I know you're use to knowing it so i'm going to be kind.

1. PA can be airborne.(spelled with an "E"). Please educate yourself because when u say things like that it makes you look less intelligent than I know you are.

2. How does PA get deep into the lungs? No one knows 100% or they could prevent it. We know where it comes from and that CFers can cross contaminate, but I don't see a lot of peole eating soil nor are all CFers swapping spit today, and they are still getting PA. On a sidenote, this is the first time I think I have ever heard your mother slipping raising you. Although granted, who could have thought 25 years ago, spit could have had any danger, but then know better enough to keep u out of daycares.

3. I'm educated about PA and I know all about the mucoid, thanks, i've had a few micro class. So while your educating yourself about PA being airborne, possibly u can read from a reliable source, Thorax Journal about a published research that found PA can be airborne. <a target=_blank class=ftalternatingbarlinklarge href="http://thorax.bmj.com/cgi/content/full/58/6/525.">http://thorax.bmj.com/cgi/content/full/58/6/525.</a>
"It seems likely that cross infection by epidemic strains of P aeruginosa between individuals with CF is by airborne dissemination." and the agar plates confirmed this.

4. I don't know why CFF would say boil? Why would a respected company like PARI say use tap water, do u think there is a lawsuit here? Or should I just sue the CFF for still allowing clinics to not seperate patients on diff days with and without PA.

if u don't believe me, go to the CDC site, they list PA as an airborne pathogen. All airborne pathogens need are hosts, which can be your sterlie water u just breathed on or even dust. Or the sweat on your fingers can cause your computer's keyboard to be a host and allow PA to form biofilms

 

[2perfectboys]

Oh Amy. I know you're use to knowing it so i'm going to be kind.

1. PA can be airborne.(spelled with an "E"). Please educate yourself because when u say things like that it makes you look less intelligent than I know you are.

2. How does PA get deep into the lungs? No one knows 100% or they could prevent it. We know where it comes from and that CFers can cross contaminate, but I don't see a lot of peole eating soil nor are all CFers swapping spit today, and they are still getting PA. On a sidenote, this is the first time I think I have ever heard your mother slipping raising you. Although granted, who could have thought 25 years ago, spit could have had any danger, but then know better enough to keep u out of daycares.

3. I'm educated about PA and I know all about the mucoid, thanks, i've had a few micro class. So while your educating yourself about PA being airborne, possibly u can read from a reliable source, Thorax Journal about a published research that found PA can be airborne. <a target=_blank class=ftalternatingbarlinklarge href="http://thorax.bmj.com/cgi/content/full/58/6/525.">http://thorax.bmj.com/cgi/content/full/58/6/525.</a>
"It seems likely that cross infection by epidemic strains of P aeruginosa between individuals with CF is by airborne dissemination." and the agar plates confirmed this.

4. I don't know why CFF would say boil? Why would a respected company like PARI say use tap water, do u think there is a lawsuit here? Or should I just sue the CFF for still allowing clinics to not seperate patients on diff days with and without PA.

if u don't believe me, go to the CDC site, they list PA as an airborne pathogen. All airborne pathogens need are hosts, which can be your sterlie water u just breathed on or even dust. Or the sweat on your fingers can cause your computer's keyboard to be a host and allow PA to form biofilms

 

[2perfectboys]

Oh Amy. I know you're use to knowing it so i'm going to be kind.

1. PA can be airborne.(spelled with an "E"). Please educate yourself because when u say things like that it makes you look less intelligent than I know you are.

2. How does PA get deep into the lungs? No one knows 100% or they could prevent it. We know where it comes from and that CFers can cross contaminate, but I don't see a lot of peole eating soil nor are all CFers swapping spit today, and they are still getting PA. On a sidenote, this is the first time I think I have ever heard your mother slipping raising you. Although granted, who could have thought 25 years ago, spit could have had any danger, but then know better enough to keep u out of daycares.

3. I'm educated about PA and I know all about the mucoid, thanks, i've had a few micro class. So while your educating yourself about PA being airborne, possibly u can read from a reliable source, Thorax Journal about a published research that found PA can be airborne. <a target=_blank class=ftalternatingbarlinklarge href="http://thorax.bmj.com/cgi/content/full/58/6/525.">http://thorax.bmj.com/cgi/content/full/58/6/525.</a>
"It seems likely that cross infection by epidemic strains of P aeruginosa between individuals with CF is by airborne dissemination." and the agar plates confirmed this.

4. I don't know why CFF would say boil? Why would a respected company like PARI say use tap water, do u think there is a lawsuit here? Or should I just sue the CFF for still allowing clinics to not seperate patients on diff days with and without PA.

if u don't believe me, go to the CDC site, they list PA as an airborne pathogen. All airborne pathogens need are hosts, which can be your sterlie water u just breathed on or even dust. Or the sweat on your fingers can cause your computer's keyboard to be a host and allow PA to form biofilms

 

[JennifersHope]

Hi,

I am not jumping in the arguement.. but as far as PA being airborne, I tried to click on the link you gave and it didn't come up... I am very interested in that as well. I have taken a few micro classes as well and I was told it was not airborne so I would love to reeducate myself.. I am being serious btw.

Mostly as far as I know ( which granted is not a lot when it comes to PA other then what I read ) PA is mostly in soil and water.. It can't effect non compromised host.. and that it is an oppurtunistic infection....(Please don't correct my spelling, I know I stink at it)

I know it is in hospitals a lot because usually the people in hospitals are compromised. We at are hospital do not treat PA as an airborne infection like we do TB.. we do wear masks and stuff if we are suctioning a patient, in case of a splash up or something but airborne means that it can live..just in the air and it isn't contact.

Please give me more information.. I would like to see the reports. because you bettter beleive if you are right that I am going to bring that up to the infectious disease experts in my hospital..

THanks...

 

[JennifersHope]

Hi,

I am not jumping in the arguement.. but as far as PA being airborne, I tried to click on the link you gave and it didn't come up... I am very interested in that as well. I have taken a few micro classes as well and I was told it was not airborne so I would love to reeducate myself.. I am being serious btw.

Mostly as far as I know ( which granted is not a lot when it comes to PA other then what I read ) PA is mostly in soil and water.. It can't effect non compromised host.. and that it is an oppurtunistic infection....(Please don't correct my spelling, I know I stink at it)

I know it is in hospitals a lot because usually the people in hospitals are compromised. We at are hospital do not treat PA as an airborne infection like we do TB.. we do wear masks and stuff if we are suctioning a patient, in case of a splash up or something but airborne means that it can live..just in the air and it isn't contact.

Please give me more information.. I would like to see the reports. because you bettter beleive if you are right that I am going to bring that up to the infectious disease experts in my hospital..

THanks...

 

[JennifersHope]

Hi,

I am not jumping in the arguement.. but as far as PA being airborne, I tried to click on the link you gave and it didn't come up... I am very interested in that as well. I have taken a few micro classes as well and I was told it was not airborne so I would love to reeducate myself.. I am being serious btw.

Mostly as far as I know ( which granted is not a lot when it comes to PA other then what I read ) PA is mostly in soil and water.. It can't effect non compromised host.. and that it is an oppurtunistic infection....(Please don't correct my spelling, I know I stink at it)

I know it is in hospitals a lot because usually the people in hospitals are compromised. We at are hospital do not treat PA as an airborne infection like we do TB.. we do wear masks and stuff if we are suctioning a patient, in case of a splash up or something but airborne means that it can live..just in the air and it isn't contact.

Please give me more information.. I would like to see the reports. because you bettter beleive if you are right that I am going to bring that up to the infectious disease experts in my hospital..

THanks...

 

[2perfectboys]

<a target=_blank class=ftalternatingbarlinklarge href="http://thorax.bmj.com/cgi/cont...ll/58/6/525
">"><a target=_blank class=ftalternatingbarlinklarge href="http://thorax.bmj.com/cgi/content/full/58/6/525
"><br "><a target=_blank class=ftalternatingbarlinklarge href="http://thorax.bmj.com/cgi/content/full/58/6/525
<br ">http://thorax.bm...gi...ll/58/...
</a></a>
</a>

this link should work

Hey jennifer,
I won't make fun of your spelling, i'm the worst speller theret is, but i'm not going to let some 25 year old who thinks they have all the answers insult my intelligence either. And Lord knows I have a lot of things I don't know.

Your right, that link brings up page not found, maybe try to do w/o dot at the end. I just have it saved under by favorites. THe name of the article is "Identification of airborne dissemination of epidemic multiresistant strains of Pseudomonas aeruginosa at a CF centre during a cross infection outbreak"

It also found where on a CF unit where people did not have CF prior to coming in, some developed it. "At the same time as the environmental sampling was performed, an inpatient acquired infection with an epidemic strain of P aeruginosa. Six other patients resident on the CF ward at the same time are now known to harbour this strain. Patient-to-patient spread is suggested by our failure to culture the epidemic P aeruginosa from the inpatient and outpatient environment at this time. The isolation of epidemic P aeruginosa from room air in the presence of CF patients raises the possibility that there may be airborne spread of epidemic P aeruginosa strains between patients with CF. "

I'm not saying PA is TB, butjust that it is an airborne pathogen. It still needs a host. If u cough or u r talking to me, particles go airborne, if they get on my hand, then I put it in my nose or mouth, bingo there u go. Or if u breath on my open gapping burn wound, "welcome my friendly pathogens." Yeah the doc always clean the stetescope, hands always get washed. Hospitals are dirty, moldy, u know this. People get sick in them even though they try and keep them cleaner than my house.

I did a research project once on VAP, i know u know what this is, but for others, Ventilator-associated pneumonia. It's amazing what a huge problem this is. And aside from using sterile water, it is common clinical practice to not expose opening of trache to air that long, which is also reason to wear mask. And important mouth care to avoid germs. But inspite of the best clinical practices too many people r still experiencing VAP. Why?


you're right about thinking about bringing this up to your hospital, but they already know it. They try and do the best they can, but they know there is still going to be some casualties. But I'm no more scared to go to a hospital as I am to eat at the local Outback steakhouse. Guess i'm a risk taker

 

[2perfectboys]

<a target=_blank class=ftalternatingbarlinklarge href="http://thorax.bmj.com/cgi/cont...ll/58/6/525
">"><a target=_blank class=ftalternatingbarlinklarge href="http://thorax.bmj.com/cgi/content/full/58/6/525
"><br "><a target=_blank class=ftalternatingbarlinklarge href="http://thorax.bmj.com/cgi/content/full/58/6/525
<br ">http://thorax.bm...gi...ll/58/...
</a></a>
</a>

this link should work

Hey jennifer,
I won't make fun of your spelling, i'm the worst speller theret is, but i'm not going to let some 25 year old who thinks they have all the answers insult my intelligence either. And Lord knows I have a lot of things I don't know.

Your right, that link brings up page not found, maybe try to do w/o dot at the end. I just have it saved under by favorites. THe name of the article is "Identification of airborne dissemination of epidemic multiresistant strains of Pseudomonas aeruginosa at a CF centre during a cross infection outbreak"

It also found where on a CF unit where people did not have CF prior to coming in, some developed it. "At the same time as the environmental sampling was performed, an inpatient acquired infection with an epidemic strain of P aeruginosa. Six other patients resident on the CF ward at the same time are now known to harbour this strain. Patient-to-patient spread is suggested by our failure to culture the epidemic P aeruginosa from the inpatient and outpatient environment at this time. The isolation of epidemic P aeruginosa from room air in the presence of CF patients raises the possibility that there may be airborne spread of epidemic P aeruginosa strains between patients with CF. "

I'm not saying PA is TB, butjust that it is an airborne pathogen. It still needs a host. If u cough or u r talking to me, particles go airborne, if they get on my hand, then I put it in my nose or mouth, bingo there u go. Or if u breath on my open gapping burn wound, "welcome my friendly pathogens." Yeah the doc always clean the stetescope, hands always get washed. Hospitals are dirty, moldy, u know this. People get sick in them even though they try and keep them cleaner than my house.

I did a research project once on VAP, i know u know what this is, but for others, Ventilator-associated pneumonia. It's amazing what a huge problem this is. And aside from using sterile water, it is common clinical practice to not expose opening of trache to air that long, which is also reason to wear mask. And important mouth care to avoid germs. But inspite of the best clinical practices too many people r still experiencing VAP. Why?


you're right about thinking about bringing this up to your hospital, but they already know it. They try and do the best they can, but they know there is still going to be some casualties. But I'm no more scared to go to a hospital as I am to eat at the local Outback steakhouse. Guess i'm a risk taker

 

[2perfectboys]

<a target=_blank class=ftalternatingbarlinklarge href="http://thorax.bmj.com/cgi/cont...ll/58/6/525
">"><a target=_blank class=ftalternatingbarlinklarge href="http://thorax.bmj.com/cgi/content/full/58/6/525
"><br "><a target=_blank class=ftalternatingbarlinklarge href="http://thorax.bmj.com/cgi/content/full/58/6/525
<br ">http://thorax.bm...gi...ll/58/...
</a></a>
</a>

this link should work

Hey jennifer,
I won't make fun of your spelling, i'm the worst speller theret is, but i'm not going to let some 25 year old who thinks they have all the answers insult my intelligence either. And Lord knows I have a lot of things I don't know.

Your right, that link brings up page not found, maybe try to do w/o dot at the end. I just have it saved under by favorites. THe name of the article is "Identification of airborne dissemination of epidemic multiresistant strains of Pseudomonas aeruginosa at a CF centre during a cross infection outbreak"

It also found where on a CF unit where people did not have CF prior to coming in, some developed it. "At the same time as the environmental sampling was performed, an inpatient acquired infection with an epidemic strain of P aeruginosa. Six other patients resident on the CF ward at the same time are now known to harbour this strain. Patient-to-patient spread is suggested by our failure to culture the epidemic P aeruginosa from the inpatient and outpatient environment at this time. The isolation of epidemic P aeruginosa from room air in the presence of CF patients raises the possibility that there may be airborne spread of epidemic P aeruginosa strains between patients with CF. "

I'm not saying PA is TB, butjust that it is an airborne pathogen. It still needs a host. If u cough or u r talking to me, particles go airborne, if they get on my hand, then I put it in my nose or mouth, bingo there u go. Or if u breath on my open gapping burn wound, "welcome my friendly pathogens." Yeah the doc always clean the stetescope, hands always get washed. Hospitals are dirty, moldy, u know this. People get sick in them even though they try and keep them cleaner than my house.

I did a research project once on VAP, i know u know what this is, but for others, Ventilator-associated pneumonia. It's amazing what a huge problem this is. And aside from using sterile water, it is common clinical practice to not expose opening of trache to air that long, which is also reason to wear mask. And important mouth care to avoid germs. But inspite of the best clinical practices too many people r still experiencing VAP. Why?


you're right about thinking about bringing this up to your hospital, but they already know it. They try and do the best they can, but they know there is still going to be some casualties. But I'm no more scared to go to a hospital as I am to eat at the local Outback steakhouse. Guess i'm a risk taker

 

[zoe4life]

Taken from the Pari website....

What is the best way to clean and disinfect my PARI Nebulizer?

Cleaning: After every treatment, thoroughly rinse the nebulizer to remove medication. Hand-wash with warm water and dish soap. Rinse thoroughly. OR...Wash in the dishwasher using a dishwasher basket on the top rack.

Disinfecting: (done after cleaning) Every 2nd treatment day, mix a solution of 1 part distilled white vinegar and 3 parts warm tap water in a clean bowl. Soak the nebulizer parts (except the tubing and tubing adapter) for 60 minutes. Rinse thoroughly. OR...Mix a solution using Control III® Nebulizer Disinfectant and soak for 10 minutes. Rinse thoroughly. <u><b>OR...Boil the nebulizer parts for 10 minutes.

As far as Zoe is concerned, after EVERY treatment, we immediately thoroughly rinse and wash the unit with anti-bacterial dish soap, and then boil it for 11 to 15 minutes.....PERIOD! You have to maintain the neb and you MUST keep it sterile and free from bacteria! Your health depends upon it! PS: we utilize sterile bottled (jug actually) water to boil with..... it's not that expensive...... especially when you consider the consequences of possible infection/re-infection. The combination of a healthy dose of "common sense" and steadfastness with regards to disciplining yourself to doing what you know has to be done each and everytime (and yes, it is a pain in the you know what) goes a long way. Hope this helps...... Smile, people will think you are crazy!! =)

Zoe's dada

 

[zoe4life]

Taken from the Pari website....

What is the best way to clean and disinfect my PARI Nebulizer?

Cleaning: After every treatment, thoroughly rinse the nebulizer to remove medication. Hand-wash with warm water and dish soap. Rinse thoroughly. OR...Wash in the dishwasher using a dishwasher basket on the top rack.

Disinfecting: (done after cleaning) Every 2nd treatment day, mix a solution of 1 part distilled white vinegar and 3 parts warm tap water in a clean bowl. Soak the nebulizer parts (except the tubing and tubing adapter) for 60 minutes. Rinse thoroughly. OR...Mix a solution using Control III® Nebulizer Disinfectant and soak for 10 minutes. Rinse thoroughly. <u><b>OR...Boil the nebulizer parts for 10 minutes.

As far as Zoe is concerned, after EVERY treatment, we immediately thoroughly rinse and wash the unit with anti-bacterial dish soap, and then boil it for 11 to 15 minutes.....PERIOD! You have to maintain the neb and you MUST keep it sterile and free from bacteria! Your health depends upon it! PS: we utilize sterile bottled (jug actually) water to boil with..... it's not that expensive...... especially when you consider the consequences of possible infection/re-infection. The combination of a healthy dose of "common sense" and steadfastness with regards to disciplining yourself to doing what you know has to be done each and everytime (and yes, it is a pain in the you know what) goes a long way. Hope this helps...... Smile, people will think you are crazy!! =)

Zoe's dada

 

[zoe4life]

Taken from the Pari website....

What is the best way to clean and disinfect my PARI Nebulizer?

Cleaning: After every treatment, thoroughly rinse the nebulizer to remove medication. Hand-wash with warm water and dish soap. Rinse thoroughly. OR...Wash in the dishwasher using a dishwasher basket on the top rack.

Disinfecting: (done after cleaning) Every 2nd treatment day, mix a solution of 1 part distilled white vinegar and 3 parts warm tap water in a clean bowl. Soak the nebulizer parts (except the tubing and tubing adapter) for 60 minutes. Rinse thoroughly. OR...Mix a solution using Control III® Nebulizer Disinfectant and soak for 10 minutes. Rinse thoroughly. <u><b>OR...Boil the nebulizer parts for 10 minutes.

As far as Zoe is concerned, after EVERY treatment, we immediately thoroughly rinse and wash the unit with anti-bacterial dish soap, and then boil it for 11 to 15 minutes.....PERIOD! You have to maintain the neb and you MUST keep it sterile and free from bacteria! Your health depends upon it! PS: we utilize sterile bottled (jug actually) water to boil with..... it's not that expensive...... especially when you consider the consequences of possible infection/re-infection. The combination of a healthy dose of "common sense" and steadfastness with regards to disciplining yourself to doing what you know has to be done each and everytime (and yes, it is a pain in the you know what) goes a long way. Hope this helps...... Smile, people will think you are crazy!! =)

Zoe's dada

 

[JennifersHope]

<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>2perfectboys</b></i>

<a target=_blank class=ftalternatingbarlinklarge href="http://thorax.bm...gi...ll/58/...
">"><a target=_blank class=ftalternatingbarlinklarge href="http://thorax.bmj.com/cgi/cont...ll/58/6/525
">"><br "><a target=_blank class=ftalternatingbarlinklarge href="http://thorax.bmj.com/cgi/content/full/58/6/525
<br "><br "><a target=_blank class=ftalternatingbarlinklarge href="http://thorax.bmj.com/cgi/content/full/58/6/525
<br ">http:...x......ll/58/...
</a><...r /></a>

</a>



this link should work



Hey jennifer,

I won't make fun of your spelling, i'm the worst speller theret is, but i'm not going to let some 25 year old who thinks they have all the answers insult my intelligence either. And Lord knows I have a lot of things I don't know.



Your right, that link brings up page not found, maybe try to do w/o dot at the end. I just have it saved under by favorites. THe name of the article is "Identification of airborne dissemination of epidemic multiresistant strains of Pseudomonas aeruginosa at a CF centre during a cross infection outbreak"



It also found where on a CF unit where people did not have CF prior to coming in, some developed it. "At the same time as the environmental sampling was performed, an inpatient acquired infection with an epidemic strain of P aeruginosa. Six other patients resident on the CF ward at the same time are now known to harbour this strain. Patient-to-patient spread is suggested by our failure to culture the epidemic P aeruginosa from the inpatient and outpatient environment at this time. The isolation of epidemic P aeruginosa from room air in the presence of CF patients raises the possibility that there may be airborne spread of epidemic P aeruginosa strains between patients with CF. "



I'm not saying PA is TB, butjust that it is an airborne pathogen. It still needs a host. If u cough or u r talking to me, particles go airborne, if they get on my hand, then I put it in my nose or mouth, bingo there u go. Or if u breath on my open gapping burn wound, "welcome my friendly pathogens." Yeah the doc always clean the stetescope, hands always get washed. Hospitals are dirty, moldy, u know this. People get sick in them even though they try and keep them cleaner than my house.



I did a research project once on VAP, i know u know what this is, but for others, Ventilator-associated pneumonia. It's amazing what a huge problem this is. And aside from using sterile water, it is common clinical practice to not expose opening of trache to air that long, which is also reason to wear mask. And important mouth care to avoid germs. But inspite of the best clinical practices too many people r still experiencing VAP. Why?





you're right about thinking about bringing this up to your hospital, but they already know it. They try and do the best they can, but they know there is still going to be some casualties. But I'm no more scared to go to a hospital as I am to eat at the local Outback steakhouse. Guess i'm a risk taker</end quote></div>








Thanks for your reply.. I am not scared of any hospital either.. THe nursing care YES.. HA, sad but true. and I am a nurse so I can safely say that..... Thanks for the link.. I am just coming on board with the infectious disease commitee at my hospital.. and we are currently looking at each department and what nosocomial infection is most prevelant where, then, hopefully we will tackle it. I am trying to sop up all the information I can. I do not believe that doctors are the authority and all knowing on everything, and that comes from be a mistreated patient and not a nurse..

In our hospital a patient with PA is put on contact precautions but not airborne..My only point is if they are finding it in the air.. it should be airborne precautions... but if it has to have a host like you are saying.. then airborne precautions are not needed.. HOWEVER, I am horrified, honestly at the poor Universal Precautions that are actually followed.. and I am honestly surprised that more people don't come out sicker from the hosptial

We have antiseptic wipes now in every room, and at every corner in our hospital. they are perfect for wiping our badges, and equipment down with...I can tell you that I hardly see any one use them..

I honestly think that re education is in order... because I know that no nurse or health care worker would ever want to spread a disease from one person to the next but I sure know they are doing it.

I have a feeling that someday when I can no longer do clinical work I am going to be full time working in the education department.....not because I am a no it all but because I am passionate about nurses being educated about the real live effects of their lack of skill or lack of knowledge can do to a patient.. Again this is more patient based for me at this point..

Thanks for the link.. I love to learn knew information.. I am going to speak more to my ID guys about it

 

[JennifersHope]

<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>2perfectboys</b></i>

<a target=_blank class=ftalternatingbarlinklarge href="http://thorax.bm...gi...ll/58/...
">"><a target=_blank class=ftalternatingbarlinklarge href="http://thorax.bmj.com/cgi/cont...ll/58/6/525
">"><br "><a target=_blank class=ftalternatingbarlinklarge href="http://thorax.bmj.com/cgi/content/full/58/6/525
<br "><br "><a target=_blank class=ftalternatingbarlinklarge href="http://thorax.bmj.com/cgi/content/full/58/6/525
<br ">http:...x......ll/58/...
</a><...r /></a>

</a>



this link should work



Hey jennifer,

I won't make fun of your spelling, i'm the worst speller theret is, but i'm not going to let some 25 year old who thinks they have all the answers insult my intelligence either. And Lord knows I have a lot of things I don't know.



Your right, that link brings up page not found, maybe try to do w/o dot at the end. I just have it saved under by favorites. THe name of the article is "Identification of airborne dissemination of epidemic multiresistant strains of Pseudomonas aeruginosa at a CF centre during a cross infection outbreak"



It also found where on a CF unit where people did not have CF prior to coming in, some developed it. "At the same time as the environmental sampling was performed, an inpatient acquired infection with an epidemic strain of P aeruginosa. Six other patients resident on the CF ward at the same time are now known to harbour this strain. Patient-to-patient spread is suggested by our failure to culture the epidemic P aeruginosa from the inpatient and outpatient environment at this time. The isolation of epidemic P aeruginosa from room air in the presence of CF patients raises the possibility that there may be airborne spread of epidemic P aeruginosa strains between patients with CF. "



I'm not saying PA is TB, butjust that it is an airborne pathogen. It still needs a host. If u cough or u r talking to me, particles go airborne, if they get on my hand, then I put it in my nose or mouth, bingo there u go. Or if u breath on my open gapping burn wound, "welcome my friendly pathogens." Yeah the doc always clean the stetescope, hands always get washed. Hospitals are dirty, moldy, u know this. People get sick in them even though they try and keep them cleaner than my house.



I did a research project once on VAP, i know u know what this is, but for others, Ventilator-associated pneumonia. It's amazing what a huge problem this is. And aside from using sterile water, it is common clinical practice to not expose opening of trache to air that long, which is also reason to wear mask. And important mouth care to avoid germs. But inspite of the best clinical practices too many people r still experiencing VAP. Why?





you're right about thinking about bringing this up to your hospital, but they already know it. They try and do the best they can, but they know there is still going to be some casualties. But I'm no more scared to go to a hospital as I am to eat at the local Outback steakhouse. Guess i'm a risk taker</end quote></div>








Thanks for your reply.. I am not scared of any hospital either.. THe nursing care YES.. HA, sad but true. and I am a nurse so I can safely say that..... Thanks for the link.. I am just coming on board with the infectious disease commitee at my hospital.. and we are currently looking at each department and what nosocomial infection is most prevelant where, then, hopefully we will tackle it. I am trying to sop up all the information I can. I do not believe that doctors are the authority and all knowing on everything, and that comes from be a mistreated patient and not a nurse..

In our hospital a patient with PA is put on contact precautions but not airborne..My only point is if they are finding it in the air.. it should be airborne precautions... but if it has to have a host like you are saying.. then airborne precautions are not needed.. HOWEVER, I am horrified, honestly at the poor Universal Precautions that are actually followed.. and I am honestly surprised that more people don't come out sicker from the hosptial

We have antiseptic wipes now in every room, and at every corner in our hospital. they are perfect for wiping our badges, and equipment down with...I can tell you that I hardly see any one use them..

I honestly think that re education is in order... because I know that no nurse or health care worker would ever want to spread a disease from one person to the next but I sure know they are doing it.

I have a feeling that someday when I can no longer do clinical work I am going to be full time working in the education department.....not because I am a no it all but because I am passionate about nurses being educated about the real live effects of their lack of skill or lack of knowledge can do to a patient.. Again this is more patient based for me at this point..

Thanks for the link.. I love to learn knew information.. I am going to speak more to my ID guys about it

 

[JennifersHope]

<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>2perfectboys</b></i>

<a target=_blank class=ftalternatingbarlinklarge href="http://thorax.bm...gi...ll/58/...
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this link should work



Hey jennifer,

I won't make fun of your spelling, i'm the worst speller theret is, but i'm not going to let some 25 year old who thinks they have all the answers insult my intelligence either. And Lord knows I have a lot of things I don't know.



Your right, that link brings up page not found, maybe try to do w/o dot at the end. I just have it saved under by favorites. THe name of the article is "Identification of airborne dissemination of epidemic multiresistant strains of Pseudomonas aeruginosa at a CF centre during a cross infection outbreak"



It also found where on a CF unit where people did not have CF prior to coming in, some developed it. "At the same time as the environmental sampling was performed, an inpatient acquired infection with an epidemic strain of P aeruginosa. Six other patients resident on the CF ward at the same time are now known to harbour this strain. Patient-to-patient spread is suggested by our failure to culture the epidemic P aeruginosa from the inpatient and outpatient environment at this time. The isolation of epidemic P aeruginosa from room air in the presence of CF patients raises the possibility that there may be airborne spread of epidemic P aeruginosa strains between patients with CF. "



I'm not saying PA is TB, butjust that it is an airborne pathogen. It still needs a host. If u cough or u r talking to me, particles go airborne, if they get on my hand, then I put it in my nose or mouth, bingo there u go. Or if u breath on my open gapping burn wound, "welcome my friendly pathogens." Yeah the doc always clean the stetescope, hands always get washed. Hospitals are dirty, moldy, u know this. People get sick in them even though they try and keep them cleaner than my house.



I did a research project once on VAP, i know u know what this is, but for others, Ventilator-associated pneumonia. It's amazing what a huge problem this is. And aside from using sterile water, it is common clinical practice to not expose opening of trache to air that long, which is also reason to wear mask. And important mouth care to avoid germs. But inspite of the best clinical practices too many people r still experiencing VAP. Why?





you're right about thinking about bringing this up to your hospital, but they already know it. They try and do the best they can, but they know there is still going to be some casualties. But I'm no more scared to go to a hospital as I am to eat at the local Outback steakhouse. Guess i'm a risk taker</end quote></div>








Thanks for your reply.. I am not scared of any hospital either.. THe nursing care YES.. HA, sad but true. and I am a nurse so I can safely say that..... Thanks for the link.. I am just coming on board with the infectious disease commitee at my hospital.. and we are currently looking at each department and what nosocomial infection is most prevelant where, then, hopefully we will tackle it. I am trying to sop up all the information I can. I do not believe that doctors are the authority and all knowing on everything, and that comes from be a mistreated patient and not a nurse..

In our hospital a patient with PA is put on contact precautions but not airborne..My only point is if they are finding it in the air.. it should be airborne precautions... but if it has to have a host like you are saying.. then airborne precautions are not needed.. HOWEVER, I am horrified, honestly at the poor Universal Precautions that are actually followed.. and I am honestly surprised that more people don't come out sicker from the hosptial

We have antiseptic wipes now in every room, and at every corner in our hospital. they are perfect for wiping our badges, and equipment down with...I can tell you that I hardly see any one use them..

I honestly think that re education is in order... because I know that no nurse or health care worker would ever want to spread a disease from one person to the next but I sure know they are doing it.

I have a feeling that someday when I can no longer do clinical work I am going to be full time working in the education department.....not because I am a no it all but because I am passionate about nurses being educated about the real live effects of their lack of skill or lack of knowledge can do to a patient.. Again this is more patient based for me at this point..

Thanks for the link.. I love to learn knew information.. I am going to speak more to my ID guys about it

 

[gman]

The issue of "rinsing with sterile water" is recommended by the Cystic Fibrosis Document entitled "Respiratory...stop spreading the germs". The idea is for CF patients to take extra precautions to avoid risk that may not be present for patients with other respiratory conditions.

Sterile water can be made up in the home by boiling it for 5 minutes, much more economical than trying to purchase it.

This is a recommendation from the CF community and not a recomendation necessarily driven by the manufacturer of eFlow for technical reasons. Functionally, sterile water and tap water would both adequately rinse the eFlow aerosol head.

A little extra effort to prevent the possibility of infection...probably well worth it.

Hope that helps

 

[gman]

The issue of "rinsing with sterile water" is recommended by the Cystic Fibrosis Document entitled "Respiratory...stop spreading the germs". The idea is for CF patients to take extra precautions to avoid risk that may not be present for patients with other respiratory conditions.

Sterile water can be made up in the home by boiling it for 5 minutes, much more economical than trying to purchase it.

This is a recommendation from the CF community and not a recomendation necessarily driven by the manufacturer of eFlow for technical reasons. Functionally, sterile water and tap water would both adequately rinse the eFlow aerosol head.

A little extra effort to prevent the possibility of infection...probably well worth it.

Hope that helps

 

[gman]

The issue of "rinsing with sterile water" is recommended by the Cystic Fibrosis Document entitled "Respiratory...stop spreading the germs". The idea is for CF patients to take extra precautions to avoid risk that may not be present for patients with other respiratory conditions.

Sterile water can be made up in the home by boiling it for 5 minutes, much more economical than trying to purchase it.

This is a recommendation from the CF community and not a recomendation necessarily driven by the manufacturer of eFlow for technical reasons. Functionally, sterile water and tap water would both adequately rinse the eFlow aerosol head.

A little extra effort to prevent the possibility of infection...probably well worth it.

Hope that helps

 

[JazzysMom]

Something we need to remember which is something Jeanne is working on. The products we use often have the basic information for the product itself. Jeanne is trying to get some of the manufacturers to post exact instructions for their products that would address the product as well as the concern of CFers which may or may not apply to others.

 

[JazzysMom]

Something we need to remember which is something Jeanne is working on. The products we use often have the basic information for the product itself. Jeanne is trying to get some of the manufacturers to post exact instructions for their products that would address the product as well as the concern of CFers which may or may not apply to others.