Complex neurosurgery on a patient at risk of developing CJD; Lessons Learned

Mrs Rachel Thomson1, Dr Tara Anderson

1Royal Hobart Hospital, Hobart, Australia

 

The number of individuals in Australia who meet the classification criteria for ‘low-risk’ for Creutzfeldt-Jacob Disease (CJD) is a relatively small group.  The frequency with which individuals in the ‘low-risk’ group undergo surgery requiring exposure to higher-infectivity tissue is an even smaller group.

In June 2018 a 69 year old female patient in the ‘low-risk’ category for CJD transmission, was admitted over a weekend to the Royal Hobart Hospital.  She had increasing focal symptoms associated with a recently diagnosed large, complex, deep-seated meningioma.

This case presented a set of unique challenges relating to the invasive neurosurgery required to remove this tumour, whilst maintaining capacity to continue to treat subsequent patients in the sole facility undertaking such surgery within Tasmania. The challenges related to the need to potentially quarantine and destroy complex equipment which could not be readily replaced either through loan equipment or substitution.

The ability to both perform this case and maintain surgical capacity required a level of detailed planning with limited time due to the pressing nature of the illness being experienced by the patient.  The application of the current Australian CJD Guidelines required rapid multi-disciplinary interaction and detailed high-level planning.

This presentation will explore the lessons learnt that allowed our organisation to successfully provide complex treatment in a timely manner, whilst allowing retention of advanced neurosurgical capacity within the Tasmanian Public Healthcare system.


BIOGRAPHY

To be provided later

About the College

The ACIPC is the peak body for Infection Prevention and Control professionals in the Australasian region. Our stated vision is the prevention and control of infection in our communities. We commenced in January 2012 bringing together the various State and Territory infection control associations formerly in AICA (The Australian Infection Control Association) to support and encourage collaboration across Australasia.

Conference Managers

Please contact the team at Conference Design with any questions regarding the conference.
© 2018 - 2019 Conference Design Pty Ltd