Ms Mia Brill1
1Austin Health, Heidelberg, Australia
Effective health care worker hand hygiene practices are vital in the prevention of health care associated infections and the transmission of antimicrobial resistance, yet little focus is placed on patient centered approach to infection prevention and control.
Results from a routine Vancomycin resistant enterococci (VRE) point prevalence survey at our organisation showed patient colonization and environmental contamination with VRE van A in one ward. Introduction of hand hygiene wipes for patients was initiated as a part of a multi modal strategy to control and contain the outbreak.
Hand hygiene wipes were introduced for all patients delivered via meal trays for a three week period. Patient and health care worker feedback was collected throughout the trial while environmental surveillance continued.
After completion of the three week patient hand hygiene wipes trial, feedback was positive from health care workers and patients. One of the common themes from health care workers was that further education was needed for patients on the use of hand hygiene wipes.
After four weeks no new patient cases of VRE van A were found. However a commode chair was found to be contaminated with VRE van A, suggesting hand hygiene wipes for patients after toileting may be beneficial. Monthly screening of patients and the environment continued until no new findings of VRE van A was detected.
Mia has worked at Austin Health for over 14 years, starting in the Emergency Department and moving into Infection Control in 2015. Mia has been involved in many portfolios whist being with the Infection Control team and has a passion for Hand Hygiene amongst health care workers and patients.