Infection control practices used in cystic fibrosis centres in Australia and New Zealand

Abstract

Introduction/Aim: The cystic fibrosis (CF) infection control guidelines have recently been updated (Saiman et al, Infect Control Hosp Epidemiol. 2014) and provide recommendations to prevent cross-infection. In this study, we investigated the current infection control practices used in CF centres in Australia and New Zealand. Methods: Two online surveys were distributed to Australian and New Zealand CF centres: one survey for completion by the Medical Directors and CF Lead Nurse and the second survey for completion by the CF Lead Physiotherapists. Results: The response rate was 60% (60/100) for medical/nursing and 58% (14/24) for physiotherapy. The key findings were: • CF-specific infection control policies were used in almost all CF centres (medical/nursing, 92%; physiotherapy, 100%). • Segregation strategies: Inpatient accommodation provided for people with CF was predominantly single rooms with en-suites (47%). Segregation systems were in place for most (68%) outpatient clinics and all exercise sessions. • Mask policy: 60% of CF centres had implemented a patient maskwear policy. Centres providing care to children were more likely to have implemented a mask policy (67%). Surgical masks were the preferred interface (medical/nursing, 92%; physiotherapy, 91%). • Contact precautions: The uptake of healthcare workers using personal protective equipment was variable when entering rooms of people with CF (regardless of infection status) (medical/nursing, 22%; physiotherapy, 43%) and during outpatient clinics (medical/nursing, 13%; physiotherapy, 36%). • Cleaning: Inpatient rooms were cleaned daily in most (62%) CF centres. Most (72%) CF centres had implemented a cleaning procedure for outpatient clinics. The gym was always cleaned between patients. Conclusion: The results of the survey highlight that variable infection control practices are used in CF centres in Australia and New Zealand. We anticipate that this survey will assist in standardising infection control practices used in CF centres.L6269392512019-04-02 <br />