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MRSA decontamination
 
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ProntodermÒ washing solution brings MRSA decontamination efficacy and skin tolerance to UK hospitals

This month, B. Braun Medical, the UK ’s largest supplier of surgical and medical products introduces ProntodermÒ: a new generation of tailored antimicrobial solutions, which are highly effective against MRSA (methicillin resistant Staphylococcus aureus) and other bacteria.

MRSA is a bacteria that can be found harmlessly on the skin and nasal passage of up to 50% of the population. The need for ProntodermÒ is highlighted by the growing prevalence of MRSA and the subsequent threat to those in hospital care. Since mandatory recording of blood born MRSA infections was introduced in England in 2001, the number has risen steadily from 7,249 in 2001/02 to 7,684 in 2003/04 1..

The ProntodermÒ range contains a surfactant plus the bactericide Polyhexanide, to which MRSA shows no resistance.  The specialised ProntodermÒ range of anti-MRSA solutions are targeted for use, and have been shown to be:

·       Suitable for long term use

·       Extremely tissue friendly

·       Dermatologically harmless 

·       Easy to use as they require no rinsing

Polyhexanide has been used safely for years as a contact lens solution preservative, as a disinfection agent in swimming pools and on Mainland Europe to treat infected wounds and colonised skin. Results in Germany are impressive for example when a decontamination procedure using a polyhexanide solution was introduced at the 972-bed Klinikum Wiesbaden hospital in Germany , the incidence of MRSA dropped by 78 per cent over three years (see Figure 1).

As a result, the author of the study, Prof HM Seipp of the University of Applied Science in Wiesbaden states that: ‘…polyhexanide has been, to date, the agent of first choice for decontamination of MRSA patients.’

Joanne Clegg, Product Manager for disinfection and hygiene products at B. Braun comments on the current situation in hospitals. ‘The problem develops when a person with the MRSA strain of bacteria enters the hospital. These people can act as carriers, bringing MRSA into a clinical setting. MRSA is spread by hand-to-hand contact and can cause infection to others and to the individual.’

‘As part of the battle to reduce MRSA infection, hospitals are increasingly checking new patients to see if they carry the MRSA organism,’ explains Joanne.  If they are found to be carriers, then the patient will be ‘decolonised’ using washes for all the skin, including hair, armpits, lower body and especially the nose where MRSA tends to accumulate.’

The ProntodermÒ range is specifically designed for ease of use making compliance with decontamination procedures easier for medical professionals and patients. The ProntodermÒ range includes the following products:

·       ProntodermÒ Solution:  Standard solution for patient cleansing

·       ProntodermÒ Concentrate: To be diluted

·       ProntodermÒ Gel strong:  For showering 

·       ProntodermÒ Gel light: For the nose

·       ProntOralÒ: For gargling

·       ProntodermÒ Foam: For cleansing

B. Braun has extensively tested the products in vitro and on carriers of MRSA. The product is also tried and tested in Germany where it is meeting with increasing success.

The Department of Health advises that patients shown to carry MRSA who are due to under go high risk procedures, such as elective orthopaedic or cardiovascular surgery, are recommended to perform whole body decontamination with skin and nose treatment prior to surgery.

For further information, please contact:
Sadie White, Nexus Healthcare                   020 7808 9751
Sophie Taylor-Roberts, Nexus Healthcare 020 7808 9754
Nicky Smith, Nexus Healthcare                   020 7808 9750

References:
 1.  DoH statistics
 2.  Seipp, H.-M.; Stroh, A.:Hyg Med 1999

Notes 
MRSA (source: DoH A simple guide to MRSA,
www.dh.gov.uk <http://www.dh.gov.uk>)
Staphylococcus aureus (S. aureus) is one of a family of staphylococcal bacteria. Their normal home is on human skin and they are usually harmless. The bacteria can cause infections if they get into wounds or are introduced to the body or blood stream by surgery or medical devices, like intravenous catheters. This is particularly dangerous in patients who are severely ill, or immunosuppressed patients such as those in intensive care units or undergoing cancer chemotherapy.

Many S. aureus have developed resistance to a range of antibiotics. Methicillin-resistance S. aureus is resistant to most antibiotics and is therefore difficult to erradicate.

About 30 per cent of the general population carries S. aureus; in hospital the percentage is higher. S. aureus carriage is more likely to be MRSA in hospital populations (patients and staff) than in the community.

Carriage sites are nose (most common) and skin, especially skin folds such as axilla (armpit) or groin. A carrier can be a source of infection for themselves (e.g. if they have a wound) or others.

B. Braun
B. Braun Medical Ltd is a member of the B. Braun Group, one of the world’s leading healthcare companies. B. Braun manufactures and distributes on a global basis, employing more than 28,000 people worldwide.

B. Braun offers healthcare professionals and hospitals an outstanding range of products, from our world renowned surgical instruments to our innovative implants and therapeutic systems, all matched by a comprehensive range of high quality services.

Polihexanide
In
Britain , polihexanide has traditionally been administered as eye drops to treat the potentially blinding eye infection Acanthamoeba keratitis. It is also present in contact lens cleaning solutions, to prevent bacterial build up.

The compound is well tolerated by the human skin, because it is attracted to the acidic lipids of bacterial cell membranes, while human cell membranes are largely neutral.

(24/1/06)

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Silver Fabric Can Help Hospitals Meet Cleanliness Targets
  
According to a recent Healthcare Commission report, inspectors have found that two thirds of NHS and private hospitals are failing to meet the highest standards of cleanliness.
  
The results of the report come amid evidence that rates of the MRSA superbug can be slashed through an intensive hospital cleanliness programme. According to the results of a 2003 study by the
University College London Hospital , MRSA rates can be dramatically cut by introducing universal cleanliness standards.
  
A new fabric devised by Toray Textiles Europe Limited can kill MRSA and other hospital bugs within one hour of contact. The new 'See it Safe' fabric contains woven silver thread, and is being deployed in bedding, sheeting, surgical gowns and drapes.
  
The fabric does not require any special process or procedures to maintain its bacteria killing properties.
  
Cross-contamination through airborne, nurse-to-patient and patient-to-patient, mechanisms can therefore be effectively and simply
managed, using See it Safe.
  
More information is available at  www.seeitsafe.co.uk, or by telephoning Toray on 01623 415 000.
  
- Ends -
  
(26/1/06)

 

 

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