TB Infection Control

Hello,

I just would like to seek the opinion of those in the this forum-group.

We are 15 bed hospital in a very challenged area- both in health care and
socio-economic terms and in a 3rd word country as well.

For this reason- some kind hearted hospital in a an affluent country is
offering to send us unused, un-opened, in the manufacturer original box
N95 masks - yet who expiration dates just passed. (Out of expiration)

Would it be wise for us to accept this and be used?

(a) if it would be improper for use to use for SARS or whatever-- we still
could use it for surgical personnel use during operations- right?


Dr Arne Royce Cahilig
Calbayog Sanitarium & Hospital

Dear Dr Arne,
 
Taking into account your special settings  I would recommend to use these donated respirators for TB high transmission risk staff. Just make sure that elastic strips are in good condition and respirators fit well.
 
Regards,
 
Dr. Grigory V. Volchenkov

Head Doctor
Vladimir Oblast TB Dispansery

Sudogodskoe shosse, 63
Vladimir 600023 RUSSIA

phone/fax work: +7(4922)323265
mobile +7 9206253227; +7 9190189226

PPlease don't print this e-mail unless you really need to. Thank you!

Dear All,

I think someone posted a query into my post, and I am re-posting my query again as below:

I am looking to understand a little more on the consideration and implementation of UVGI systems in high risk TB patients facilities. I understand that the primary considerations are administrative controls, and other measures, and the assessment of risk prior to looking at UVGIs. But I want you to assume that all this considerations has put forward the need to install UVGI in these facilities to help reduce the risk further.

What would be the general guidelines to approach this issue?
- How to decide upon which devices / technology to use?
- Cost / Budgeting
- Placement, installation,
- capacity building of staff, patients
- Maintenance issues
- long term sustainability
- Collecting evidence for documenting progress of intervention
- any other issues

I would also appreciate if you can provide me with some research papers / studies on the same.

Thank you.

Looking forward to your responses.

Dyson Misquitta

(Please note: the responsibility for all material including information, content, views and opinions, on this discussion, rests wholly on a personal basis with the author of this email and not having any bearing on the organization he is employed in)

Dear All,

I think someone posted a query into my post, and I am re-posting my query again as below:

I am looking to understand a little more on the consideration and implementation of UVGI systems in high risk TB patients facilities. I understand that the primary considerations are administrative controls, and other measures, and the assessment of risk prior to looking at UVGIs. But I want you to assume that all this considerations has put forward the need to install UVGI in these facilities to help reduce the risk further.

What would be the general guidelines to approach this issue?
- How to decide upon which devices / technology to use?
- Cost / Budgeting
- Placement, installation,
- capacity building of staff, patients
- Maintenance issues
- long term sustainability
- Collecting evidence for documenting progress of intervention
- any other issues

I would also appreciate if you can provide me with some research papers / studies on the same.

Thank you.

Looking forward to your responses.

Dyson Misquitta

(Please note: the responsibility for all material including information, content, views and opinions, on this discussion, rests wholly on a personal basis with the author of this email and not having any bearing on the organization he is employed in)

Dear Dr Arne
I totally agree with Grigory. The expiry date on N95 respirators is not terribly important (not like food). Just make sure these fit well, are in good condition (not damaged), and I suggest, go ahead and use them!


Prof Shaheen Mehtar
MBBS, FRC Path (UK), FCPath (Micro) (SA), MD (Lon)
Head of Academic Unit for Infection Prevention and Control
Tygerberg Hospital &Fac of Health Sciences, Stellenbosch Uni
PO Box 19063,
Tygerberg 7505, Cape Town
Tel: +27 21 938 5051
Fax: + 27 21 938 5065
Mobile: +27 82 852 3697
http://www.sun.ac.za/uipc
Visit the IPCAN website on
http://www.ipcan.co.za