Recently published research shows up to a 60% reduction in periprosthetic joint infection (PJI), following an MSSA screening and decontamination programme, using octenisan® wash lotion and a nasal gel. The study, which was undertaken at Northumbria Healthcare Foundation Trust, also estimated a total cost benefit of £1,031,039 over the course of the trial [Jeans, 2018]. This approach is now being adopted by other NHS Trusts.
The study aimed to determine if an MSSA screening and decontamination strategy could reduce MSSA PJI rates in primary joint replacement surgery. All MSSA positive patients attending for elective arthroplasty were prescribed octenisan® wash lotion and a nasal gel for use five days prior to the procedure, and five days after. Infection data was collected prospectively and compared with a control group from before the study. Results were analysed in almost 13,000 patients and showed a reduction in infection rates of up to 60% [Jeans, 2018].
The programme also resulted in significant cost savings. Following the introduction of the screening programme 47 PJIs were avoided, with a cost per infection prevented of £1893. This compares to a revision cost of £21,937, leading to an estimated total cost benefit of £1,031,039 over the course of the study [Jeans, 2018].
The researchers concluded that: ‘the decolonisation programme was a significant factor in the threefold reduction of MSSA.’ [Jeans 2018]
The screening and intervention approach tested by Northumbria Healthcare is being adopted by 30 NHS Trusts with the aim of reducing MSSA infections in patients undergoing hip and knee replacement surgery.
This unique collaborative, called QIST (Quality Improvement for Surgical Teams) is supported by schülke. QIST will drive forward improvements for patients by ‘scaling up’ interventions, such as screening and the use of bodywash and nasal gel treatments for patients to reduce infections.
Evidence for an octenidine based antimicrobial body wash in ICU
Decontamination in ICU has a positive impact across the whole hospital
There was a 250% increase in bacteraemia cases across the whole hospital when routine MRSA decontamination in ICU was discontinued. Six months after reinstating the practice, cases showed a significant decrease. Researchers concluded that ‘routine decolonisation for MRSA in a large ICU setting is an effective strategy to reduce the spread and incidence of MRSA across the whole hospital’ [Bradley, 2017].
New training videos are now available including skin cleansing with octenisan® wash mitts and wound cleansing with octenilin® wound irrigation solution. Please click here to see the range of videos https://www.schuelke.com/gb-en/news/news/New-videos-octenilin-octenisan.php
New octenisan App
The new octenisan® app, available on Google and Apple, is a pre-operative guide for patients leading up to surgery. The app is designed to aid patients with effective and reliable pre-operative washing and decontamination with octenisan® products.
octenisan® decontamination body cleansing range
schülke – experts in infection prevention – have a range of decontamination products for body cleansing. These include octenisan® wash lotion, wash mitts, wash caps, nasal gel and mouth rinse. octenisan® wash caps are designed for use with octenisan® wash mitts for bedbound patients and those with limited mobility. octenisan® wash lotion can be used by ambulant patients who are able to shower. The octenisan® range is ideal for whole body cleansing, including hair washing and showering. It can be used to gently decontaminate the entire body, including nostrils, mouth and hair.
Email [email protected] or visit www.schuelke.com to find out more.
References
Bradley CW, Wilkinson MA, Garvey MI. The Effect of Universal Decolonization With Screening in Critical Care to Reduce MRSA Across an Entire Hospital. Infect Control Hosp Epidemiol. 2017;38(4):430-435. doi:10.1017/ice.2017.4
Gastmeier P, Kämpf KP, Behnke M, Geffers C, Schwab F. An observational study of the universal use of octenidine to decrease nosocomial bloodstream infections and MDR organisms. J Antimicrob Chemother. 2016;71(9):2569-2576. doi:10.1093/jac/dkw170
Jeans E, Holleyman R, Tate D, Reed M, Malviya A. Methicillin sensitive staphylococcus aureus screening and decolonisation in elective hip and knee arthroplasty. J Infect. 2018;77(5):405-409. doi:10.1016/j.jinf.2018.05.012
Messler S, Klare I, Wappler F, et al. Reduction of nosocomial bloodstream infections and nosocomial vancomycin-resistant Enterococcus faecium on an intensive care unit after introduction of antiseptic octenidine-based bathing. J Hosp Infect. 2019;101(3):264-271. doi:10.1016/j.jhin.2018.10.023
Spencer C, Orr D, Hallam S, Tillmanns E. Daily bathing with octenidine on an intensive care unit is associated with a lower carriage rate of meticillin-resistant Staphylococcus aureus. J Hosp Infect. 2013;83(2):156-159. doi:10.1016/j.jhin.2012.10.007
