infection control 15
TRANSCRIPT
Reducing HCAIs In healthcare
ü A reduction in viable micro-organisms on surfaces
ü A reduction in indoor Volatile Organic Compound levels
ü A reduction in viable bio aerosols
The Aim
HCAI reduction – What Is Required?
ü Technology that the NHS needs
ü Products that add more clinical value at the front-end
ü More value per £ NHS spent on HCAI needs
The requirement
Is Better Cleaning The Answer?
Does it work?:
ü An effective cleaning protocol is essential ü Disinfectants can remove bacteria ü However residual performance is very short
ü HCAIs can become established again quickly ü 24/7 antimicrobial could provide maximum protection
IS THIS AT ALL POSSIBLE?
Well!, If Good Cleaning and Disinfecting Is In Place
Why?:
ü Do bacterial colonies develop in clean conditions? ü What is “clean”? ü How do micro-organisms develop
ü How do they develop into HCAIs? ü Can they be deactivated?
ü What can be done to prevent their movement? ü How can they be prevented from developing?
HOW CAN THIS BE ACHIEVED?
FIRST PROBLEM ü Detergents & cleaners don’t always break down and remove fats
ü Organic matter remains
ü These may harbour bacteria
SECOND PROBLEM There is no single disinfectant that can achieve that!
ü Most disinfectants are not true broad-spectrum
ü Residual performance is not great
However! There is still an even Bigger problem?
ü They prevent disinfectants reaching the micro-organism
ü Allowing colonies of bacteria to grow and multiply
ü Under a protective layer
BIOFILM
SO, WHAT CAN WE DO ABOUT THEM?
Looking at current solutions in dealing with HCAIs.
Our findings:
ü There are advancements in disinfectants ü New technologies are being used ü Cold fogging
ü Aerosol ü Specialised chemicals
ü Better hand hygiene ü Better methods
NONE PRESENT A SOLUTION TO THE PROBLEM!
So where do we fit in?
Thinking smart:
ü We looked at producing a better range of products ü That are safer and quicker to use ü That can deal with the problem efficiently
ü Better patient experience and standard of healthcare ü Save cleaning time
ü Prevent ward closures ü Cost reduction with better results
FINDING A SOLUTION TO THE PROBLEM!
Where product innovation and technology meet Better Products – Combined With Technology
ü So perhaps if we combine ü More effective products ü That provide a reduction in HCAIs
ü With a good method to apply them ü Then we could get better results
WE BELIEVE THAT WE HAVE FOUND A SOLUTION
3 Steps to Perfection
CLEAN – EnviroCair Oxy (H202 Ag+)
DISINFECT – EnviroCair Disinfectant (QAC)
PROTECT - EnviroCair Antimicrobial (SIQAC)
PRO-ACTIVE | PREVENTATIVE | PROTECTIVE
EnviroCair Oxy (H202 Ag+)
STAGE 1 - CLEAN
ü Hydrogen Peroxide + Silver + Booster Agents
ü Advanced Biofilm Remover
ü Environmentally friendly (disintegrates 100% into water and oxygen)
EnviroCair Oxy (H202 Ag+)
STAGE 1 - CLEAN
§ Bacteria senses Hydrogen Peroxide § Bacteria produces a blocking catalase (enzyme) cloud ACTIVATES ü Hydrogen Peroxide attacks and destroys catalase and
oxygen split-off attacks the cell wall ü The Silver attacks the inside of the compromised cell STABILISES ü Bacteria destroyed – Silver recombines
How does it work?
STAGE 2 - DISINFECT EnviroCair Disinfectant (QAC) ü A 4th Generation Quaternary Ammonium Compound
ü Has added ingredients to target all pathogen groups
ü Virucidal | Bactericidal | Sporicidal
ü Fast acting log8 result in seconds
ü Fungicidal | Tuberculocidal | Yeasticidal
EN14476 | EN14675 | EN13704 | EN14348 | EN13727 | EN14885 | EN13697 | EN1276 | EN1650 | EN1040 | EN1275
FINDING A SOLUTION TO THE PROBLEM!
STAGE 2 - DISINFECT EnviroCair Disinfectant (QAC)
§ High performance disinfectant using advanced technology
§ A true broad-spectrum disinfectant
§ Uses lower concentrations to achieve superior results
ü Bacteria – gram positive
ü Bacteria – gram negative ü Viruses – non enveloped
ü Viruses - enveloped
ü Spores ü Mycobacteria
ü Fungi ü Mould
STAGE 3 - PROTECT EnviroCair Antimicrobial (SIQAC) ü A highly advanced antimicrobial coating
ü Prevents the growth of bacteria and viruses
ü Will not lose effectiveness over time
STAGE 3 - PROTECT
The Biostatic molecule is comprised of three parts 1. A silane polymer for surface attachment 2. A positively charged Nitrogen group 3. A long chain C-18 Methylene group of molecules
ü The silane coupling covalently bonds to the surface
Advanced long term anti-microbial protection
ü The positively charged Methylene chain points away from the surface
ü Through ionic attraction, negatively charged microbes are drawn onto the positively charged Biostatic coating
ü Upon contact the Methylene group molecules compromise and penetrate microorganisms cellular membrane
Trials
§ North Cumbria University Hospitals NHS Trust § Norfolk and Norwich University Hospitals § NHS Foundation Trust
§ BUPA Cromwell Hospital § London Ambulance Service NHS Trust
§ Barlborough NHS Treatment Centre § Scottish Ambulance
Trials have been successfully carried out at
3 Steps to Perfection
CLEAN – EnviroCair Oxy (H202 Ag+)
DISINFECT – EnviroCair Disinfectant (QAC)
PROTECT - EnviroCair Antimicrobial (SIQAC)
PRO-ACTIVE | PREVENTATIVE | PROTECTIVE
ü Electrostatic Spraying ü Aerosol Fogging Treatment ü Fast response units
ü Reduction in chemical usage ü Saving in labour costs
Advanced Infection Control Products Combined With Advanced Technology Methods
WARD TURNAROUND TIMES IN AS LITTLE AS 2 TO 3 HOURS ROOMS OR AMBULANCES IN 60 MINUTES
Benefits include:
ü Offer both Fogging and Electrostatic Spraying ü Completely portable. ü Turnaround time can be less than 60 minutes,
including treatment. ü Can be used in larger open spaces and outside. ü Can be used in vehicles and confined spaces. ü Offers complete coverage. ü Patented technology developed in the 1960s by
The University of Georgia for the US Government. ü Revolutionised many industries, offering total
coverage whilst reducing chemical usage by 97%. ü Can be used in any situation on any surface
Electrostatic & Fogging
ü The spray gun has an electrode nozzle, which charges the chemical negatively when it passes through and discharges.
ü Negatively charges ions actively seek a host.
ü All physical items are positively charged, and attract the chemical onto their surface.
ü In this test, both items were sprayed with an indicator fluid. ü When the electrostatic charge is applied, the item is
completely covered on all surfaces
ü Under normal spray with no static charge, only the area facing the spray is treated.
ü The attraction to the surface is 75 x greater than gravity
THE 1-2-3 SolutionADVANCED INFECTION CONTROL
Suitable For All Healthcare Sectors
EnviroCair Oxy
H2O2 AG+
EnviroCair QAC
Disinfectant
EnviroCair SIQAC
Coating
EnviroCair SanoChem Oxy (H202 Ag+)
EnviroCair SanoChem Disinfectant (QAC)
Separate Uses / On-going Maintenance
ü Neural pH – non-toxic ü Harmless to water and the environment ü No danger of bacterial resistance
ü A stand-alone, high performance disinfectant ü Log8 performance in seconds ü Sporicidal efficacy on Clostridium difficile ü Good performance against non-enveloped viruses ü Available throughout the range
ü Advanced detergents "(6 x wetter than water – bacteriostat, one molecule thick, slides under debris, attracted to surface)
ü Surface disinfectants "(high efficacy - log8 disinfectant in seconds)
ü Surface sanitisers (Campden Laboratories accredited, food-safe, non-rinse, non-taint)
ü Hand sanitisers (foaming and non-foaming)
ü Hand wand wash and soap (foaming and non-foaming) ü Wipes
(surface or hand)
EnviroCair Sanochem offers a more effective product range