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R. Scott Hatfield, President & CEO Infection Prevention Products Inc. IPPmfg

PLASTIC BAGS cause INFECTIONS in HEALTHCARE. R. Scott Hatfield, President & CEO Infection Prevention Products Inc. www.IPPmfg.com. Presentation Overview. Healthcare Acquired Infections “HAI” ( Nosocomial ) statistics Storing respiratory devices in plastic bags… “A common practice”

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R. Scott Hatfield, President & CEO Infection Prevention Products Inc. IPPmfg

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  1. PLASTIC BAGS cause INFECTIONS in HEALTHCARE R. Scott Hatfield, President & CEO Infection Prevention Products Inc. www.IPPmfg.com

  2. Presentation Overview • Healthcare Acquired Infections “HAI” (Nosocomial) statistics • Storing respiratory devices in plastic bags… “A common practice” • Pathogens “LOVE” Plastic Bags • Triangle of Death • Plastic Bag vs. Breathable Pouch • The Bottom Line

  3. Nosocomial Statistics • Each year, 2 million patients in the U.S. are infected and 100,000 die as a result. (This number does not include LTCF) Over $30 billion is spent treating these infections much of which is preventable. It's also estimated that 70% of HAI-causing bacteria are antibiotic-resistant. http://www.infectionpreventiontextiles.com/HAI-101.php • It is estimated that there are 1.6-3.8 million infections which occur each year in LTCF. Dolly Greene, RN, CIC. Diagnostic Laboratories Note: CDC reports that 380,000 per year die.

  4. The Risk of Infection in Long Term Care (Clorox)Annual infection burden in US long-term care facilities1 Up to 70% of nursing home residents received antibiotics, which can increase the risk for certain types of infections, including C. difficile infections. 2 23.5% of all hospital discharges to SNFs resulted in rehospitalization within 30 days (2006).3 CDC. Nursing Homes and Assisted Living (Long-term Care Facilities [LTCFs]). CDC.Antibiotic Stewardship in Nursing Homes Mor, V.; Intrator, O.; Feng, Z.; Grabowski, D. C. Health Aff. (Millwood).29 (1), 57–64

  5. Common Practice in Healthcare • 99% of Healthcare facilities store reusable respiratory devices in Plastic Bags as shown below.

  6. High Risk Residents

  7. Pathogens “LOVE” Plastic Bags • MRSA & VRE Survived over 90 days on Plastic. Journal of Clinical Microbiologyhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC86187/ • The adherence of bacteria examined was the highest on polyethylene catheters. PubMed.gov http://www.ncbi.nlm.nih.gov/pubmed/3944494/ • Plastic Identification Badges spread pathogens. AMSUS 2013 Annual Meetinghttp://www.slideshare.net/veteransadvocate1/amsus-2013-annual-meeting • University Study: Nasal Cannula stored in Plastic Bag vs. Mesh Baghttp://www.ippmfg.com/materials/CSUChicoStudy.pdf

  8. Table 1 aMeaninoculum (± standard deviation) of 4.1 (±4.4) × 105 CFU.  bAbbreviations: MS, methicillin sensitive; MR, methicillin resistant; VS, vancomycin sensitive; VR, vancomycin resistant.  Journal of Clinical Microbiology

  9. Pathogens “LOVE” Plastic Bags • The adherence of bacteria examined was the highest on polyethylene catheters. PubMed.gov The adherence process was studied quantitatively, as related to cannula composition and bacterial surface hydrophobicity. The adherence of the bacteria examined (per square centimeter) was lowest to siliconized steel needles, higher to Teflon catheters, and highest to polyethylene catheters. The results for Staphylococcus aureus were: (9.9 +/- 0.9) X 10(5) bacteria/cm2 adhered to steel needles. (37.2 +/- 2.8) X 10(5) bacteria/cm2 to Teflon catheters. (168.4 +/- 15.6) X 10(5) bacteria/cm2 to polyethylene catheters’ The Bacteria studied was 17 times greater on plastic compared to steel and 5 times greater compared to Teflon.

  10. Pathogens “LOVE” Plastic Bags • Quotes: • Plastic Identification Badges spread pathogens. AMSUS 2013 Annual Meeting. • “Some of the hardiest germs can successfully reproduce on plastic surfaces for weeks. Studies done in 2000 and 2001 showed that a few antibiotic-resistant germs could survive on plastic surfaces for three full months”. • University Study: Nasal Cannula stored in Plastic Bag vs. Mesh Bag • CSUChico Study. • “Viable bacteria were readily recovered from cannulas that had been stored in polyethylene plastic, however, numbers of recoverable bacteria decreased dramatically (84-99%) following the 1 hour storage in a polypropylene mesh bag”.

  11. Plastic Bags = Petri-Dish • Storing respiratory devices in a Plastic Bag is like storing them in a Petri-Dish

  12. The NoseA Nosocomial Super Highway • The Nose can both receive and deliver infections from Pathogens.

  13. Triangle of Death • The average person touches their Nose 5 times an hour. Dr. Oz (Explaining the triangle of death) • The Dr Oz Triangle Of Death extends from the corners of the mouth to the bridge of the nose. The blood vessels in the triangle drain to the back of the head where it meets up with the veins at the base of the brain. From there it is a quick shot to the cavernous sinus, which receives blood from this nearby web of veins. Infections here can cause vision loss, paralysis, headaches and sometimes death. • Making the Nose the most vulnerable body partin the fight against HAI.

  14. The Triangle is #1 for Staph • Staphylococcusspecies including MRSA bacteria like warm, moist environments and commonly live in the Nose. Staph Infections resources • Up to 40 percent of the population have Staphylococcus species in their Nose. ABC News • New studies suggest that 5% of our population carry MRSA in their Nose. High to Low areas for Staphylococcus

  15. Triangle of Death “Send & Receive” • Healthy people with normal immune systems are highly susceptible to cold virus infection once the virus enters the nose. In volunteers studies, approximately 95% of normal adults became infected when virus was dropped into the nose. Commoncold.org • Staphylococcus species including MRSA in the nose is the most common way the bacterium is carried. Touching the nose, sneezing, wiping a runny nose, and respiratory device use (italics ours) contribute to cross contamination on in healthcare facilities. The Nose – “Ground Zero” for MRSA colonization

  16. Plastic Bags cause Infections!!! These residents send & receive from the Triangle of Death with PLASTIC BAGS

  17. Hypothesis? Are Plastic Bags causing the spread of Pneumonia? Type % Prevalence % Associated Mortality Cost CAUTI 13% 1.5% $1,108 CLABSI 5-10% 12% $33,618 SSI 22% 3% $19,305 HAP 25% 19% $40,000 (2015 data) Magill et.al. (2014) CDC’s Point Prevalence Study US HAI: NEJM. 370(13), p 1198-1208

  18. We Must STOP!!! Storing Respiratory Devices in Plastic Bags!

  19. University Study • In a California State University completed February 27th 2013, the time zero numbers were captured to chart the actual “Staph-microbes” increase or decrease on a Nasal Cannula in a Plastic Bag and in Breathable bags (Mesh & Spun Fiber material “SF-1”) for 1 hour. After 1 hour, the Plastic Bag had a 28% increase, the Mesh had an 870% decrease, and the SF-1 had an 810% decrease. CFU/ml

  20. Field Trials • At Country Villa Riverview in Susanville CA, a Breathable pouch was tested and starting in April… It demonstrated more than a 75% reduction in URI’s. The reduction was so great that the Director of Nurses Steve Tank said: "This Breathable pouch is an amazing product. It has reduced respiratory infections immensely. I don't know how we've lasted this long without it”.

  21. IP-Pouch Control Group Study • In a two month Control Group study at SANDPIPER Premier Senior Living “SNF” under the direction of Eric Hadley, Executive Director & MHA, FACHE, FACHCA. Group A & B both used plastic bags 2 months prior to the study in which there were 19 URI’s. During study, group A used a breathable pouch and group B used plastic bags… URI’s decreased in group A but increased in group B. The Pouch reduced URI’s 60% compared to Plastic Bags - Jan 23 to March 25 2013. URI’s

  22. Plastic Bags Cost Too Much! PLASTIC BAGS Are Replaced Each Week: Each week plastic bags are replaced in nursing homes.Note: Hospitals replace plastic bags every 3-5 days during breathing treatments. PLASTIC BAGS Allow Microbes to Survive and Thrive: Replacing plastic bags contributes to the spread of pathogens throughout the facility. PLASTIC BAGS Increase Respiratory Infections: A breathable bag reduced respiratory infections over 60% compared to the use of Plastic Bags. PLASTIC BAGS Increase Mortality:….. Bottom Line!

  23. Conclusion: PLASTIC BAGS cause INFECTIONS in HEALTHCARE! Healthcare facilities must STOP!!! Storing “Reusable” Respiratory Devices in Plastic Bags. Use a breathable moisture wicking pouch or bag like…………….. The IP-Pouch.

  24. Save Time… Save Money… Save Lives 1-888-587-7775 www.IPPmfg.com

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