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Corrective Action when Staphylococcus Aureus Hand Swabs are High?


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#1 hygienic

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Posted 22 September 2011 - 01:59 PM

Dear All;



Just a quick question with regards staph, what you will do if you got twice a rsult of hand swab the staphylococcus aureus is above the acceptable level ?

50 and 40 cfu ?


PS. the two samples from one employee .



Please I need your advise in this case (corrective action )


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#2 hygienic

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Posted 25 September 2011 - 03:19 PM

Dear All;



Please tell me if there is any major corrective action has to do immediatly ?



Regards


Edited by hygienic, 25 September 2011 - 03:19 PM.

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#3 Charles.C

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Posted 25 September 2011 - 04:09 PM

Dear hygienic,

I suggest to initially -

(a) validate yr procedure and result
(b) validate yr standard of acceptance

Rgds / Charles.C


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#4 Dr Ajay Shah

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Posted 26 September 2011 - 05:57 AM

I agree with what Charles C has stated. Yopu should also review your procedures and modify them. Also introduce hand sanitiser alcohol gels to be applied after wshing hand and then validate the procedure.


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Dr Ajay Shah.,
BSc (Hons), MSc, PhD, PGCE(FE)
Managing Director & Principal Consultant
AAS Food Technology Pty Ltd
www.aasfood.com


#5 Erickx

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Posted 27 September 2011 - 10:51 AM

Dear All;



Just a quick question with regards staph, what you will do if you got twice a rsult of hand swab the staphylococcus aureus is above the acceptable level ?

50 and 40 cfu ?


PS. the two samples from one employee .



Please I need your advise in this case (corrective action )


Hello,



In what type of food are you in? It makes a difference if you are in a slaughterhouse or

in a high care area.

Did you confirm the colonies found to be really S. aureus (serologically)



Normally Staph. aureus does not occur on hands as common flora.

If present it could come from nose picking or an infection.

Handwashing with soft sanitizing soap should be more than enough to get rid S. aureus.



But be aware that after handwashing you will still find Staphyloccus. This will not be aureus but S. alba which is common to be present on skin



Kind regards

Erickx
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#6 lovelin

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Posted 27 September 2011 - 11:11 AM

Hi!

Iagree with the above suggestions. The affected staff required to undergo "eradicationtherapy", like antiseptic washes and application of antibiotic ointmentsfor eg,neomycin to the anteriorof the nose.The use of disposable aprons and gloves also reduces the risk of cross contamination.

Regards,

Lovelin.


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#7 hygienic

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Posted 27 September 2011 - 02:18 PM

Hello,



In what type of food are you in? It makes a difference if you are in a slaughterhouse or

in a high care area.

Did you confirm the colonies found to be really S. aureus (serologically)



Normally Staph. aureus does not occur on hands as common flora.

If present it could come from nose picking or an infection.

Handwashing with soft sanitizing soap should be more than enough to get rid S. aureus.



But be aware that after handwashing you will still find Staphyloccus. This will not be aureus but S. alba which is common to be present on skin



Kind regards

Erickx



Dear Erickx;


Realy thanks for your input and I think you are right , as I read that the staph aureus can not survive or grow in the hands cause the acidity of the skin hands will kill this bacteria , as you said may be infection , so for that it is better to send the infected staff to the medical or to the clinic ,

what are you think? is it a good corrective action ?



Regards
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#8 hygienic

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Posted 27 September 2011 - 02:25 PM

Dear hygienic,

I suggest to initially -

(a) validate yr procedure and result
(b) validate yr standard of acceptance

Rgds / Charles.C



Dear Charles;


I am always taking your ideas and guidlines seriuosly , the validation has been done and going to issue a new procedure after amendements.



Regards

Edited by hygienic, 27 September 2011 - 02:26 PM.

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#9 hygienic

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Posted 27 September 2011 - 02:32 PM

Dear Erickx;


Realy thanks for your input and I think you are right , as I read that the staph aureus can not survive or grow in the hands cause the acidity of the skin hands will kill this bacteria , as you said may be infection , so for that it is better to send the infected staff to the medical or to the clinic ,

what are you think? is it a good corrective action ?



Regards


coming back to you Erickx regarding ur question if I am sure that the colonies are staph.eaureus or not, as I am doing the media what I have especially for identifying the aureus only and inhibit others .

Regards


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#10 Erickx

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Posted 27 September 2011 - 02:46 PM

Dear Erickx;


Realy thanks for your input and I think you are right , as I read that the staph aureus can not survive or grow in the hands cause the acidity of the skin hands will kill this bacteria , as you said may be infection , so for that it is better to send the infected staff to the medical or to the clinic ,

what are you think? is it a good corrective action ?



Regards

Dear Hygienic,

Sending staff to the medic will probably not solve the problem because S. aureus is hard to fight (could even be MRSA). Maybe it’s better to find the source of S.aureus. Is the staff member known to be in contact with farming or animals? How is his personal hygiene?

I would suggest the following corrective actions:

- Write a procedure for handsanitizing

- Give instructions to staff

- Observe handsanitizing on the spot.

- Apply immediate corrective actions on staff if handsanitizing is not followed for 100%

- Resample after one or two weeks



If non of this is successful you could always consider to use latex gloves…



Kind regards

Erickx


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#11 Charles.C

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Posted 28 September 2011 - 01:36 AM

Dear hygienic,

Regarding occurrence of S.aureus on the body, can try these links -

http://www.sproutnet.../safe_hands.htm
http://en.wikipedia....wiki/Skin_flora

Were yr results from yr own internal lab.? And the procedure ?

I do hope that the coagulase test was performed on suspect colonies.

I am curious where you obtained the standard mentioned earlier for S.aureus .? What was it numerically?

Regarding monitoring / general interpretation of results, you may find this procedural extract interesting -

Attached File  monitoring hand hygiene.png   382.79KB   39 downloads

I presume you have repeated the original test on the suspect worker involved. What were the results ? How many total workers were tested ? All the others were negative ?

Rgds / Charles.C


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#12 hygienic

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Posted 29 September 2011 - 02:16 AM

Dear hygienic,

Regarding occurrence of S.aureus on the body, can try these links -

http://www.sproutnet.../safe_hands.htm
http://en.wikipedia....wiki/Skin_flora

Were yr results from yr own internal lab.? And the procedure ?

I do hope that the coagulase test was performed on suspect colonies.

I am curious where you obtained the standard mentioned earlier for S.aureus .? What was it numerically?

Regarding monitoring / general interpretation of results, you may find this procedural extract interesting -

Attached File  monitoring hand hygiene.png   382.79KB   39 downloads

I presume you have repeated the original test on the suspect worker involved. What were the results ? How many total workers were tested ? All the others were negative ?

Rgds / Charles.C



Dear Charles;

Thanks for the links.


We referred to the standard on this link below ,(page # 45) , mentioned the criteria for the hand and work surfaces swab.

http://www.ifsanet.c....aspx?tabid=236

I did many samples for different staff all result below the criteria only that sample which I repeated several times .Always we are monitoring the staff to see if they are washing their hands or not.



Regards
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