Updated blood borne virus guidelines for health professionals in SA

SA Health, 11 April 2019

The ‘Australian National Guidelines for the Management of Healthcare Workers Living with Blood Borne Viruses and Healthcare Workers who Perform Exposure Prone Procedures at Risk of Exposure to Blood Borne Viruses’ have been updated. They can be viewed on the Commonwealth Department of Health website.

The guidelines are in two parts:

Part A provides information and recommendations for all healthcare workers, in particular:

  • healthcare workers who perform exposure prone procedures
  • healthcare workers living with a blood borne virus, and
  • doctors treating healthcare workers with a blood borne virus.

Part B provides information and recommendations for public health authorities including, but not limited to, hospitals and jurisdictional health departments, when managing or investigating a situation where a healthcare worker with a blood borne virus was not compliant with these guidelines and/or may have placed a patient(s) at risk of infection.

 

 

Update on multi-drug resistant shigella

SHINE SA, 7/3/2019

The shigella outbreak is continuing in South Australia. This is to advise clinicians to be on alert for a potential increase in shigella cases, and to highlight updated recommendations on treatment as released by the Communicable Disease Control Branch (CDCB).

The outbreak is predominantly in men who have sex with men (MSM) and there is a potential for further increase in numbers related to a larger outbreak in Victoria and NSW. We encourage you to be alert for clients who have recently traveled interstate.The CDCB is now recommending that patients with confirmed multi-drug resistant (MDR) shigella (or at risk of MDR shigella while awaiting sensitivities) be treated with five days of Ceftrixaone 1g IV, rather than 1 day (as recommended in the Public Health Alert issued in December 2018).

Surveillance of sexually transmitted infections and blood-borne viruses in South Australia, 2017

Communicable Disease Control Branch, SA Health, 2018

In 2017, there were 8,181 new notifications of STIs and BBVs in South Australia. This figure represents a 7% increase in the number of new notifications compared to notifications received in 2016, and a 14% increase compared to the five year average (2012-2016).

In 2017, there were 5,910 notifications of genital chlamydia making this the most commonly notified STI in South Australia.  The notification rate of chlamydia in 2017 was 343 per 100,000 population, and has been stable over the past five years.

There were no notifications of donovanosis in 2017.

There were 1,271 notifications of gonorrhoea in 2017. The notification rate of gonorrhoea increased from 45 per 100,000 population in 2014 to 74 per 100,000 population in 2017.

There were 158 notifications of infectious syphilis in 2017, the highest number of annual notifications in the past 10 years.

There were 60 new diagnoses of HIV infection in 2017. The notification rate of newly diagnosed HIV infection in 2017 was 3.5 per 100,000 population, above that in 2016 of 3.1 per 100,000 population. The notification rate in the Aboriginal population rose to 9.6 per 100,000 in 2017, up from 4.8 per 100,000 in 2016.

There were 11 notifications of newly acquired hepatitis B infection in 2017, above the five year average (2012-2016) of nine cases per year. There were 272 notifications of unspecified hepatitis B virus infection reported in 2017. The notification rate has declined in the Aboriginal population over the past five years.

There were 32 notifications of newly acquired hepatitis C in 2017. The majority of cases were males (75%). The notification rate of unspecified hepatitis C infection was 23 per 100,000 population in 2017.

There were 10 new diagnoses of hepatitis D infection in 2017, which is consistent with the five year average of 10 notifications per year.

 

 

 

 

Post Exposure Prophylaxis (PEP) for HIV: An overview for Health Professionals

SHINE SA, October 2018

Access to PEP after an eligible exposure to HIV is a medical emergency. Your response to patients presenting for PEP can support them in preventing a life-long infection with HIV.

A brief, online training module has been created to support health professionals to:

• Increase your understanding of PEP as an emergency presentation and vital HIV prevention measure
• Assist you in providing patients with optimal care and support when seeking PEP in the emergency setting

This course is designed for Medical Officers and Registered Nurses in hospital emergency departments and targeted primary care clinical and rural sites that hold PEP starter packs in South Australia.

  • To register for the free PEP training module, please email us here with your name, position and workplace.

SA Health has contributed funds towards this program.

Policy Consultation Forum: LGBTIQ and youth community feedback sought

SHINE SA, August 2018

LGBTIQ and youth community feedback is sought on SA Health Equity and Access in Health Care Policy Directive & Southern Adelaide Local Health Network (SALHN) Adult Community Mental Health Model of Care. 

Members of the lesbian, gay, bisexual, transgender, intersex and queer (LGBTIQ) communities and young people (under 30) are invited to an information session to learn about the draft Equity and Access in Health Care Policy Directive for SA Health as well as the draft SALHN Adult Community Mental Health Model of Care. SA Health and SALHN, in partnership with SHINE SA, are facilitating an information and feedback session about these important documents. We look forward to hearing your views on the policy and model of care.

The SA Health Policy aims to provide a comprehensive overarching framework which consolidates equity and access requirements for South Australia’s diverse health consumers consistent with the South Australian Government Universal Access and Inclusion Guidelines (the Guidelines). The Policy is intended to provide strategic direction to SA Health employees, or persons who provide health care services on behalf of SA Health, to ensure that access to public health services is equitable for all South Australian health consumers.

The central purpose of the SALHN Adult Community Mental Health Model of Care is to provide high level guidance pertaining to the provision of safe and high quality care to Southern Adelaide Local Health Networks diverse mental health consumers. The core principles speak to the provision of person centred, evidence based recovery oriented care that is provided by an appropriately diverse multi-disciplinary team. Strong emphasis has been placed upon care delivery within the context of a culturally and linguistically safe service that engenders strong collaborative partnerships across agencies and between consumers, carers and health professionals. A Service Plan is being developed to operationalise the Model of Care, and both elements will be implemented in parallel once development is complete.

Tuesday, August 28 at 5:30 PM – 7:30 PM

At SHINE SA, 57 Hyde Street, Adelaide 5000

Free event

Light refreshments will be provided

Image may contain: 2 people, people smiling, hat and textmodel of care

Cervical Screening Update recording now available!

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SHINE SA, August 2018

SHINE SA is proud to present our pilot Clinical Education Forum recording. This recording is available free of charge,  and access is limited to three months only.

Topic: Cervical Screening Update

Presenters: Megan van Zanten & Dr Amy Moten

The forum ensures your knowledge of the National Cervical Screening Renewed Guidelines is accurate and in line with best practice principles.

  • To watch the recording click the link here and set up a free account/sign in. Under Course Categories click Clinical Education to find the course, and then click Enrol Me. You can now watch the recording.