Enhancing Best Practices Nili N Alai MD FAAD PRETEST TRUE OR FALSE IT IS BEST PRACTICES TO SHARE A TOOTH BRUSHAFTER DISINFECTING IT AMERICAN SAFE SIGHT FOUNDATION ID: 779904
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AmeRICAN SAFE SIGHT FOUNDATION
Enhancing Best Practices Nili N. Alai, M.D., FAAD
Slide2PRE-TEST:
TRUE OR FALSE IT IS BEST PRACTICES TO SHARE A TOOTH BRUSH-AFTER DISINFECTING IT.
AMERICAN SAFE SIGHT FOUNDATION
safesight.org
Slide3PRE-TEST:
TRUE OR FALSE IT IS BEST PRACTICES TO SHARE A FLOSS AFTER CLEANING IT OFF.
AMERICAN SAFE SIGHT FOUNDATION
safesight.org
Slide4PRE-TEST:
TRUE OR FALSE IT IS BEST PRACTICES TO SHARE YOUR EYEDROPS.
AMERICAN SAFE SIGHT FOUNDATION
safesight.org
Slide5PRE-TEST:
TRUE OR FALSE IT IS BEST PRACTICES TO SHARE YOUR CONTACT LENSES.
AMERICAN SAFE SIGHT FOUNDATION
safesight.org
Slide6US POPULATION 11/21/15 at
12:16 AM PACIFIC TIME322,198, 324WORLD POPULATION 11/21/15 12:01 AM
7,287,150,005REFERENCE SOURCE http://www.census.gov/popclock/ Trivia courtesy Dr. Javed Qureshi
Slide7US POPULATION 11/21/15 at 12:16 AM322,198, 324
=Net gain of 1 every 14 secondsTrivia Courtesy of Dr. Javed Qureshi
REFERENCE SOURCE http://www.census.gov/popclock/
One birth every
8 seconds
One death every
12 seconds
One international migrant (net) every
32 seconds
Slide8Most populous US STATES
2013 CDC MMWR Report addresses major EKC cluster eye care facility outbreaks in several states Florida, New Jersey, & Illinois (411 EKC Infections).
California
38,802,500
249.1
Texas
26,956,958
103.2
Florida
19,893,297
370.9
New York
19,746,227
419
Highest Density US STATES: #1 District of Columbia #2 New Jersey
Slide9Circle of Care: estimated 10 to 15 million people a year in the US CONTRACT EKC
An estimated 75,000-100,000 people in the United States die each year from a healthcare-associated infection (HAI).1 At any given time, about 1 in 20 patients have an infection while receiving healthcare treatment in U.S. hospitals. HAI in hospitals alone result in up to $33 billion in excess medical costs every year.2
Slide10CDC MMWR 2013 411 EKC INFECTIONS
Epidemic keratoconjunctivitis (EKC) is a highly contagious, severe form of conjunctivitis (1). During 2008–2010, six unrelated EKC outbreaks associated with human adenovirus (HAdV) in four states were reported to CDC. In total, 411 EKC cases were identified in Florida, Illinois, Minnesota, and New Jersey. In each outbreak, health-care–associated transmission appeared to occur via ophthalmologic examination
Slide11EKC is eNdemic in japan
Occurrence rates are in the millions per year in JapanJapan population is 126, 919,659U.S. Population is TRIPLE Japan’s.U.S. EKC rates are estimated at 10 to 15 million cases per year
Slide12BEST PRACTICES:“In each outbreak, health-care–associated transmission appeared to occur via ophthalmologic examination; however, community transmission was also documented.” ( Reference CDC MMWR Aug 2013)
AMERICAN SAFE SIGHT FOUNDATION
safesight.org
Slide13BEST PRACTICES: UNIVERSAL Precautions
AMERICAN SAFE SIGHT FOUNDATION
safesight.org
Slide14AmeRICAN SAFE SIGHT FOUNDATION
Mission: Enhance Best Practices in Eye Care Circle of Care Circle of Trust Promote Goal Zero HAI’s Encourage Safe Sight Exams
Mitigate blindness & preventable Infectious Eye disease
Slide15Best PracTices : Disinfection
In view of the potential for transmission of viruses (e.g., herpes simplex virus [HSV], adenovirus 8, or HIV) 184 by tonometer tips, CDC recommended that the tonometer tips be wiped clean and disinfected for 5-10 minutes with either 3% hydrogen peroxide, 5000 ppm chlorine, 70% ethyl alcohol, or 70% isopropyl alcohol 95. However, more recent data suggest that 3% hydrogen peroxide and 70% isopropyl alcohol are not effective against adenovirus capable of causing epidemic
keratoconjunctivitis and similar viruses and should not be used for disinfecting applanation tonometers 49, 185, 186.
Slide16POST-TEST:
IS IT BEST PRACTICES TO USE MULTI DOSE EYEDROPS In CLINICS? NO
AMERICAN SAFE SIGHT FOUNDATION
safesight.org
Slide17POST-TEST:
IS IT BEST PRACTICES TO SHARE YOUR TONOMETER TIPS AFTER AN ALCOHOL WIPE? NO
AMERICAN SAFE SIGHT FOUNDATION
safesight.org
Slide18POST-TEST:
IS IT BEST PRACTICES TO KEEP YOUR TONGUE OFF OF EYEBALLS? YES
AMERICAN SAFE SIGHT FOUNDATION
safesight.org
Slide19AMERICAN SAFE SIGHT FOUNDATION
Mission Statement"The American Safe Sight Foundation's (ASF) mission is to promote public awareness and strive for eradication of preventable infectious and inflammatory eye diseases through research and education. "
Our focus (goal) is to optimize practice guidelines which enhance safer eye examination for children and adults in professional eye care setting and limit outbreaks of office based eye infections
Slide20With much Gratitude AND APPRECIATION TO You for your support!
WE APPLAUD YOU FORWEARING YOUR GOLD ASF pins
We immensely appreciate your interest and commitment to enhancing best practices in eye care. Thank you for your support of ASF’s Inaugural gala and our grass roots efforts in
Slide21BEST PRACTICES
in Honor of ReZVAN & JAMAL
AMERICAN SAFE SIGHT FOUNDATION
safesight.org