GB2420783A - Marker gel for reducing or eliminating cross contamination - Google Patents

Marker gel for reducing or eliminating cross contamination Download PDF

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Publication number
GB2420783A
GB2420783A GB0522107A GB0522107A GB2420783A GB 2420783 A GB2420783 A GB 2420783A GB 0522107 A GB0522107 A GB 0522107A GB 0522107 A GB0522107 A GB 0522107A GB 2420783 A GB2420783 A GB 2420783A
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GB
United Kingdom
Prior art keywords
gel
reducing
contamination
eliminating cross
miscible
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
GB0522107A
Other versions
GB2420783B (en
GB0522107D0 (en
Inventor
Ralph Paul Day
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
BLUETRAC Ltd
Original Assignee
BLUETRAC Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by BLUETRAC Ltd filed Critical BLUETRAC Ltd
Publication of GB0522107D0 publication Critical patent/GB0522107D0/en
Publication of GB2420783A publication Critical patent/GB2420783A/en
Application granted granted Critical
Publication of GB2420783B publication Critical patent/GB2420783B/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L15/00Chemical aspects of, or use of materials for, bandages, dressings or absorbent pads
    • A61L15/16Bandages, dressings or absorbent pads for physiological fluids such as urine or blood, e.g. sanitary towels, tampons
    • A61L15/42Use of materials characterised by their function or physical properties
    • A61L15/44Medicaments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00Bandages or dressings; Absorbent pads
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L15/00Chemical aspects of, or use of materials for, bandages, dressings or absorbent pads
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L15/00Chemical aspects of, or use of materials for, bandages, dressings or absorbent pads
    • A61L15/16Bandages, dressings or absorbent pads for physiological fluids such as urine or blood, e.g. sanitary towels, tampons
    • A61L15/42Use of materials characterised by their function or physical properties
    • A61L15/58Adhesives
    • CCHEMISTRY; METALLURGY
    • C09DYES; PAINTS; POLISHES; NATURAL RESINS; ADHESIVES; COMPOSITIONS NOT OTHERWISE PROVIDED FOR; APPLICATIONS OF MATERIALS NOT OTHERWISE PROVIDED FOR
    • C09BORGANIC DYES OR CLOSELY-RELATED COMPOUNDS FOR PRODUCING DYES, e.g. PIGMENTS; MORDANTS; LAKES
    • C09B67/00Influencing the physical, e.g. the dyeing or printing properties of dyestuffs without chemical reactions, e.g. by treating with solvents grinding or grinding assistants, coating of pigments or dyes; Process features in the making of dyestuff preparations; Dyestuff preparations of a special physical nature, e.g. tablets, films
    • CCHEMISTRY; METALLURGY
    • C09DYES; PAINTS; POLISHES; NATURAL RESINS; ADHESIVES; COMPOSITIONS NOT OTHERWISE PROVIDED FOR; APPLICATIONS OF MATERIALS NOT OTHERWISE PROVIDED FOR
    • C09BORGANIC DYES OR CLOSELY-RELATED COMPOUNDS FOR PRODUCING DYES, e.g. PIGMENTS; MORDANTS; LAKES
    • C09B67/00Influencing the physical, e.g. the dyeing or printing properties of dyestuffs without chemical reactions, e.g. by treating with solvents grinding or grinding assistants, coating of pigments or dyes; Process features in the making of dyestuff preparations; Dyestuff preparations of a special physical nature, e.g. tablets, films
    • C09B67/0097Dye preparations of special physical nature; Tablets, films, extrusion, microcapsules, sheets, pads, bags with dyes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2300/00Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
    • A61L2300/40Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices characterised by a specific therapeutic activity or mode of action
    • A61L2300/442Colorants, dyes

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  • Health & Medical Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Materials Engineering (AREA)
  • Epidemiology (AREA)
  • Organic Chemistry (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Hematology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Materials For Medical Uses (AREA)

Abstract

A transparent, water-miscible, biocompatible gel includes a UV fluorescent dye. The gel may comprise a petroleum jelly, a preservative, a filler and an emulsifier. The gel is sufficiently adhesive to remain on a surface but not so adhesive that it cannot be transferred from surface to surface. In use the gel is applied on or near to any surface that poses a potential infection risk, eg. a surgical incision or a wound dressing. The gel will subsequently be transferred to any surface coming in contact with that infection risk and acts as a marker advertising that the said surface may be cross-contaminated. Cleaning the surface will wash away the gel.

Description

A METHOD AND MEANS FOR REDUCING OR ELIMINATING
CROSS-CONTAMINATION
Field of the Invention
This invention relates to a method and means for reducing or eliminating cross-contamination.
In any situation where contamination with micro-organisms is a problem, such as is experienced in hospitals (or in any environment in which patients are treated), cross-contamination from patient-to- patient is a major daily risk.
The risks associated with cross-contamination are traditionally managed by the training of hospital staff in the appropriate "best clinical practice" procedures. All staff involved in the care (either directly or indirectly) of patients must be trained in these procedures.
However, the quality of training and audit of these procedures are monitored only infrequently. Similarly, the compliance of staff undertaking these procedures has been shown in many surveys to be very poor. As a direct consequence of the poor compliance of staff with performing these simple hygiene (hand-washing/barrier nursing) procedures, the incidence of Hospital Acquired Infections (HAl's) is now at an alltime high, with a reported 10,000 deaths associated with HAl's between 2003 and 2004 in England alone.
There are two principal reasons why taught hygiene (hand- washing/barrier nursing) techniques are largely ineffective. Firstly, the compliance of clinical staff with the procedures themselves is typically very poor, frequently due to perceived pressure-of-work issues. Secondly, the micro-organisms are themselves invisible, If they were to be visible, then the clinician and patient would be so aware of their presence that hygiene procedures would be implemented automatically.
It is accordingly an object of the present invention to provide an improved method of reducing or eliminating cross-contamination and an improved means for reducing or eliminating cross-contamination.
Summary of the Invention
According to a first aspect of the present invention there is provided a method of reducing or eliminating cross-contamination that includes the use of a water-miscible gel that contains a marker dye and is transferable from surface to surface.
According to a second aspect of the present invention there is provided means for reducing or eliminating cross-contamination that comprises a water-miscible gel that contains a marker dye and is transferable from surface to surface.
The water-miscible gel can be manufactured in two alternative formats:The first format is a biocompatible water-miscible transparent sterile gel, which can be placed adjacent to, or upon, any potential source of infection on a patient, for example, a surgical wound or dressing. The gel may alternatively be incorporated in a surgical dressing.
The gel will then act as a "Parallel Contamination Indicator, or "P.C.l.", whereby it will travel in parallel with the micro-organisms to any surface to which they are transferred by any person who has touched the source of infection on the patient.
Being water-miscible, the gel is washed from the hands and other surfaces in much the same way as the micro-organisms it accompanies. The gel has two specific features: 1. It incorporates a highly specific marker dye, invisible under ambient light, but which glows blue when exposed to sources of ultra violet (U-V) light. The selected marker dye is bio-compatible, and therefore does not possess any known adverse toxicological properties (which would otherwise render it inappropriate for in vivo use).
2. The ability of the gel to be transferred from one surface to another has been developed utilising a specific test assay, the Adhesion Transfer Index (A.T.l.). The gel formulation has been continuously refined to ensure that it will transfer from a minimum of each of five (5) sequentially contaminated surfaces, equivalent therefore to a minimum A.T.I. of five (5).
Hence, after dressing a wound (or other identified source of potential infection), the gel will transfer to the hands (or gloves) of the nurse, doctor, or auxiliary, and will subsequently continue to be transferred to any surface touched by the clinical member of staff, including items such as pens, spectacles, patient's notes etc. As soon as the clinical procedure is complete, the nurse, doctor, or auxiliary will effectively audit the efficacy of their hygiene procedures (hand-washing/barrier nursing technique) by standing before a specially designed mirrored U-V light source, located in the nursing station/intensive care/high dependency unit.
Any residual gel which remains upon the operator's person, including their hands/uniform/spectacles/pen etc, will glow visibly under the U-V light source, indicating that hygiene procedures have not been effective and require to be repeated before the operator continues to contact further patients, or other members of staff.
Thus, clinical staff, their peers, and indeed patients, can visually audit (and, where required, the operator can immediately repeat and correct) the effectiveness (or otherwise) of hygiene procedures.
The U-V light source preferably comprises a box containing a one-way mirror system behind which there are U-V light sources such that, when a member of the hospital staff or other person looks at the mirror, they will be able to identify the location of any cross- contaminant present on their body, clothing or the like.
The water-miscible gel preferably contains petroleum jelly, in order to obtain the required degree of adhesion, a preservative, a filler and an emulsifier.
The water-miscible gel is preferably made sterile by being submitted to gamma radiation.
The second, water-miscible gel formulation is non-sterile, but preferably contains the identical "invisible" marker dye and possesses the same A.T. I. properties as the sterile version. This formulation is designed for use as a training aid for all clinical staff when learning, and subsequently auditing, effective wound dressing/hand- washing/barrier nursing techniques.
A preferred formulation for the sterile gel is as follows:- petroleum jelly - and the greater the proportion of petroleum jelly, the greater the degree of adhesion of the gel, castor oil and/or lanolin and/or mineral oil - to act as lubricating agents, beeswax - which acts as a bulking agent or filler, ozokerite - which is a mineral filler, propylparaben - a preservative, sorbitan stearate - an emulsifier, a luminescent agent, and an optical marker - the preferred material being that sold under the Registered Trade Mark "TINOPAL" by Ciba-Geigy.
As mentioned above, this formulation is made sterile by submitting it to gamma radiation.
A possible formulation for the non-sterile composition is as follows:distilled water - 98% by weight, hydroxyethyl cellulose - 0.1 % by weight, 2-bromo-2-nitropropane...1,3 diol - a preservative - 0.05% by weight, and the optical marker referred to above - the balance.
Another possible formulation for the non-sterile composition is as for the sterile formulation, but without being subjected to gamma radiation.
The procedure described above will provide a method of implementing and auditing enhanced clinical practice and more effective clinical auditing/quality control of the management of Hospital Acquired Infections (which have become a major clinical and economic problem associated with the delivery of healthcare throughout the world).

Claims (10)

  1. Claims:- 1. A method of reducing or eliminating cross-contamination that
    includes the use of a water-miscible gel that contains a marker dye and is transferable from surface to surface.
  2. 2. A method as claimed in Claim 1, in which the marker dye responds to ultra violet light.
  3. 3. A method as claimed in Claim I or Claim 2, in which the gel is placed on or adjacent a potential source of infection.
  4. 4. A method as claimed in Claim 1 or Claim 2, in which the gel is incorporated in a wound dressing.
  5. 5. A method of reducing or eliminating cross-contamination substantially as hereinbefore described.
  6. 6. Means for reducing or eliminating cross-contamination that comprises a water-miscible gel that contains a marker dye and is transferable from surface to surface.
  7. 7. Means for reducing or eliminating cross-contamination as claimed in Claim 6, in which the gel is a biocompatible water-miscible transparent sterile gel, which can be placed adjacent to, or upon, any potential source of infection on a patient.
  8. 8. Means for reducing or eliminating cross-contamination as claimed in Claim 6, in which the gel is incorporatred in a wound dressing.
  9. 9. Means for reducing or eliminating cross-contamination as claimed in any one of Claims 6 to 8, in which the marker dye is invisible under ambient light, but glows blue when exposed to sources of ultra violet (U- V) light.
  10. 10. Means for reducing or eliminating cross-contamination substantially as hereinbefore described.
GB0522107A 2004-10-29 2005-10-31 A method and means for reducing or eliminating cross-contamination Expired - Fee Related GB2420783B (en)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
GBGB0424006.5A GB0424006D0 (en) 2004-10-29 2004-10-29 A biological parallel contamination indicator

Publications (3)

Publication Number Publication Date
GB0522107D0 GB0522107D0 (en) 2005-12-07
GB2420783A true GB2420783A (en) 2006-06-07
GB2420783B GB2420783B (en) 2009-08-12

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GBGB0424006.5A Ceased GB0424006D0 (en) 2004-10-29 2004-10-29 A biological parallel contamination indicator
GB0522107A Expired - Fee Related GB2420783B (en) 2004-10-29 2005-10-31 A method and means for reducing or eliminating cross-contamination

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Application Number Title Priority Date Filing Date
GBGB0424006.5A Ceased GB0424006D0 (en) 2004-10-29 2004-10-29 A biological parallel contamination indicator

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2009087047A1 (en) * 2008-01-04 2009-07-16 Unilever Plc Hand washing assessment method

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB696608A (en) * 1950-05-24 1953-09-02 Irving Leonard Ochs Hydrous gels for therapeutic purposes
DE4316524A1 (en) * 1993-05-18 1994-11-24 Rtl Plus Deutschland Fernsehen Flowable, highly transparent, intensely coloured hydrogels which are soluble in cold water
US5405622A (en) * 1993-12-22 1995-04-11 Vernice; Joseph Gamma radiation resistant lubricating gel
US5473005A (en) * 1992-11-16 1995-12-05 Borden, Inc. Thixotropic adhesive gel
US6146725A (en) * 1996-12-03 2000-11-14 Code; Kenneth Reay Absorbent composition

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB696608A (en) * 1950-05-24 1953-09-02 Irving Leonard Ochs Hydrous gels for therapeutic purposes
US5473005A (en) * 1992-11-16 1995-12-05 Borden, Inc. Thixotropic adhesive gel
DE4316524A1 (en) * 1993-05-18 1994-11-24 Rtl Plus Deutschland Fernsehen Flowable, highly transparent, intensely coloured hydrogels which are soluble in cold water
US5405622A (en) * 1993-12-22 1995-04-11 Vernice; Joseph Gamma radiation resistant lubricating gel
US6146725A (en) * 1996-12-03 2000-11-14 Code; Kenneth Reay Absorbent composition

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2009087047A1 (en) * 2008-01-04 2009-07-16 Unilever Plc Hand washing assessment method

Also Published As

Publication number Publication date
GB2420783B (en) 2009-08-12
GB0424006D0 (en) 2004-12-01
GB0522107D0 (en) 2005-12-07

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PCNP Patent ceased through non-payment of renewal fee

Effective date: 20131031