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Hi Martin,

The guidance on analysers suggests that most main chemistry analysers are "closed".

However, as one of the team who maintain these analysers I am aware of the amount of serum which requires cleaning from surfaces within the "closed" units. Not sure that I want to be in the position of decontaminating a very complex analyser when one suspected patient becomes a confirmed case. POCT devices are by far the best option and are recommended by the American Microbiologists Association.

Regards,

Yusuf

-----Original Message-----
From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of Myers Martin (LTHTR)
Sent: 31 October 2014 11:37
To: [log in to unmask]
Subject: Re: Blood Gases and Ebola

Craig,

The UK guidance is that "high risk" and "confirmed" ebola cases only have limited testing, and blood gases are not on the list.  The limited testing in these two categories are:
Urgent malaria investigation
Full blood count, U&Es, LFTs Clotting screen, CRP glucose and blood cultures

There is guidance about what is a closed system and how it can be cleaned, but I suspect that the debate has not finished yet.

https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/354640/VHF_guidance_document_updated_links.pdf

https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/365599/Summary_guidance_for_Acute_Trust_Staff_211014.pdf

Martin



-----Original Message-----
From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of Webster Craig
Sent: 31 October 2014 09:54
To: [log in to unmask]
Subject: Blood Gases and Ebola

Hi,

Anyone got any views on blood gas machines and whether they constitute a closed system if blood gases are required on an ? Ebola patient. Any guidance from blood gas machines been produced?

Cheers
Craig


Craig Webster
Clinical Service Lead, Blood Sciences
Consultant Clinical Scientist
Birmingham Heartlands Hospital
Birmingham
B95SS

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