Ultrasound image should show the difference between the tissues in body (normal-lesion, etc.
Solaimalai D, Devanga Ragupathi N, Veeraraghavan B, Ranjini K, James EJ, Paul H, and others, Ultrasound gel as a source of hospital outbreaks: Indian experience and literature review. Spratt HG, Levine D, Tillman L, Physical therapy clinic therapeutic ultrasound equipment as a source for bacterial contamination. Clinical Microbiology and Infection. In my personal experience, there has never been a problem with ultrasound gels.
We have a responsibility for patient safety and comfort, and thus we created EcoVue Ultrasound Gel. 8 Issue 6 Pages 523-535.
(The ultrasonic room usually keeps the temperature down to control the heat of the ultrasound device.)
Gaillot O, Maruejouls C, Abachin E, Lecuru F, Arlet G, Simonet M. Nosocomial Outbreak of Klebsiella pneumoniae Producing SHV-5 Extended-Spectrum -Lactamase, Originating from a Contaminated Ultrasonography Coupling Gel.
Dec. 2012 , Volume. 2010;26(4):190-7, 28.
5.
The Journal of the Korean Orthopaedic Association Volume 48 Number 5.
2017;8(6):523-35, The safe use of ultrasound gel to reduce infection risk: National Patient Safety Alert. wyT,5!~dYf"mv!nPPtMl:n2{!xl{!8t*;W d* C6k0UM8w
Viderman D, Khudaibergenova M, Kemaikin V, Zhumadilov A, Poddighe D, Outbreak of catheter-related burkholderia cepacia sepsis acquired from contaminated ultrasonography gel: The importance of strengthening hospital infection control measures in low resourced settings.
Susan C. Oleszkowicz et al. 2017;45(9):954-8, 6.
In addition, the energy is being transmitted into the patients body instead of the other way around. Infection Control and Hospital Epidemiology. To solve this situation, the gel is used. It also reduces or eliminates static.
However, removal can be messy, time consuming and annoying to the patient. Infezioni in Medicina. 12. 2016;22(4):382 e1- e11, Available from National Library of Medicine, 15. It has a sticky consistency, allowing it to be spread over the skin without dripping or running off.
Ultrasonic waves generated from the probe are reflected from the boundary of the tissue, and the probe receive reflected waves to make an ultrasound image.
2017;45(9):954-8, An outbreak of Pseudomonas aeruginosa respiratory tract infections associated with intrinsically contaminated ultrasound transmission gel.
Sign up to get new blog updates delivered to your email.
They also enhance skin health of the patient. EcoVue is a water-soluble ultrasound gel that wipes off easily, without drying, flaking, or leaving a residue behind. Reference
m;y] Lbl|;;K _Jq89] *Pa'XDcu}~g3,:*^bG5CNi] ft9t`D8s(e DP@'/R6n Where warming of gel is performed: Guidelines for Professional Ultrasound Practice, Sound waves dont travel through air very well. 4.
Because opened gel bottles should be thrown away after one month, the CWG recommends that single-use sachets would reduce waste in low-use areas. The core working group recommend that if the tip of a pre-filled bottle touches another surface/person, the bottle tip should be cleaned with a disinfectant wipe immediately.
2011;185(1):144-7, 10. The use of sterile gel 24 hours before a likely or planned invasive procedure was considered by the subject matter experts from the CWG as a pragmatic precaution to mitigate the risk of infection. Hello? Infection Control and Hospital Epidemiology. Our newly redesigned Acclimate Gel Warmers feature an LCD digital display, allowing you to monitor and regulate the temperature (95F 105F).
Wavelength Clear Ultrasound Gel is a medium viscosity clear gel for use in therapeutic ultrasound, diagnostic imaging and other external procedures.
Enter your email to stay up to date and keep informed about special offers, discounts and other news. Sterile ultrasound gel in single-use containers should be used in the following scenarios: Non-sterile ultrasound gel in single use and multi-patient use containers may be used: to avoid wastage, single use non-sterile ultrasound gel sachets may be preferable in areas where gel is used infrequently.
BMC Proc.
2020. A decision tree indicating which gel to use in various clinical situations is available here. Nannini EC, Ponessa A, Muratori R, Marchiaro P, Ballerini V, Flynn L, and others, Polyclonal outbreak of bacteremia caused by Burkholderia cepacia complex and the presumptive role of ultrasound gel.
There is an increased risk of contamination from gel warmers and routine use should not be encouraged (25, 29, 30).
MHRA. Infection Control and Hospital Epidemiology. Higher viscosity gels will tend to resist gravity more.
If the gel is not used, it may be stiff and the patient may feel pain.
This conductive substance allows the sound waves to travel directly to the tissues beneath the skin, allowing us to obtain clear images of the organ(s) of interest. The types of procedures for which a medium viscosity gel may be a more appropriate choice include: These gels tend to be preferred for procedures that involve large surface areas. Westerway SC, Basseal JM, Brockway A, Carter DA, Hyett JA, Potential Infection Control Risks Associated with Ultrasound Equipment - A Bacterial Perspective.
Infection prevention and control in ultrasound - best practice recommendations from the European Society of Radiology Ultrasound Working Group, C. M. Nyhsen, H. Humphreys, R. J. Koerner, N. Grenier, A. Brady, P. Sidhu, and others. In general terms, the viscosity of a fluid refers to its resistance to flowing freely.
As a result, the staying power of the gel is less important.
2017;43(2):421-6, 31.
2021;11(1):12, Journal of Clincial Microbiology.
American journal of infection control.
It is acoustically correct for a broad range of frequencies, is completely aqueous and will not stain clothing or damage transducers. However, it was concluded that the purpuric reactions occurred as a result of phenoxyethanol and paraben mixing and causing irritation to the skin.
hbbd``b`$@D$`lNf $xD #M \?c W
The gel is not only for skin, but also for lubrication when inserting a probe into the rectum during a gynecologic examination of a woman who has no sexual experience, and for men's prostate tests. To view this licence, visit nationalarchives.gov.uk/doc/open-government-licence/version/3 or write to the Information Policy Team, The National Archives, Kew, London TW9 4DU, or email: psi@nationalarchives.gov.uk. endstream endobj 75 0 obj <> endobj 76 0 obj <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Type/Page>> endobj 77 0 obj <>stream
Indian Journal of Medical Microbiology.
1998;39:309-14. 2019;37(2):263-7, 3. %%EOF Patients range from those who are fit and well to vulnerable individuals, such as those with severe immunosuppression and those who are critically ill. Antimicrobial Resistance and Infection Control.
Procedures that involve a smaller surface area.
Tunstall TD, Infection control in the sonography department.
And, as always, our single-use packets are available in a sterile option that provides peace of mind that you are not introducing microbes to your patients skin. This facilitates better transmission of electrical signals to the targeted body part, which in turn improves treatment effectiveness.
In addition to high, medium and low viscosity ultrasound gels, there are many ultrasound lotions available for purchase.
They offer a number of advantages that are important in many situations: Wavelength Tens Gel is a high viscosity conductive gel for use in TENS, Electrical Muscle Stimulation & other procedures requiring thicker gels.
Never miss a post!
Some patients prefer to use a lotion instead of a gel for their ultrasound procedures. Journal of Applied Microbiology.
%PDF-1.6 %
Developed by PerfectPixels - Creative Agency.
during examinations in areas involving intact skin: in examinations that do not involve invasive procedures, more than 24 hours prior to a probable invasive procedure at or near the same site, ensure healthcare workers carry out hand hygiene before and after use of ultrasound gel, gel should be stored according to manufacturers instructions in an area that is dry and away from potential sources of contamination, dispose of container if it appears soiled, is damaged or is out of date, ensure that only unopened sachets and containers that are labelled as sterile are used, do not reuse the container or sachet once opened, either with other patients or stored and reused with the same patient, as sterile gels are single use only, gel should not be decanted from a larger container into other bottles, use single-use sachets or pre-filled, multi-patient disposable bottles, once opened, date the bottle and dispose of it when either empty, after one month or on expiry date, whichever comes first, clean the whole bottle, including the tip, with a disinfectant wipe between uses, tip/nozzle of bottle should not come into contact with anything if it does, clean immediately with a disinfectant wipe, after the procedure remove all residual gel from the patients skin and advise patients to wash area when feasible, if an invasive procedure is subsequently undertaken within 24 hours of the use of non-sterile gel at or near to the site, then ensure all residual gel is removed, and the skin is thoroughly cleaned using antiseptic skin preparation in line with local policy for the procedure (note: sterile ultrasound gel should normally be used in advance of invasive procedures as detailed in the, use dry heat warmers instead of warm water, gel bottles should be kept upright in warmers and not inverted, warmers should be cleaned regularly according to the manufacturers instructions, where these exist, or clean according to local guidance, Medicines and Healthcare products Regulatory Agency, National Health Service (NHS) England and NHS Improvement, National Health Service (NHS) Supply Chain, National Infusion and Vascular Access Society, representatives from Public Health Wales, Public Health Agency Northern Ireland and NHS National Services Scotland, people with cancer who are undergoing active chemotherapy, people with lung cancer who are undergoing radical radiotherapy, people with cancers of the blood or bone marrow such as leukaemia, lymphoma or myeloma who are at any stage of treatment, people having immunotherapy or other continuing antibody treatments for cancer, people having other targeted cancer treatments that can affect the immune system, such as protein kinase inhibitors or PARP inhibitors, people who have had bone marrow or stem cell transplants in the last 6 months or who are still taking immunosuppression drugs, people with severe respiratory conditions including cystic fibrosis, severe asthma and severe chronic obstructive pulmonary disease (, people with diseases that significantly increase the risk of infections (such as severe combined immunodeficiency (, people on immunosuppression therapies sufficient to significantly increase risk of infection. The evidence base and expert consensus recommendations are as complete as possible at the date of issue. Available for single-use packets, multi-use bottles, and FlexPac.
This guidance is Crown copyright, which should be acknowledged where appropriate.
If the ultrasound gel is warm, patients feel comfortable, and the doctor is also easy to examine.
Antimicrobial Agents and Chemotherapy.
It uses a bacteriostatic formula that inhibits growth of bacteria and is also greaseless and non staining.
This publication is licensed under the terms of the Open Government Licence v3.0 except where otherwise stated.
Applying cold gel can surprise patients and they can feel cold due to the feature of the ultrasound room.
Dont worry we wont send you spam or share your email address with anyone.
Ultrasound gel has been associated with outbreaks of infection in various settings worldwide and risk of contamination of non-sterile ultrasound gel has been highlighted (1 to 9). You agree to our use of cookies by closing this box or continuing to use our site. As a result, therapists will normally prefer a gel with greater staying power for these treatments, i.e. cY]U:eZ(26Pl;Jumwm}.ep=J.vRFoYi_)(aBGiepF.{jR}i\#L~0(a=SP.)bDo)f -P|Y[JY1]4
Abdelfattah R, Al-Jumaah S, Al-Qahtani A, Al-Thawadi S, Barron I, Al-Mofada S, Outbreak of Burkholderia cepacia bacteraemia in a tertiary care centre due to contaminated ultrasound probe gel.
Provenzano DA, Liebert MA, Steen B, Lovetro D, Somers DL, Investigation of current infection-control practices for ultrasound coupling gel: A survey, microbiological analysis, and examination of practice patterns.
Gel should be stored according to manufacturers guidelines in areas free of excessive moisture and sources of potential contamination.
2006;11(2):61-71, Antimicrobial Resistance and Infection Control. Transcutaneous Electrical Nerve Stimulation (TENS), WaveLength UltraSound Gel, High Viscosity, Frequently Asked Questions (Knowledge Base), Store Locator Use To Find Retail Outlets, Request A Quote To Purchase Medical Supplies, Our Use Of Password Protected Professional Prices, 4 Ways To Improve Patient Compliance At Home, 3 Ways To Increase Your Clinics Patient Flow.
Solaimalai D, Devanga Ragupathi N, Veeraraghavan B, Ranjini K, James EJ, Paul H, and others, Ultrasound gel as a source of hospital outbreaks: Indian experience and literature review. Spratt HG, Levine D, Tillman L, Physical therapy clinic therapeutic ultrasound equipment as a source for bacterial contamination. Clinical Microbiology and Infection. In my personal experience, there has never been a problem with ultrasound gels. We have a responsibility for patient safety and comfort, and thus we created EcoVue Ultrasound Gel. 8 Issue 6 Pages 523-535.
(The ultrasonic room usually keeps the temperature down to control the heat of the ultrasound device.)
Gaillot O, Maruejouls C, Abachin E, Lecuru F, Arlet G, Simonet M. Nosocomial Outbreak of Klebsiella pneumoniae Producing SHV-5 Extended-Spectrum -Lactamase, Originating from a Contaminated Ultrasonography Coupling Gel.
Dec. 2012 , Volume. 2010;26(4):190-7, 28.
5.
The Journal of the Korean Orthopaedic Association Volume 48 Number 5.
2017;8(6):523-35, The safe use of ultrasound gel to reduce infection risk: National Patient Safety Alert. wyT,5!~dYf"mv!nPPtMl:n2{!xl{!8t*;W d* C6k0UM8w
Viderman D, Khudaibergenova M, Kemaikin V, Zhumadilov A, Poddighe D, Outbreak of catheter-related burkholderia cepacia sepsis acquired from contaminated ultrasonography gel: The importance of strengthening hospital infection control measures in low resourced settings.
Susan C. Oleszkowicz et al. 2017;45(9):954-8, 6.
In addition, the energy is being transmitted into the patients body instead of the other way around. Infection Control and Hospital Epidemiology. To solve this situation, the gel is used. It also reduces or eliminates static.
However, removal can be messy, time consuming and annoying to the patient. Infezioni in Medicina. 12. 2016;22(4):382 e1- e11, Available from National Library of Medicine, 15. It has a sticky consistency, allowing it to be spread over the skin without dripping or running off.
Ultrasonic waves generated from the probe are reflected from the boundary of the tissue, and the probe receive reflected waves to make an ultrasound image.
2017;45(9):954-8, An outbreak of Pseudomonas aeruginosa respiratory tract infections associated with intrinsically contaminated ultrasound transmission gel.
Sign up to get new blog updates delivered to your email.
They also enhance skin health of the patient. EcoVue is a water-soluble ultrasound gel that wipes off easily, without drying, flaking, or leaving a residue behind. Reference
m;y] Lbl|;;K _Jq89] *Pa'XDcu}~g3,:*^bG5CNi] ft9t`D8s(e DP@'/R6n Where warming of gel is performed: Guidelines for Professional Ultrasound Practice, Sound waves dont travel through air very well. 4.
Because opened gel bottles should be thrown away after one month, the CWG recommends that single-use sachets would reduce waste in low-use areas. The core working group recommend that if the tip of a pre-filled bottle touches another surface/person, the bottle tip should be cleaned with a disinfectant wipe immediately.
2011;185(1):144-7, 10. The use of sterile gel 24 hours before a likely or planned invasive procedure was considered by the subject matter experts from the CWG as a pragmatic precaution to mitigate the risk of infection. Hello? Infection Control and Hospital Epidemiology. Our newly redesigned Acclimate Gel Warmers feature an LCD digital display, allowing you to monitor and regulate the temperature (95F 105F).
Wavelength Clear Ultrasound Gel is a medium viscosity clear gel for use in therapeutic ultrasound, diagnostic imaging and other external procedures.
Enter your email to stay up to date and keep informed about special offers, discounts and other news. Sterile ultrasound gel in single-use containers should be used in the following scenarios: Non-sterile ultrasound gel in single use and multi-patient use containers may be used: to avoid wastage, single use non-sterile ultrasound gel sachets may be preferable in areas where gel is used infrequently.
BMC Proc.
2020. A decision tree indicating which gel to use in various clinical situations is available here. Nannini EC, Ponessa A, Muratori R, Marchiaro P, Ballerini V, Flynn L, and others, Polyclonal outbreak of bacteremia caused by Burkholderia cepacia complex and the presumptive role of ultrasound gel.
There is an increased risk of contamination from gel warmers and routine use should not be encouraged (25, 29, 30).
MHRA. Infection Control and Hospital Epidemiology. Higher viscosity gels will tend to resist gravity more.
If the gel is not used, it may be stiff and the patient may feel pain.
This conductive substance allows the sound waves to travel directly to the tissues beneath the skin, allowing us to obtain clear images of the organ(s) of interest. The types of procedures for which a medium viscosity gel may be a more appropriate choice include: These gels tend to be preferred for procedures that involve large surface areas. Westerway SC, Basseal JM, Brockway A, Carter DA, Hyett JA, Potential Infection Control Risks Associated with Ultrasound Equipment - A Bacterial Perspective.
Infection prevention and control in ultrasound - best practice recommendations from the European Society of Radiology Ultrasound Working Group, C. M. Nyhsen, H. Humphreys, R. J. Koerner, N. Grenier, A. Brady, P. Sidhu, and others. In general terms, the viscosity of a fluid refers to its resistance to flowing freely.
As a result, the staying power of the gel is less important.
2017;43(2):421-6, 31.
2021;11(1):12, Journal of Clincial Microbiology.
American journal of infection control.
It is acoustically correct for a broad range of frequencies, is completely aqueous and will not stain clothing or damage transducers. However, it was concluded that the purpuric reactions occurred as a result of phenoxyethanol and paraben mixing and causing irritation to the skin.
hbbd``b`$@D$`lNf $xD #M \?c W
The gel is not only for skin, but also for lubrication when inserting a probe into the rectum during a gynecologic examination of a woman who has no sexual experience, and for men's prostate tests. To view this licence, visit nationalarchives.gov.uk/doc/open-government-licence/version/3 or write to the Information Policy Team, The National Archives, Kew, London TW9 4DU, or email: psi@nationalarchives.gov.uk. endstream endobj 75 0 obj <> endobj 76 0 obj <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Type/Page>> endobj 77 0 obj <>stream
Indian Journal of Medical Microbiology.
1998;39:309-14. 2019;37(2):263-7, 3. %%EOF Patients range from those who are fit and well to vulnerable individuals, such as those with severe immunosuppression and those who are critically ill. Antimicrobial Resistance and Infection Control.
Procedures that involve a smaller surface area.
Tunstall TD, Infection control in the sonography department.
And, as always, our single-use packets are available in a sterile option that provides peace of mind that you are not introducing microbes to your patients skin. This facilitates better transmission of electrical signals to the targeted body part, which in turn improves treatment effectiveness.
In addition to high, medium and low viscosity ultrasound gels, there are many ultrasound lotions available for purchase.
They offer a number of advantages that are important in many situations: Wavelength Tens Gel is a high viscosity conductive gel for use in TENS, Electrical Muscle Stimulation & other procedures requiring thicker gels.
Never miss a post!
Some patients prefer to use a lotion instead of a gel for their ultrasound procedures. Journal of Applied Microbiology.
%PDF-1.6 %
Developed by PerfectPixels - Creative Agency.
during examinations in areas involving intact skin: in examinations that do not involve invasive procedures, more than 24 hours prior to a probable invasive procedure at or near the same site, ensure healthcare workers carry out hand hygiene before and after use of ultrasound gel, gel should be stored according to manufacturers instructions in an area that is dry and away from potential sources of contamination, dispose of container if it appears soiled, is damaged or is out of date, ensure that only unopened sachets and containers that are labelled as sterile are used, do not reuse the container or sachet once opened, either with other patients or stored and reused with the same patient, as sterile gels are single use only, gel should not be decanted from a larger container into other bottles, use single-use sachets or pre-filled, multi-patient disposable bottles, once opened, date the bottle and dispose of it when either empty, after one month or on expiry date, whichever comes first, clean the whole bottle, including the tip, with a disinfectant wipe between uses, tip/nozzle of bottle should not come into contact with anything if it does, clean immediately with a disinfectant wipe, after the procedure remove all residual gel from the patients skin and advise patients to wash area when feasible, if an invasive procedure is subsequently undertaken within 24 hours of the use of non-sterile gel at or near to the site, then ensure all residual gel is removed, and the skin is thoroughly cleaned using antiseptic skin preparation in line with local policy for the procedure (note: sterile ultrasound gel should normally be used in advance of invasive procedures as detailed in the, use dry heat warmers instead of warm water, gel bottles should be kept upright in warmers and not inverted, warmers should be cleaned regularly according to the manufacturers instructions, where these exist, or clean according to local guidance, Medicines and Healthcare products Regulatory Agency, National Health Service (NHS) England and NHS Improvement, National Health Service (NHS) Supply Chain, National Infusion and Vascular Access Society, representatives from Public Health Wales, Public Health Agency Northern Ireland and NHS National Services Scotland, people with cancer who are undergoing active chemotherapy, people with lung cancer who are undergoing radical radiotherapy, people with cancers of the blood or bone marrow such as leukaemia, lymphoma or myeloma who are at any stage of treatment, people having immunotherapy or other continuing antibody treatments for cancer, people having other targeted cancer treatments that can affect the immune system, such as protein kinase inhibitors or PARP inhibitors, people who have had bone marrow or stem cell transplants in the last 6 months or who are still taking immunosuppression drugs, people with severe respiratory conditions including cystic fibrosis, severe asthma and severe chronic obstructive pulmonary disease (, people with diseases that significantly increase the risk of infections (such as severe combined immunodeficiency (, people on immunosuppression therapies sufficient to significantly increase risk of infection. The evidence base and expert consensus recommendations are as complete as possible at the date of issue. Available for single-use packets, multi-use bottles, and FlexPac.
This guidance is Crown copyright, which should be acknowledged where appropriate.
If the ultrasound gel is warm, patients feel comfortable, and the doctor is also easy to examine.
Antimicrobial Agents and Chemotherapy.
It uses a bacteriostatic formula that inhibits growth of bacteria and is also greaseless and non staining.
This publication is licensed under the terms of the Open Government Licence v3.0 except where otherwise stated.
Applying cold gel can surprise patients and they can feel cold due to the feature of the ultrasound room.
Dont worry we wont send you spam or share your email address with anyone.
Ultrasound gel has been associated with outbreaks of infection in various settings worldwide and risk of contamination of non-sterile ultrasound gel has been highlighted (1 to 9). You agree to our use of cookies by closing this box or continuing to use our site. As a result, therapists will normally prefer a gel with greater staying power for these treatments, i.e. cY]U:eZ(26Pl;Jumwm}.ep=J.vRFoYi_)(aBGiepF.{jR}i\#L~0(a=SP.)bDo)f -P|Y[JY1]4
Abdelfattah R, Al-Jumaah S, Al-Qahtani A, Al-Thawadi S, Barron I, Al-Mofada S, Outbreak of Burkholderia cepacia bacteraemia in a tertiary care centre due to contaminated ultrasound probe gel.
Provenzano DA, Liebert MA, Steen B, Lovetro D, Somers DL, Investigation of current infection-control practices for ultrasound coupling gel: A survey, microbiological analysis, and examination of practice patterns.
Gel should be stored according to manufacturers guidelines in areas free of excessive moisture and sources of potential contamination.
2006;11(2):61-71, Antimicrobial Resistance and Infection Control. Transcutaneous Electrical Nerve Stimulation (TENS), WaveLength UltraSound Gel, High Viscosity, Frequently Asked Questions (Knowledge Base), Store Locator Use To Find Retail Outlets, Request A Quote To Purchase Medical Supplies, Our Use Of Password Protected Professional Prices, 4 Ways To Improve Patient Compliance At Home, 3 Ways To Increase Your Clinics Patient Flow.