P396 Patient experience and satisfaction with the AIRVO™ 2 humidification system

Objectives: IP&CP is a hot topic in CF, but research, standards and guidelines for IP&CP specific to Physiotherapy are lacking.This study was done to determine what IP&CP are used in UK centres to inform development of local guidelines.Methods: A questionnaire was sent to lead CF physiotherapists of all UK centres ( paediatric and adult) to determine what IP&CP are used in both inpatient (IP) and outpatient (OP) settings.Questions related to hand hygiene (HH) and PPE, decontamination of patient environments and of equipment for airway clearance techniques (ACT) and inhalations.Responses were grouped into practices used with patients with no known growth, Pseud A, B.cepacia, NTM, Aspergillus, Staph A and MRSA.Results: 25/42 (60%) questionnaires were returned.HH and PPE: >88% of centres perform HH before and after ACT.64-96% wear gloves and aprons for IP.24% wear full gowns for IP with NTM and 32% for B.cepacia.48-84% wear gloves and aprons for OP with 12% wearing full gowns for patients with NTM and 20% for B.cepacia.Clinic environment: 100% wipe surfaces between OP. 20% leave the room empty for a certain time between patients except with patients with NTM (84% of centres) or B.cepacia (72%).56% have negative pressure rooms for IP and 4% for OP.4% use these rooms for all IP & OP.Gym: 45-52% don't take patients with B.cepacia and NTM to the gym.90% wipe surfaces and equipment.4-16% deep clean.ACT and inhalation equipment: 72% wash equipment in a bowl, 16% in the patient's sink, 4% in the treatment room, and 4-8% wipe it clean.56-60% are unable to disinfect equipment.Conclusion: There is a large variation in IP&CP used by centres, possibly as a result of suboptimal education/knowledge of the best evidence, the lack of or conflicting evidence, inadequate resources, or a combination of these.IP&CP are essential to reduce the risk of cross infection.Practice guidelines for centres to follow are necessary for better and standardised care of CF patients.