Hello Novel Coronavirus

As I’m sure you’ve heard (unless you’ve been living under a rock), there’s something going on in China: a Novel Coronavirus has been identified, associated with an outbreak affecting 44 people (one of whom has died and a small number of whom are critically unwell) in Wuhan Providence, China. Here’s what we know so far:

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CPE has landed in East London

The team at Barts Health, one of the largest NHS hospital groups in the country, has published the findings of a point prevalence screen of all inpatients for carbapenemase-producing organism (CPO) carriage. Overall, 30 (3.1%) of the 977 patient tested were carrying 35 different CPOs (all but one of which were CPE). Risk factors for CPO carriage included hospitalisation abroad, any hospitalisation, and overseas travel (especially to India, Pakistan, and Bangladesh). These findings help us to understand an emerging picture of CPO in the UK.

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The most visited Reflections posts of 2019

As 2019 draws to a close, I thought it would be fun to share the most visited posts of 2019 on Reflections. And here they are:

Blog post % views of top 10 posts Year published
Do you know your CRO from your CPO from your CRE from your CPE? 11.4 2013
Focusing on the role of nurses in environmental hygiene 11.3 2018
Hand hygiene and the courage to challenge: a personal reflection 11.1 2019
Bad things happen when you don’t do hand hygiene 10.7 2019
We need to win hearts and minds to improve hand hygiene practice 10.7 2019
Dispersal of CPE from contaminated sinks and drains: a refection from Infection Prevention 2019 9.6 2019
CRE can survive on dry surfaces for longer than you may expect 9.3 2014
CPE infection prevention and control guidelines: an update 8.8 2019
An endless one-sided confidence in Pip-tazo? 8.6 2018
Studying bacteriophages: catch-22 8.5 2019

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A hand hygiene cracker from the Christmas BMJ

The annual Christmas BMJ is always good for a laugh. This year, one of the featured articles introduces the idea of using the tune of Frère Jacques to help memorise the WHO’s six-step hand hygiene technique.

And here’s the song in action:

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Does chlorhexidine mouthwash kill patients?

You may think so, with this title: “Oral mucositis as a pathway for fatal outcome among critically ill patients exposed to chlorhexidine (CHX)”, with the conclusion that the “data points to oral mucositis as the main pathway for the association between CHX exposure and enhanced in-hospital mortality.” The research letter is a post hoc analysis of a randomized clinical trial. Time to stop using CHX mouthwash? Or time to stop building strong stories on weak data? Continue reading