Painting the hospital room blue

This recent study from the Donskey group could provide hospital cleaning staff with a powerful visual cue to help assure adequate disinfectant coverage. The addition of a chemical widget to bleach solution gives it a bright blue hue when applied to surfaces, so allowing a cleaner to track their progress visually!

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The Truth About Hawaii

I caught the 15 minute drama on BBC R4 today (The Truth About Hawaii) and, to my surprise, it was a post-antibiotic apocalypse story. A ten year old girl gets a scratch on the knee that develops into a serious infection that without antibiotics has become life threatening. The Prime Minister is personally involved in enforcing a restriction policy for the last remaining antibiotic. And, as with pretty much every other Radio 4 drama, a happy ending seems unlikely.

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Do single rooms prevent HCAI? This suggest suggests YES for norovirus, but no for C. difficile infection and E. coli BSI

There are pros and cons of increasing the proportion of single rooms. One of the commonly-cited pros is a reduction in HCAI. A recent UK study provides some evidence that C. difficlie infection, and MSSA /  E. coli BSIs are not reduced by a move to a hospital with more single rooms, but that norovirus control is more effective when you have more single rooms.

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Santa’s little helper: engaging children to create information for patients

A cracker in the Christmas BMJ reports the insightful use of children to help create patient information leaflets. Whilst the article is tongue-in-cheek, in the spirit of the Christmas BMJ, there may just be something in it!

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Fear and hierarchy as drivers for antimicrobial prescribing

Surgical antimicrobial prophylaxis (SAP) is one of the areas of strength in the infection prevention literature: we have high quality evidence that it works, and evidence-based guidance on how to do it effectively. And yet, you don’t have to spend long in an operating theatre to see that it’s not always done according to local guidelines. So, why are these evidence-based guidelines for SAP not implemented effectively? A short review in the Journal of Hospital Infection highlights social factors, specifically fear and hierarchy, as important drivers of antimicrobial prescribing.

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