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!
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.
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.
As we come towards the end of 2017, we’d like to take the opportunity to thank you all for reading Reflections: we hope you have enjoyed reading it as much as we have enjoyed writing it!
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.
I am on the hunt for some free online training resources for HCAI / IPC / AMR / AMS / IPC, at a basic, intermediate, or advanced level. Here’s a summary of what I’ve unearthed so far.