Transcript Infection control annual report April 2005 to March 2006

Infection control annual report
April 2005 to March 2006
Dr Graham Harvey
Consultant Microbiologist
Director of Infection Prevention &
Control
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Health Service Circular HSC (2000)/02
Getting ahead of the curve (2002)
Winning ways (2003)
CleanYourHands (2005)
Saving lives (2005)
– MRSA Bacteraemia 60% reduction
– Going further faster
• Health Act (2006)
– Code of Practice for the Prevention and Control of
Healthcare Associated Infection
SAVING LIVES
JUNE 2005
• 5 KEY AREAS
1.
2.
3.
4.
5.
Preventing the risk of microbial contamination
Central venous catheter care
Preventing surgical site infection
Care of ventilated patients
Urinary catheter care
SAVING LIVES
• Hospital Acquired Infection Group (HAIG)
– Established in response to the MRSA Bacteraemia 60%
reduction target (July 05)
– Currently addresses all hospital acquired infections (not
just MRSA)
– Monthly meetings
– Working sub group of the Shrewsbury & Telford
infection control committee
SAVING LIVES
MAY 2006
• NOW 7 KEY AREAS
1. Preventing the risk of microbial contamination
2. Central venous catheter care
2b. Peripheral Line care
3. Preventing surgical site infection
4. Care of ventilated patients
5. Urinary catheter care
6. Reducing the risk of infection from and the presence
of Clostridium difficile
PROGRESS REPORT
• ITU/HDU ventilation at RSH
• Saving Lives campaign (June 2005)
– Base line assessment July 05
• 6 red and 3 amber
– Re-assessment July 06
• 5 red, 3 amber and 1 green
• CleanYourHands campaign (July 2005)
• MRSA bacteraemia 20% reduction achieved
(April 2005 to March 2006)
• MRSA staff screening policy developed and
endorsed
Episodes of MRSA Bacteraemia at The Shrewsbury and Telford
Hospital NHS Trust
70
Number of episodes
60
58
53
50
39
40
30
20
10
0
2003 - 2004
2004 -2005
Year
2005 - 2006
Shrewsbury and Telford MRSA new cases from 2000
Number of cases
100
90
JAN
80
FEB
70
MAR
60
APR
MAY
50
JUNE
40
JULY
30
AUG
20
SEPT
10
OCT
0
NOV
2000
2001
2002
2003
Year
2004
2005
2006
DEC
Glycopeptide Resistant Enterococcal Bacteraemia
at The Shrewsbury and Telford Hospital NHS Trust
6
1
8
Apr00/Mar01
Apr01/Mar02
Apr02/Mar03
Apr03/Mar04
15
11
Apr04/Mar05
Apr05/Mar06
13
Shrewsbury and Telford Hospital NHS Trust New cases of
Clostridium Difficle
From January 2004 to August 2006
60
JAN
New cases
FEB
Annual report
to March 06
50
MAR
40
APR
MAY
30
JUNE
20
JULY
AUG
10
SEPT
0
OCT
2004
2005
Year
2006
NOV
DEC
HEALTH ACT
Code of Practice for the Prevention
and Control of Healthcare
Associated Infection
October 2006