Transcript Slide 1

Healthcare-associated infections
& antimicrobial use in long-term
care facilities
(HALT) 2013
Our Local HALT Report
ENTER YOUR LTCF’s NAME HERE
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HALT 2013 TEMPLATE LOCAL REPORT PRESENTATION - HPSC
What is HALT?
• A point prevalence survey in nursing homes/long-term care
facilities (LTCF)
• Commissioned by the European Centre for Disease Prevention
and Control (ECDC)
– HALT first carried out in May 2010 – Participation in 28 European
countries, including Ireland
– Ireland performed a further HALT survey in May 2011
– A further European HALT completed in May 2013
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HALT 2013 TEMPLATE LOCAL REPORT PRESENTATION - HPSC
What is surveillance?
• Surveillance = ‘keeping an eye on things’
• Systematic collection and analysis of data and the
use of this information for action
– Improve the care we give to our residents/patients
– Reduce the occurrence of preventable healthcareassociated infection (HCAI) in our residents
– Compare our results with those of other LTCFs that look
after a similar type of resident
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HALT 2013 TEMPLATE LOCAL REPORT PRESENTATION - HPSC
Surveillance of HCAI
Two types of surveillance are used in healthcare:
1.Prevalence – specific point in time
2.Incidence – ongoing capture of data
HALT is a prevalence survey
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HALT 2013 TEMPLATE LOCAL REPORT PRESENTATION - HPSC
Ireland has excellent participation by LTCF in HALT surveys!
Number of participating LTCF in Ireland
200
150
100
Number of participating
LTCF in Ireland
50
0
2010
2011
2013
In 2010, Irish LTCF accounted for 9.5% of all participating LTCF in European HALT survey!
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HALT 2013 TEMPLATE LOCAL REPORT PRESENTATION - HPSC
In HALT 2013, our LTCF has been classified in
the following care group
LTCF CARE GROUP CATEGORIES
HIGHLIGHT YOUR LTCF
CARE GROUP IN THE
BOX BELOW
We are a general nursing home with majority of our residents staying >12
months
(GN >12 months)
We are a mixed care type LTCF with majority of our residents staying >12
months
We are a LTCF with the majority of our residents staying <12 months
We are an intellectually disabled LTCF
We are a psychiatric LTCF
We are a palliative care LTCF
We are a physically disabled LTCF
We are a rehabilitation LTCF
Our LTCF is none of the above – we have been classified in the category ‘other
LTCF’
HALT 2013 TEMPLATE LOCAL REPORT PRESENTATION - HPSC
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What were the demographics of our LTCF on
the HALT survey date in May 2013?
1.
2.
Go to your local HALT report page 2, section 1.1:‘LTCF Demographics’
Take a snapshot of section 1.1 and then paste it into this slide
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HALT 2013 TEMPLATE LOCAL REPORT PRESENTATION - HPSC
What were the demographics of our residents in May
2013?
1.
2.
Go to your local HALT report page 2, section 1.2: ‘Resident Demographics’
Take a snapshot of Figure 1 in section 1.2 and then paste it into this slide
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HALT 2013 TEMPLATE LOCAL REPORT PRESENTATION - HPSC
How common were HCAI in our residents in
May 2013?
1.
2.
Go to your local HALT report page 3, section 2.1: ‘How common were HCAIs?’
Take a snapshot of Table 1 in section 2.1 and then paste it into this slide
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HALT 2013 TEMPLATE LOCAL REPORT PRESENTATION - HPSC
How common were HCAI in our residents in
May 2013?
1.
2.
Go to your local HALT report page 3, section 2.1: ‘How common were HCAIs?’
Take a snapshot of Figure 2 in section 2.1 and then paste it into this slide
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HALT 2013 TEMPLATE LOCAL REPORT PRESENTATION - HPSC
What types of HCAI were found in HALT 2013?
1.
2.
Go to your local HALT report page 4, section 2.2:
‘What type of HCAIs were present in residents?’
Take a snapshot of Table 2 in section 2.2 and then paste it into this slide
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HALT 2013 TEMPLATE LOCAL REPORT PRESENTATION - HPSC
How does the breakdown of the most common HCAI
types compare over the years?
1.
2.
Go to your local HALT report page 4, section 2.2:
‘What type of HCAIs were present in residents?’
Take a snapshot of Table 3 in section 2.2 and then paste it into this slide
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How common was antimicrobial use in our
residents in May 2013?
1.
2.
Go to your local HALT report page 5, section 3.1: ‘Overall summary of antimicrobial
use’
Take a snapshot of Table 4 in section 3.1 and then paste it into this slide
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HALT 2013 TEMPLATE LOCAL REPORT PRESENTATION - HPSC
How common was antimicrobial use in our
residents in May 2013?
1.
2.
Go to your local HALT report page 5, section 3.1: ‘Overall summary of antimicrobial
use’
Take a snapshot of Figure 3 in section 3.1 and then paste it into this slide
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HALT 2013 TEMPLATE LOCAL REPORT PRESENTATION - HPSC
Where were the antimicrobials prescribed?
1.
2.
Go to your local HALT report page 6, section 3.2 ‘Where were antimicrobials
prescribed and who prescribed them?’
Take a snapshot of Table 5 in section 3.2 and paste it into this slide
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Who prescribed the antimicrobials?
1.
2.
Go to your local HALT report page 6 section 3.2 ‘Where were antimicrobials
prescribed and who prescribed them?’
Take a snapshot of Table 6 in section 3.2 and paste it into this slide
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Why were the antimicrobials prescribed?
1.
2.
Go to your local HALT report page 6, section 3.3: ‘Why were antimicrobials
prescribed?’
Take a snapshot of Figure 4 in section 3.3.1 and then paste it into this slide
Treatment of infection = Therapeutic = Light green bar
Prevention of infection = Prophylactic = Dark green bar
Unknown reason = Blue bar
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What were the most common body sites for which the
antimicrobials were prescribed?
1.
2.
Go to your local HALT report page 7, section 3.3: ‘Why were antimicrobials prescribed?’
Take a snapshot of Figure 5 on page 7 in section 3.3.2 and then paste it into this slide
Dark blue = Urinary tract
Light blue = Respiratory tract
White = Skin or wound
Green = Other body site
HALT 2013 TEMPLATE LOCAL REPORT PRESENTATION - HPSC
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For each of the most common body sites, were antimicrobials
prescribed for treatment or for prevention of infection?
1.
2.
Go to your local HALT report page 7, section 3.3: ‘Why were antimicrobials prescribed?’
Take a snapshot of Figure 6 on page 7 in section 3.3.3 and then paste it into this slide
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HALT 2013 TEMPLATE LOCAL REPORT PRESENTATION - HPSC
Where the urinary tract was the body site for the prescription,
what were the prescribed antimicrobials?
1.
2.
Go to your local HALT report page 8, section 3.4: ‘Which antimicrobials were prescribed?’
Take a snapshot of Table 7 on page 8 in section 3.4 and then paste it into this slide
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Where the respiratory tract was the body site for the
prescription, what were the prescribed antimicrobials?
1.
2.
Go to your local HALT report page 8, section 3.4: ‘Which antimicrobials were prescribed?’
Take a snapshot of Table 8 on page 8 in section 3.4 and then paste it into this slide
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HALT 2013 TEMPLATE LOCAL REPORT PRESENTATION - HPSC
Where skin or a wound was the body site for the prescription,
what were the prescribed antimicrobials?
1.
2.
Go to your local HALT report page 9, section 3.4: ‘Which antimicrobials were prescribed?’
Take a snapshot of Table 9 on page 9 in section 3.4 and then paste it into this slide
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HALT 2013 TEMPLATE LOCAL REPORT PRESENTATION - HPSC
How do we fare with regard to our
infection prevention and control practices?
1.
2.
Go to your local HALT report page 11, section 5: ‘Infection Control’
Take a snapshot of Table 11 in section 5 and then paste it into this slide
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HALT 2013 TEMPLATE LOCAL REPORT PRESENTATION - HPSC
How do we fare with regard to our
antimicrobial stewardship practices?
1.
2.
Go to your local HALT report page 12, section 6: ‘Antimicrobial Stewardship’
Take a snapshot of Table 12 in section 6 and then paste it into this slide
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What are the key findings in
our local HALT report for 2013?
What are the good points?
What areas need improvement?
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What are the key findings in
our local HALT report in comparison with previous years that we
have done HALT?
What has improved?
What hasn’t improved?
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What are the top three things that we want to improve on in
the next 12 months?
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How will we achieve those three aims?
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When will we meet again to discuss our progress?
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Have we made sure that everyone who needs to know
about our HALT report has seen it and knows what our quality
improvement plans are for the next year?
1.
2.
3.
4.
5.
6.
7.
Our LTCF doctors
Our general practitioners
Our nurses
Our infection prevention and control nurse
Our staff
Our managers
Our residents and their families
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Go to the HPSC website for further information
and guidance
Examples of resources are on the following slides
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http://www.hpsc.ie/hpsc/AZ/MicrobiologyAntimicrobialResistance/InfectionControlandHAI/Surveillance/HCAIinl
ongtermcarefacilities/
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Thank you for your attention
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