Post on 31-Mar-2020
Co-funded by the Horizon 2020 Framework Programme of the European Union
Sheffield Teaching Hospitals
Dave Partridge
Barcelona, 3/5/17
Picture of peaks
Co-funded by the Horizon 2020 Framework Programme of the European Union
Sheffield
12/05/2017
Sheffield Teaching Hospitals
>2000 Beds
Strong IPC team
Supraregionalservices
Bed pressures
1.5M people
Varied Architecture
Good track recordMDRO
Local threats
Varied Architecture!
Sheffield MRSA bacteraemia data
2005-17 – All episodes
0
2
4
6
8
10
12
14
16
18
Apr-
05
Apr-
06
Apr-
07
Apr-
08
Apr-
09
Apr-
10
Apr-
11
Apr-
12
Apr-
13
Apr-
14
Apr-
15
Apr-
16
Actual monthly
number of episodes
Rolling Average
for the Year - 1st
April to 31st March
each year
Clostridium difficile 2007-
0
10
20
30
40
50
60
70
80
Ja
n
Ap
ril
Ju
ly
Oct
Ja
n
Ap
ril
Ju
ly
Oct
Ja
n
Ap
r
Ju
l
Oct
Ja
n
Ap
r
Ju
l
Oct
Ja
n
Ap
r
Ju
l
Oct
Ja
n
Ap
r
Ju
l
Oct
Ja
n
Ap
r
Ju
l
Oct
Ja
n
Ap
r
Ju
l
Oct
Ja
n
Ap
r
Ju
l
Oct
Ja
n
Ap
r
Ju
l
Oct
Ja
n
Confirmed UK CPE cases
0
200
400
600
800
1000
1200
1400
1600
1800
2000
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Co-funded by the Horizon 2020 Framework Programme of the European Union
What are our needs and expectations?
12/05/2017
Microbiology Laboratory/ Microbiologists
Diagnosis
Recognition of risk
Surgery
Devices
Hand hygiene
Air
Nursing and medical staff
Surfaces/ Environment
At risk patient
Patient with alert organism colonisation
Antibiotic use
Domestic services and
decontamination
Surgical instruments and devices
Microbiology Laboratory/ Microbiologists
Diagnosis
Recognition of risk
Surgery
Devices
Hand hygiene
Air
Nursing and medical staff
Surfaces/ Environment
At risk patient
Patient with alert organism colonisation
Antibiotic use
Domestic services and
decontamination
Surgical instruments and devices
RAPID RISK IDENTIFICAITON/STRATIFICATION METHODS
Microbiology Laboratory/ Microbiologists
Diagnosis
Recognition of risk
Surgery
Devices
Hand hygiene
Air
Nursing and medical staff
Surfaces/ Environment
At risk patient
Patient with alert organism colonisation
Antibiotic use
Domestic services and
decontamination
Surgical instruments and devices
RAPID RISK IDENTIFICAITON/STRATIFICATION METHODS
SURFACES AND DEVICES THAT TELL YOU THAT THEY ARE CLEAN/DIRTY
Microbiology Laboratory/ Microbiologists
Diagnosis
Recognition of risk
Surgery
Devices
Hand hygiene
Air
Nursing and medical staff
Surfaces/ Environment
At risk patient
Patient with alert organism colonisation
Antibiotic use
Domestic services and
decontamination
Surgical instruments and devices
RAPID RISK IDENTIFICAITON/STRATIFICATION METHODS
SURFACES AND DEVICES THAT TELL YOU THAT THEY ARE CLEAN/DIRTY
IV/URINARY CATHETERS THAT DO NOT HARBOUR BACTERIA
Microbiology Laboratory/ Microbiologists
Diagnosis
Recognition of risk
Surgery
Devices
Hand hygiene
Air
Nursing and medical staff
Surfaces/ Environment
At risk patient
Patient with alert organism colonisation
Antibiotic use
Domestic services and
decontamination
Surgical instruments and devices
RAPID RISK IDENTIFICAITON/STRATIFICATION METHODS
SURFACES AND DEVICES THAT TELL YOU THAT THEY ARE CLEAN/DIRTY
IV/URINARY CATHETERS THAT DO NOT HARBOUR BACTERIA
IV/URINARY CATHETERS THAT DO NOT HARBOUR BACTERIA
Microbiology Laboratory/ Microbiologists
Diagnosis
Recognition of risk
Surgery
Devices
Hand hygiene
Air
Nursing and medical staff
Surfaces/ Environment
At risk patient
Patient with alert organism colonisation
Antibiotic use
Domestic services and
decontamination
Surgical instruments and devices
RAPID RISK IDENTIFICAITON/STRATIFICATION METHODS
SURFACES AND DEVICES THAT TELL YOU THAT THEY ARE CLEAN/DIRTY
IV/URINARY CATHETERS THAT DO NOT HARBOUR BACTERIA
IV/URINARY CATHETERS THAT DO NOT HARBOUR BACTERIAMETHODS TO PREVENT AIRBORNE TRANSMISSION OF PATHOGENS
Microbiology Laboratory/ Microbiologists
Diagnosis
Recognition of risk
Surgery
Devices
Hand hygiene
Air
Nursing and medical staff
Surfaces/ Environment
At risk patient
Patient with alert organism colonisation
Antibiotic use
Domestic services and
decontamination
Surgical instruments and devices
RAPID RISK IDENTIFICAITON/STRATIFICATION METHODS
SURFACES AND DEVICES THAT TELL YOU THAT THEY ARE CLEAN/DIRTY
IV/URINARY CATHETERS THAT DO NOT HARBOUR BACTERIA
IV/URINARY CATHETERS THAT DO NOT HARBOUR BACTERIAMETHODS TO PREVENT AIRBORNE TRANSMISSION OF PATHOGENS
BETTER WAYS TO DECONTAMINATE THE ENVIRONMENT WITH PATIENTS IN IT
Microbiology Laboratory/ Microbiologists
Diagnosis
Recognition of risk
Surgery
Devices
Hand hygiene
Air
Nursing and medical staff
Surfaces/ Environment
At risk patient
Patient with alert organism colonisation
Antibiotic use
Domestic services and
decontamination
Surgical instruments and devices
RAPID RISK IDENTIFICAITON/STRATIFICATION METHODS
SURFACES AND DEVICES THAT TELL YOU THAT THEY ARE CLEAN/DIRTY
IV/URINARY CATHETERS THAT DO NOT HARBOUR BACTERIA
IV/URINARY CATHETERS THAT DO NOT HARBOUR BACTERIAMETHODS TO PREVENT AIRBORNE TRANSMISSION OF PATHOGENS
BETTER WAYS TO DECONTAMINATE THE ENVIRONMENT WITH PATIENTS IN IT
AUTOMATED ALERTING AND FEEDBACK OF STAFF RE: HAND HYGIENE
Microbiology Laboratory/ Microbiologists
Diagnosis
Recognition of risk
Surgery
Devices
Hand hygiene
Air
Nursing and medical staff
Surfaces/ Environment
At risk patient
Patient with alert organism colonisation
Antibiotic use
Domestic services and
decontamination
Surgical instruments and devices
RAPID RISK IDENTIFICAITON/STRATIFICATION METHODS
SURFACES AND DEVICES THAT TELL YOU THAT THEY ARE CLEAN/DIRTY
IV/URINARY CATHETERS THAT DO NOT HARBOUR BACTERIA
IV/URINARY CATHETERS THAT DO NOT HARBOUR BACTERIAMETHODS TO PREVENT AIRBORNE TRANSMISSION OF PATHOGENS
BETTER WAYS TO DECONTAMINATE THE ENVIRONMENT WITH PATIENTS IN IT
AUTOMATED ALERTING AND FEEDBACK OF STAFF RE: HAND HYGIENE
VIRTUAL REALITY INFECTION CONTROL TRAINING
Microbiology Laboratory/ Microbiologists
Diagnosis
Recognition of risk
Surgery
Devices
Hand hygiene
Air
Nursing and medical staff
Surfaces/ Environment
At risk patient
Patient with alert organism colonisation
Antibiotic use
Domestic services and
decontamination
Surgical instruments and devices
RAPID RISK IDENTIFICAITON/STRATIFICATION METHODS
SURFACES AND DEVICES THAT TELL YOU THAT THEY ARE CLEAN/DIRTY
IV/URINARY CATHETERS THAT DO NOT HARBOUR BACTERIA
IV/URINARY CATHETERS THAT DO NOT HARBOUR BACTERIAMETHODS TO PREVENT AIRBORNE TRANSMISSION OF PATHOGENS
BETTER WAYS TO DECONTAMINATE THE ENVIRONMENT WITH PATIENTS IN IT
AUTOMATED ALERTING AND FEEDBACK OF STAFF RE: HAND HYGIENE
VIRTUAL REALITY INFECTION CONTROL TRAINING
SINKS /PLUMBING/FABRICS THAT RESIST COLONISATION
Co-funded by the Horizon 2020 Framework Programme of the European Union
Thank you
• David Partridge
• David.partridge@sth.nhs.uk
• http://www.antisuperbugs.eu