Sheffield Teaching Hospitals · alert organism colonisation Antibiotic use Domestic services and...

Co-funded by the Horizon 2020 Framework Programme of the European Union

Sheffield Teaching Hospitals

Dave Partridge

Barcelona, 3/5/17

Picture of peaks


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


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


Diagnosis

Recognition of risk

Surgery

Devices

Hand hygiene

Air



At risk patient


Antibiotic use


decontamination


RAPID RISK IDENTIFICAITON/STRATIFICATION METHODS


Diagnosis

Recognition of risk

Surgery

Devices

Hand hygiene

Air



At risk patient


Antibiotic use


decontamination



SURFACES AND DEVICES THAT TELL YOU THAT THEY ARE CLEAN/DIRTY


Diagnosis

Recognition of risk

Surgery

Devices

Hand hygiene

Air



At risk patient


Antibiotic use


decontamination




IV/URINARY CATHETERS THAT DO NOT HARBOUR BACTERIA


Diagnosis

Recognition of risk

Surgery

Devices

Hand hygiene

Air



At risk patient


Antibiotic use


decontamination







Diagnosis

Recognition of risk

Surgery

Devices

Hand hygiene

Air



At risk patient


Antibiotic use


decontamination





IV/URINARY CATHETERS THAT DO NOT HARBOUR BACTERIAMETHODS TO PREVENT AIRBORNE TRANSMISSION OF PATHOGENS


Diagnosis

Recognition of risk

Surgery

Devices

Hand hygiene

Air



At risk patient


Antibiotic use


decontamination






BETTER WAYS TO DECONTAMINATE THE ENVIRONMENT WITH PATIENTS IN IT


Diagnosis

Recognition of risk

Surgery

Devices

Hand hygiene

Air



At risk patient


Antibiotic use


decontamination







AUTOMATED ALERTING AND FEEDBACK OF STAFF RE: HAND HYGIENE


Diagnosis

Recognition of risk

Surgery

Devices

Hand hygiene

Air



At risk patient


Antibiotic use


decontamination








VIRTUAL REALITY INFECTION CONTROL TRAINING


Diagnosis

Recognition of risk

Surgery

Devices

Hand hygiene

Air



At risk patient


Antibiotic use


decontamination








VIRTUAL REALITY INFECTION CONTROL TRAINING

SINKS /PLUMBING/FABRICS THAT RESIST COLONISATION


Thank you

• David Partridge

• [email protected]

• http://www.antisuperbugs.eu

Sheffield Teaching Hospitals · alert organism colonisation Antibiotic use Domestic services and...

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