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Cost Analysis for MRSA Screening SLIDES

[…] difficile Mupirocin use Regional MRSA rates Study Design 12 Screening swabs from nares, rectum and open wounds Incubated overnight in broth Tested using RT-PCR Culture confirmation of PCR positive Results available within 24 hr Lab Methods 13 Cost Analysis Operational costs of screening Specimen collection, lab costs Costs of additional cases identified Infection control, contact precautions, housekeeping, private room Cost savings of fewer nosocomial cases Healthcare costs...

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Screening for S aureus Before Surgery SLIDES

[…] Pre-Operative e.g. hair removal, staff theatre wear antibiotic prophylaxis Intra-Operative e.g. hand decontamination antiseptic skin preparation wound irrigation Post-Operative e.g. changing dressings topical antimicrobial agents debridement 24 New WHO Recommendations to Prevent SSI Meta-analyses, Cochrane methods & Guideline Development Group Pre-operative measures, e.g. preoperative bathing, antibiotic prophylaxis, etc. Intra-operative measures, e.g. body temperature, category of drapes, etc. Post-operative measures, e.g. ward dressings, etc. Lancet Infect Dis 2016;...

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Role of Dry Surface Contamination

[…] sites seems sensible Who cleans what? Checklists can help What agent(s) to use? Depends on the situation; sporicidal agent for C. difficile What materials to use? Microfibre may help Wipes have pros and cons "Bucket method" most effective How to educate staff? More than we currently do! Difficult task Daily cleaning: how often? Evidence for daily or twice daily Terminal cleaning: optimal protocols? More stringent protocol should...

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PICNet_2017Conference_RegistrationForm

[…] 1 - Registration Information First name Surname Organization/Affiliation Address City Phone Email Total Cheque Expiry Date: Cancellation policy: Please send cheques to: Credit card number: Number YesNo Food allergies or dietary requirements Please select your method of payment: Payment Visa MasterCard Yes No Job Title Part 2 - Payment Information Salutation (Mr, Ms, Dr.) Name of cardholder (name printed on card): 1001 West Broadway, Suite 504 Vancouver,...

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Carbapenemase-producing Organisms (CPOs)

[…] is being included and the mechanisms of resistance to carbapenem antibiotics. Carbapenem Resistant Enterobacterales (CRE) refers to bacteria in the family of Enterobacterales (e.g. E. coli, Klebsiella, etc.) that are resistant to carbapenem antibiotics regardless of the method of resistance, as there are a number of different ways. Carbapenemase Producing Enterobacterales (CPE) refers to bacteria in the family of Enterobacterales (e.g. E.coli, Klebsiella, etc.) that resist carbapenem antibiotics by producing an...

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MRSA Annual Report 2012/2013

[…] conduct more intense screening of patients (such as all patients admitted to the facility ) may identify more MR SA cases than those w hich screen patients in specific situations only. The sensitivity of laboratory methods used in identifying MRSA may also differ by hospital. Second, MRSA colonization and MRSA infection were not distinguished in the surveillance. Onl y newly identified MRSA cases , either colonization s...

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Adherence Engineering to Reduce CLABSI slides

[…] •Facilitate expectation  driven perception •Domain of application:  Engineered vs. natural  systems An application 24 •Central line maintenance (CLM) –A "brittle" procedure •Timing of CLM  –Based on need –Identification of last CLM; often missing date on dressing •Complexity of CLM –Maintenance more than 25 steps –If provider error rate is p(error)=.01 »25 step task p(successful execution) = 0.77  •Performance –Novice nurse performance increases likelihood of CLABSI three‐ fold –CLABSI risk increases five‐fold with inappropriate central line care An application 25 •Equipment –Current equipment does not support clinicians; nurses spend  approx. 5% of their work time searching for equipment –Opportunity to redesigning the task / equipment applying  Adherence Engineering An application 26 •Building an alternative: Applying AE –Goal: Making adherence effortless An application 27 28 • Method –Observational method (time‐motion paradigm) •Data collection on tablet PC in ICUs •Tra i n e d observers (2 ICU nurses)  –2 weeks of training –Inter‐rater reliability >95% –16 month (5 month pre‐intervention; 11 month post‐intervention)  data collection –Participants •95 nurses (85 female) •Mean experience = 6.7 years •All participant nurses received training on kit use –Patients •n = 151 –To t a l of 218 CLM procedures  An application 29 •Results  –CLABSI rates Line Days CLABSI CLABSI RATE/1000 line days Pre‐Intervention 725316...

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CARSS 2016 Report EN 2016 09 12 FINAL

[…] antimicrobial use The following technical annex provides a more detailed view of the surveillance data on the priority organisms surveilled under PHAC’s surveillance systems. The AMR section focuses on priority organism and describes the surveillance methods, the situation in Canada and an international perspective. The priority organisms listed in the following AMR section includes : Clostridium difficile , multidrug-resistant Enterobacteriaceae and Acinetobacter ; methicillin-resistant Staphylococcus aureus ,...

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PICNet Candida auris infosheet 2016-07-14

[…] auris Misidentified as Candida haemulonii : Characterization by Matrix -Assisted Laser Desorption Ionization –Time of Flight Mass Spectrometry and DNA Sequencing and Its Antifungal Susceptibility Profile Variability by Vitek 2, CLSI Broth Microdilution, and Etest Method http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4432077/ 4. Rindidzani E. Magobo etal. Candida auris –Associated Candidemia, South Africa. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4073876/ 5. Public Health England. Guidance for the laboratory investigation, management and infection prevention and control for cases of...

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PublicHealthEngland_Guidance_Candida__auris

[…] agar , CHROMagar Candida , in common with several other non C. albicans species . Growth on this and other chromogenic agars (which may display a different colour) cannot be used as a primary identification method. Chromogenic agars are useful to identify mixed cultures including th e presence of C. albicans . If there is evidence of non - albicans on chromogenic agar these should be sub...

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Emerging multidrug-resistant Candida auris: information on infection control practices

[…] Kathuria et al. Multidrug-ResistantCandida auris Misidentified as Candida haemulonii: Characterization by Matrix-Assisted Laser Desorption Ionization–Time of Flight Mass Spectrometry and DNA Sequencing and Its Antifungal Susceptibility Profile Variability by Vitek 2, CLSI Broth Microdilution, and Etest Method http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4432077/ Rindidzani E. Magobo etal. Candida auris–Associated Candidemia, South Africa. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4073876/ Public Health England. Guidance for the laboratory investigation, management and infection prevention and control for cases of Candida auris. https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/534174/Guidance_Candida__auris.pdf...

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The IP and Organizational Structure Teleclass SLIDES

[…] of infections which if prevented would result in goal attainment http://www.cdc.gov/hai/pdfs/prevent/TAP-Guide-for-Individual-Facility-User.pdf The TAP Report 24 Targeted Communication: Unit Specific 25 Targeted Communication Facility Specific 26 "The tradition of collaboration among Wisconsin hospitals is a proven method for improving healthcare quality, and DPH strongly encourages your facility to participate in one of the collaborative HAI reduction groups led by ." http://www.cdc.gov/hai/pdfs/prevent/TAP-Guide-for-Group-User.pdf Examples of 2 Domains Within the CDI...

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LGV-Order-Form-2016

Job title Your name Name of Facility Address City Province Post code Telephone Email Number of kits NumKits Shipment method Shipment Mail Pickup Method of payment Payment Cheque Name on credit card Credit card number Expiry Date Cost of Kit Subtotal cost Postage cost Provincial Infection Control Network of BC Vancouver, BC V6H 4B1 The kit will be mailed to you and a confirmation email will be sent...

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PICNet 2016 StaffEducation Handouts

[…] ob jectives and plans stifling. 72. I'm usually one of the people who puts life into a party 73. I do whatever is expedient to get the job done 74. I quickly get bored with methodical, detailed work. 75. I am keen on exploring the basic assumptions, principles and theories unde r-pinning things and events. 76. I'm always interested to find out what people think. 77. I...

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Jim Gauthier_2016 PICNet Housekeeping Presentation

[…] Fac Manage. 200518(11);41-2. Cadnum BS et al. Effectiveness of a hydrogen peroxide spray for decontamination of soft surfaces in hospitals. AJIC 2015;43:1357-9 Carling PC, et al. Improved cleaning of patients rooms using a new targeting method. Clin Infect Dis 2006;42:385-8 Carling PC, et al. Improved cleaning of the environment surrounding patients in 36 acute care hospitals. ICHE 2008;29:1035-41 Cartmill TDI, et al. Management and control of a...

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MRSA in the Hospital and the Community SLIDES

[…] vancomycin Daptomycin Telavancin Ceftaroline … 8 MRSA typing & nomenclature Typing MRSA isolates is not required for clinical management , but is useful to explain and describe epidemiologic relationships: outbreaks or emerging epidemiologic patterns Typing methods: Multilocus sequence typing (MLST) Pulsed-field gel electrophoresis (PFGE) spa -typing Nomenclature: USA 100/CMRSA2 – classic HA-MRSA USA 400/CMRSA7 – initial CA-MRSA, first described in children USA 300/CMRSA10 – predominant CA-MRSA, unrelated...

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Appendices to PICNet Annual Surveillance Report 2014-15

[…] the total inpatient days during the same period as denominators, then multiplying 10,000 as a rate by per 10,000 inpatient days. The 95% confidence intervals (CI) of the rate were calculated by the Wilson score method and were used to determine whether the difference between the rates was statistically significant. If the ranges of 95% CI are not overlapped with each other, the difference in the two...

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GI Endoscope Disinfection to Sterilization SLIDES

[…] potable water) with periodic microbiologic surveillance High-level disinfection with periodic microbiologic surveillance 41 Summary of Advantages and Disadvantages of HLD and Sterilization Enhancements for Reprocessing Duodenoscopes Rutala WA, Weber DJ. Infect Control Hosp Epidemiol 2015;36:643-648 Method Advantages Disadvantages HLD with ETO, Microbiologic surveillance Major endoscope manufacturer offers ETO as sterilization option Should be used after standard high-level disinfection Some data demonstrate reduced infection risk with HLD followed...

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PICNet-Annual-MRSA-Surveillance-Report-2013-2014

[…] screening to all patients admitted to certain units , more frequent screening at -high risk patients) may identify more MRSA cases than those w hich screen patients in specific situations only. The sensitivity of laboratory methods used in identifying MRSA may also differ by hospital. Second ly, MRSA colonization an d MRSA infection were not distinguished in the surveillance. Only newly identified MRSA cases , either colonization...

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Alcohol-based hand rub vs. soap and water

[…] heard that when you’re in contact with patients with C.difficile, you should use soap and water rather than sanitizer. So how do you know which to use, when? Alcohol-based hand rub (ABHR) is the preferred method of hand cleaning in most situations because it is easy to get to and effective against most types of germs (as long as it is at least 60% alcohol). There are...

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