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[…] Disease Control Laboratory Services, on a project to provide a snapshot of the current strains of C. difficile currently present in BC. Isolates from laboratorie s from across BC were submitted for typing and virulence testing. Results of the projec t will be available in the fall of 2008. The PICNet Management Office is currently review ing the Provincial Infectious Diseases Advisory Committee (Ontario) Guidelines for...
Type: Media
[…] Disease Control Laboratory Services, on a project to provide a snapshot of the current strains of C. difficile currently present in BC. Isolates from laboratorie s from across BC were submitted for typing and virulence testing. Results of the projec t will be available in the fall of 2008. The PICNet Management Office is currently review ing the Provincial Infectious Diseases Advisory Committee (Ontario) Guidelines for...
Type: Media
[…] stools three or more times per day for more than 24 hours), or more frequently than is normal for the patient. 2) It is assumed that any stool sent to the laboratory for C. difficile testing is from a patient that has had at least three episodes of loose stools in a 24 -hour period. I t is accepted that some patients may have had only one...
Type: Media
[…] on new cases of CDI associated with the reporting facility. Direct comparison of the numbers of cases and rates between health authorities (HA) is not recommended du e to the variations and changes in laboratory testing for detection of C. difficile , application of case classification , and different a t-risk populations served by each health authority. For details about this provincial surveillance program , case...
Type: Media
[…] with the reporting facility , by fiscal year and quarter , British Columbia 1 Bars in the line chart represent 95% confidence interval of the rates. There were changes and variations in the l aboratory testing for confirmation of CDI diagnosis and application of case definition over time and by health authority. The time frame of each fiscal quarter varied by fiscal year and there we re...
Type: Media
[…] you b een h ospita lize d or h a d renal dialysis outside of Canada anytime in the previous 6 months?" ◦If yes: patient will have rectal screen for CPE Better and faster testing ll hdf ◦Deve lop Rea l-time PCR met h o d for screening specimens directly Maintain aggressive infection control state & CPE alerts between facilities Continued Provincial level surveillance...
Type: Media
[…] equipment Sharing injection drug and tattooing equipment Draining own abscesses 27 MRSA Strategies Education Prevention, transmission, treatment Hand and personal hygiene Seeking medical evaluations when appropriate Screening/Surveillance Evaluate for skin infections at intake and during examinations Recently hospitalized and at-risk inmates Review of bacterial culture reports and determination of predominant circulating pathogen Environment Appropriate sanitation measure 28 MRSA Strategies Antibiotic use Antibiotic prescribing practices should be monitored...
Type: Media
[…] with the reporting facility , by fiscal year and quarter , British Columbia 1 Bars in the line chart represent 95% confidence interval of the rates . There were changes and variations in the laboratory testing for confirmation of CDI diagnosis and application of case definition over time and by health authority. The time frame of each fiscal quarter varied by fiscal year and there we re...
Type: Media
[…] of each fiscal quarter varied by fiscal year and there we re more days in Q4 than in Q1 , Q2, and Q3 each fiscal year. There were changes and variations in the l aboratory testing for confirmation of CDI diagnosis and application of case definition over time and by health authority. Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3...
Type: Media
[…] ‘ previously ’ positive case. Also consider screening admissions to high-risk units such as ICU, and patients who live overseas. 26 How do I screen? NAAT = nucleic acid amplification techniques AST = antimicrobial susceptibility testing MALDI-TOF = Matrix-assisted laser desorption /ionization – time of flight mass spectrometry WGS = whole genome sequencing 28 Does screening and isolation work? All MDROs MRSA VRE ESBLs Baseline trend –...
Type: Media
[…] of each fiscal quarter varied by fiscal year and there we re more days in Q4 than in Q1 , Q2, and Q3 each fiscal year. There were changes and variations in the l aboratory testing for confirmation of CDI diagnosis and application of case definition over time and by health authority. Figure 2. Number of new cases and rate of CDI associated with the reporting facility...
Type: Media
[…] and Infection Prevention Elizabeth Bryce MD, FRCPC Vancouver Coastal Health Objectives 1. Describe Human Factors Engineering (HFE) and the Hierarchy of Controls 2. Describe the challenges to compliance with Infection Control Precautions 3. Provide three examples of how HFE can improve infection prevention and controls No conflicts to declare Illustrating HFE HFE in : 1. Work processes and flow : Cleaning and Disinfection 2. User -Centred...
Type: Media
[…] of each fiscal quarter varied by fiscal year and there we re more days in Q4 than in Q1 , Q2, and Q3 each fiscal year. There were changes and variations in the l aboratory testing for confirmation of CDI diagnosis and application of case definition over time and by health authority. CDI updates, Q3 2015/16 Figure 2. Number of new cases and rate of CDI associated...
Type: Media
[…] of each fiscal quarter varied by fiscal year and there we re more days in Q4 than in Q1 , Q2, and Q3 each fiscal year. There were changes and variations in the l aboratory testing for confirmation of CDI diagnosis and application of case definition over time and by health authority. CDI updates, Q4 2015/16 Figure 2. Number of new cases and rate of CDI associated...
Type: Media
[…] aggregated the data by calendar quarter. The time frame of each fiscal quarter varied by fiscal year and there were more days in Q4 than in Q1, Q2, and Q3 each fiscal year. L aboratory testing for confirmation of CDI diagnosis and application of case definition changed over time and varied by health authority. 2 Excluded certain acute care facilities in Q1 and Q2 of FY 2012/2013...
Type: Media
[…] aggregated the data by calendar quarter. The time frame of each fiscal quarter varied by fiscal year and there were more days in Q4 than in Q1, Q2, and Q3 each fiscal year. L aboratory testing for confirmation of CDI diagnosis and application of case definition changed over time and varied by health authority. 2 Excluded certain acute care facilities in Q1 and Q2 of FY 2012/2013...
Type: Media
[…] -infectious •Collagenous colitis •Glutaraldehyde exposure •Antibiotic switched to oral metronidazole •Within 48 hours; clinical improvement •52yF. Recurrent CDI x 10 months •Cured following FMT •3 months post -FMT, recurrence of diarrhea •What next? Repeat Stool Testing •C. difficile Ag +/toxin negative EIA –Toxin gene positive •Stool for O & P •Stool culture –Positive for Salmonella enteritica •Does she have both CDI and S. enteritica? •Management? •85yF, referred...
Type: Media
[…] at the Ottawa Hospital, Civic Site CJOH 9 Risk-factor based (targeted) admission screening limited: Compliance 30 – 70% Missed Community MRSA Economic models supported universal screening Projected > $400,000 annual savings Recent switch to PCR testing Our Burning Platform for Change 10 Lee et al. Infect Control Hosp Epidemiol 2010 11 Assess the impact of universal admission screening on healthcare-associated MRSA rates All patients admitted...
Type: Media
[…] The line in each graph represents the overall linear trend over time. Direct comparison of the number of rates or cases between health authorities is not recommended due to variations in the l aboratory testing for confirmation of CDI diagnosis and application of case definition by health authority. Figure 1. Provincial r ate and number of new cases of CDI associated with the reporting facility,...
Type: Media
[…] 2) The line in each graph represents the overall linear trend over time. 3) Direct comparison of the number of rates or cases between health authorities is not recommended due to variations in l aboratory testing for confirmation of CDI diagnosis and in the application of CDI case definition. Figure 1. Provincial r ate and number of new cases of CDI associated with the reporting facility,...
Type: Media