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[…] with patient is concluded , PPE should be removed and discarded appropriately Contaminated PPE must NEVER be worn in driver’s cab Regular education and review of donning and doffing of PPE must be provided Fit testing of Respirators required, paramedics must be trained in use Gowns/coveralls – consider fluid resistant Eye protection- personal issue and/or disposable 15 Gloves Paramedics often wear gloves for a "whole call" only...
Type: Media
[…] 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. It is accepted that some patients may have had only one or...
Type: Media
[…] water systems 3 General principles 4 1. Patients and the environment contribute to transmission InfectedPatient Susceptible Patient Environment 5 Contact Precautions Resolution of diarrhea CDI Diagnosis Terminal Cleaning 3-4 weeks after Treatment End of Treatment Test order Sunkesula K, et al. Potential for transmission of spores by patients awaiting testing to confirm suspected CDI. ICHE 2013;34:306-8; Sethi AJ, et al. Persistence of skin contamination and environmental...
Type: Media
[…] 3) The line in each graph represents the overall linear trend over time. 4) 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
[…] 3) The line in each graph represents the overall linear trend over time. 4) Direct comparison of the number of cases or the rate between health authorities is not recommended due to variations in laboratory testing for confirmation of CDI diagnosis and in the application of CD I case definition. Figure 1. Provincial rate and number of new cases of CDI associated with the reporting facility,...
Type: Media
[…] been working collaboratively to identify and monitor CPOs in the province. A mandatory CPO surveillance program was established in BC in July 2014. CPO -suspect isolates are required to be submitted to PHL for molecular testing and genotyping analysis and CPO cases identified for the first time or identified with a new carbapenemase gene among BC acute care facilities are to be report ed to PICNet ,...
Type: Media
[…] Wisconsin-Madison Hosted by Paul Webber paul@webbertraining.com www.webbertraining.com January 31, 2019 Identify how to apply a systems engineering approach to C. difficile prevention Describe the complementary data collection approaches useful in characterizing C. difficile prevention efforts. Examine the interprofessional aspects of C. difficile prevention Objectives of the Session 2 Complexity of C. difficile infection Challenges to containment Uncertain incubation period Multiple reservoirs Environmental persistence...
Type: Media
[…] been working collaboratively to identify and monitor CPOs in the province. A mandatory CPO surveillance program was established in BC in July 2014. CPO -suspect isolates are required to be submitted to PHL for molecular testing and genotyping analysis and CPO cases identified for the first time or identified with a new carbapenemase gene among BC acute care facilities are to be report ed to PICNet ,...
Type: Media
[…] and monitor CPOs in the province. A mandatory CPO surveillance program was established in BC ’s acute care facilities in July 2014. CPO -suspect isol ates are required to be submitted to PHL for molecular testing and genotyping analysis and CPO cases identified for the first time or identified with a gene encoding a new carbapenemase among inpatients are to be report ed to PICNet , who...
Type: Media
[…] 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. It is accepted that some patients may have had only one or...
Type: Media
[…] and monitor CPOs in the province. A mandatory CPO surveillance program was established in BC ’s acute care facilities in July 2014. CPO -suspect isol ates are required to be submitted to PHL for molecular testing and genotyping analysis . If the CPO is identified for the first time or identified with a gene encoding a new carbapenemase among inpatients , it is considered a new case...
Type: Media
[…] identify and monitor CPOs in the province. A mandatory CPO surveillance program was established in BC ’s acute care facilities in July 2014. CPO -suspect isolates are required to be submitted to PHL for molecular testing and genotyping analysis . If the CPO is identified for the first time or identified with a gene encoding a new carbapenemase among inpatients , it is considered a new case...
Type: Media
[…] identify and monitor CPOs in the province. A mandatory CPO surveillance program was established in BC ’s acute care facilities in July 2014. CPO -suspect isolates are required to be submitted to PHL for molecular testing and genotyping analysis . If the CPO is identified for the first time or identified with a gene encoding a new carbapenemase among inpatients , it is considered a new case...
Type: Media
[…] of contaminated podiatry equipment Failure to perform environmental cleaning and disinfection between patients Nursing home: 46 infected Epidemiological analysis suggested podiatry care, phlebotomy, nail care performed at skilled nursing facility were associated with HCV 10 Examples of Outbreaks (cont’d.) Wise ME, Bancroft E, Clement EJ, Hathaway S, High P, et al. Infection Prevention and Control in the Podiatric Medical Setting: Challenges to Providing Consistently Safe Care. 2015...
Type: Media
[…] and monitor CPOs in the province. A mandatory CPO surveillance program was established in BC ’s acute care facilities in July 2014. CPO -suspect isol ates are required to be submitted to PHL for molecular testing and genotyping analysis . If the CPO is identified for the first time or identified with a gene encoding a new carbapenemase among inpatients , it is considered a new case...
Type: Media
[…] Unintended Microbial Consequences of Routine Chlorhexidine BathingDr. Mary Hayden, Rush University Medical Center, ChicagoThe Denver Russel Memorial Teleclass LectureHosted by Prof. Jean-Yv e s Maillard, Cardiff University, WalesA Webber Training Teleclasswww.webbertraining.com5No established, standardized method of testing for CHX resistance•Phenotypic methods•Agar or broth macro/microdilutionMICs/MBCs•Time kill assays•Post-exposure colony counts•Efflux over-expression•Epidemiologic cutoff•Genotypic methods•Detection of efflux pump genes by PCR•qacA/B, smr, norA/B, cepA, qacE9CHX susceptibility of clinical bacterial isolates and...
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[…] resistance: Focus on activity of drug•Post-exposure colony counts•CHX resistance: Ability to survive exposure that kills rest of population•1% -4% CHG =10,000 -40,000 mg CHX/LHorner C et al JAC 2012, 67:2547.8 No established, standardized method of testing for CHX resistance•Phenotypic methods•Agar or broth macro/microdilutionMICs/MBCs•Time kill assays•Post-exposure colony counts•Efflux over-expression•Epidemiologic cutoff•Genotypic methods•Detection of efflux pump genes by PCR•qacA/B, smr, norA/B, cepA, qacE9 CHX susceptibility of clinical bacterial isolates and...
Type: Media
[…] 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. It is accepted that some patients may have had only one or...
Type: Media
[…] surveillance for CDI in your health authority, the cases of CDI identified among mental health inpatients should be collected and included in your CDI data submission. 1 Ofosu A. Annals of Gastroenterology 2016; 29, 147‐154 2 Martin JSH, Monaghan TM, and Wilcox MK. Nature Reviews. Gastroenterology & Hepatology 2016; 13:206‐216 Provincial Infection Control Network of British Columbia (PICNet) Reviewed November 2022 Page 4 Case definition A case of CDI is defined as: presence of diarrhea or toxic megacolon without other known etiology (e.g. from other underlying medical conditions or medications), AND laboratory confirmation of the presence of C. Difficile toxin A and/or B (positive toxin, or culture with evidence of toxin production, or detection of toxin genes) OR diagnosis of typical pseudo‐membranous colitis on sigmoidoscopy or colonoscopy OR histological/pathological diagnosis of CDI with or without diarrhea Note: 1) Diarrhea is defined as persistent liquid or loose stools (e.g. passing liquid or loose 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. It is accepted that some patients may have had only one or two loose stools prior to a specimen being collected, though this may overestimate the number of CDI cases. 3) If the patient’s medical chart was reviewed and the information about the frequency and consistency of diarrhea was not available, or only one or two liquid or loose stools was documented, the infection control practitioner (ICP) should make judgement based on the patient’s other clinical manifestations and treatments, or consult with the nurse or physician caring for the patient. INCLUDES: CDI cases identified among the inpatients during their hospitalization in the reporting facility CDI cases identified at the time of admission to the reporting facility CDI cases identified at an outpatient clinic or emergency department and subsequently admitted to the reporting facility with CDI‐related symptoms at the time of admission EXCLUDES: CDI cases identified among outpatients or among patients from the emergency department who were not admitted to the reporting facility CDI cases identified among patients in extended care beds or mental health beds housed in the reporting facilities Patients transferred from another acute care facility with a known diagnosis of CDI ...
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[…] collection, validation and analysis of denominator data. AS is based on routine care data, usually by applying appropriate algorithms.Routine care data –All data documented in an electronic format during the routine process of care, for example surgical procedures, prescriptions and diagnostic testing results. These data may be stored and accessed in various IT systems.Source data–(Raw) data elements from routine care data used by algorithms to detect...
Type: Media