Reflections on Day 3 at ESCMID Global 2024
Infection Control Matters
by Brett Mitchell
4d ago
It was day 3 at ESCMID Global 2024 and Phil, Brett and Martin mull over the day. Amongst the items we discuss are: What does endogenous really mean? AI in the IPC space - friend or foe? Fungal outbreaks - epidemiological challenges and tracing the source Automated bloodstream infection surveillance The Euro PPS survey results - data in action (or inaction) Subsequent to the podcast recording the ECDC PPS results have been published and can be found here: https://www.ecdc.europa.eu/sites/default/files/documents/healthcare-associated--infections-antimicrobial-use-point-prevalence-survey-2016-2 ..read more
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Reflections on day 2 of ESCMID Global 2024
Infection Control Matters
by Brett Mitchell
1w ago
In this episode, Phil, Brett and Martin dicuss more sessions from ESCMID Global (Barcelona, 2024). We talk about sessions on cleaning the occupied bed space, SSI prevention and the difficulty of designing and executing good studies in IPC. We were particularly interested in papers from Italy on the use of probiotics in IPC and some papers from Prof Cassini's group are highlighted below. Calabro GE, Caselli E, Rognoni C, Laurenti P, Moscato U, ML DIP, et al. [Health Technology Assessment of the introduction of the Probiotic Cleaning Hygiene System (PCHS) in the Italian healthcare setting: upda ..read more
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ECCMID 2024 - The year in infection control
Infection Control Matters
by Brett Mitchell
2w ago
In this podcast, Brett and Martin reflect on the "Infection Control Papers of the Year" presented at ECCMID (AKA ESCMID Global) 2024. Here are a selection of some of the papers mentioned: Decolonization in Nursing Homes to Prevent Infection and Hospitalization https://pubmed.ncbi.nlm.nih.gov/37815935/ Reducing Hospitalizations and Multidrug-Resistant Organisms vi a Regional Decolonization in Hospitals and Nursing Homes https://pubmed.ncbi.nlm.nih.gov/38557703/ Prevention of non-ventilator-associated hospital-acquired pneumonia in Switzerland: a type 2 hybrid effectiveness-implementation ..read more
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Reflections on the first morning at ECCMID 2024
Infection Control Matters
by Brett Mitchell
3w ago
In our first episode from ECCMID Global 2024, Martin and Brett reflect on the session on design of the healthcare environment sessions from Profs Hilary Humphries and Cath Noakes and a flash poster session featuring VRE Reservoirs in the environment and a tremendous piece of  Burkolderia sleuthing from the UKHSA ..read more
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Visualising infection transmission using genomics
Infection Control Matters
by Brett Mitchell
1M ago
In this podcast, we chat with Dr Brian Forde about HAIviz. HAIviz an interactive dashboard for visualising and integrating healthcare-associated genomic epidemiological data. HAIviz displays and links the outbreak timeline, building map, phylogenetic tree, patient bed movements, and transmission network on a single interactive dashboard. You can view and use the tool for free at Permana, B., Harris, P. N., Roberts, L. W., Cuddihy, T., Paterson, D. L., Beatson, S. A., & Forde, B. M. (2024). HAIviz: an interactive dashboard for visualising and integrating healthcare-associated genomic epidem ..read more
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Investigating a unique CPE strain outbreak - a possible new place to look?
Infection Control Matters
by Brett Mitchell
2M ago
In this episode, Martin Kiernan talks to Mitch Clarke, Clinical Lead and Deputy Director of Infection Prevention and Control at Nottingham University Hospitals in the UK. We discuss an outbreak with a unique NDM CPE infection and look at where the investigations went, including a new reservoir that is a potential source - the floor scrubber. Papers underpinning this work are here: 1. Benbow A, Clarke M, Yates C, Montgomery R, Staniforth K, Boswell T, et al. Hospital-wide healthcare-associated carbapenemase-producing Enterobacterales outbreak: risks of electric floor scrubbers in catering facil ..read more
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C. difficile in England is on the rise, but why? A sign of a system on the edge and could a new variant push it over?
Infection Control Matters
by Brett Mitchell
2M ago
In this episode, Martin Talks to Dr Mark Wilcox OBE, Professor of Microbiology at the University of Leeds, Head of Microbiology Research & Development at Leeds University Hospitals NHS Trust and National Clinical Director for Infection Prevention and Control at NHS England. We mull over the possible reasons for the increase in hospital-onset, hospital attributed cases in England, including ribotypes and antibiotic use. Given that the NHS is under great stress, we discuss the damage potential from a ribotype 955 which shares some genetic characteristics with the 027 ribotype that caused so ..read more
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What do C. difficile and HAP have in common - toilet plume??
Infection Control Matters
by Brett Mitchell
3M ago
In this episode, after an interesting discovery when searching Youtube, Brett and Martin mull over whether toilet plume is a risk factor for hospital-acquired pneumonia and C. difficile infections. The papers we discuss are listed below. Goforth MP, Boone SA, Clark J, Valenzuela PB, McKinney J, Ijaz MK, et al. Impacts of lid closure during toilet flushing and of toilet bowl cleaning on viral contamination of surfaces in United States restrooms. Am J Infect Control 2023. https://doi.org/10.1016/j.ajic.2023.11.020 Best EL, Sandoe JA, Wilcox MH. Potential for aerosolization of Clostridium diffi ..read more
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A national CPE survey of healthcare workers knowledge and some interesting sink practices
Infection Control Matters
by Brett Mitchell
3M ago
We chat with Dr Deirdre Fitzgerald-Hughes and Aoife Kearney about a national survey undertaken in Ireland. In the survey, they explored CPE knowledge and practices of healthcare workers, including infection prevention and control staff. There were some interesting findings that may be useful in informing IPC education and training, including convincing people that they need to know more. The paper we discuss is: Kearney, A., Humphreys, H., & Fitzgerald-Hughes, D. (2023). Infection prevention and control policy implementation for CPE: A cross-sectional national survey of healthcare workers ..read more
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90% Reduction in MRSA bacteraemia. Possible but patience is a virtue!
Infection Control Matters
by Brett Mitchell
4M ago
In this episode, Martin Kiernan and Phil Russo talk to Professor Michael Borg of the Faculty of Medicine & Surgery in the Medical School at the University of Malta and Head of Department (Infection Control) at Mater Dei Hospital in Malta. We discuss a recent paper desctibing the stages that brought about a 90% reduction in MRSA bloodstream infections over a ten-year period. The main paper we discuss: Borg MA, Suda D, Tartari E, Farrugia C, Xuereb D, Borg Inguanez M. Preventing healthcare-associated MRSA bacteremia: getting to the root of the problem. Antimicrob Steward Healthc Epidemiol 20 ..read more
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