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ORGANISM Ward type Start date End date No of cases Description of control measures MRSA Critical Care Dec 2012 14/01/2013 5 Klebsiella pneumonia OXA-48 CRO Spinal Feb 2014 rehabilitation Sept 2014 7 Acinitobacter baumanii/Enterobacter cloacae NNU July 2015 Feb 2016 13 ABAU 5 ECLO MRSA NNU 12/04/15 04/06/15 8 MRSA New Delhi Metallobetalactamase producing E.coli organism Cardiology 25/09/16 17/11/16 1 Enhanced IP+C precautions Enhanced clean of the affected ward and equipment Enhanced IP+C precautions – Hand hygiene, patient segregation, introduced disposable patient wash bowls. Education sessions provided for staff Enhanced clean of the affected ward and equipment Enhanced IP+C precautions – Hand hygiene, patient segregation etc Closed the NNU to admissions/transfers and built a new interim unit. Education sessions provided for staff Enhanced clean of the affected ward and equipment Enhanced IP+C precautions, patient segregation etc Unit closed to admissions/transfers for 44 days Enhanced clean of the affected ward and equipment Enhanced IP+C precautions – contact tracing of patients, Enhanced clean of the affected ward and theatre suite and equipment including HPV Bed Days Lost No of deaths 0 0 0 0 Approximately 0 465 0 0 0 Acinitobacter baumanii – OXA-23 Medicine 27/10/16 30/11/16 6 VRE Orthopaedics 20/12/16 18/01/17 24 Enhanced IP+C precautions – Hand hygiene, patient segregation etc Closed the ward to admissions/transfers, decanted the patients to another dedicated area and undertook refurbishment programme. Education sessions provided for staff Enhanced clean of the affected ward and theatre suite and equipment including HPV Enhanced IP+C precautions – HH, patient segregation etc Closed the ward to admissions/transfers. Estates works undertaken in the theatre suite Education sessions provided for staff Enhanced clean of the affected ward and theatre suite and equipment including HPV 241 0 304 0 Please specify how your trust defines an outbreak. 2.1 Clusters of hospital infections vary greatly in extent and severity ranging from a few cases of the same infection restricted to a single ward/area, up to a hospital wide outbreak involving many patients and possibly staff members. The number of cases required for a situation to be classified as an outbreak varies according to the infectious agent, mechanism(s) of transmission, severity of disease, and the number of cases in a given time period and location. 2.2 The decision to classify a given situation as an infectious incident, an outbreak, or a major outbreak, will be made by the Director of Infection Prevention and Control (DIPC) or designate after discussion with clinical staff in the affected area(s) and consultation with the Consultant in Communicable Disease Control (CCDC) as necessary Taken from the C+V UHB procedure “ INFECTION CONTROL PROCEDURE FOR INFECTIOUS INCIDENTS AND OUTBREAKS IN UNIVERSITY HEALTH BOARD HOSPITALS” Whether the outbreak was reported to Public Health England, and if so, the date it was reported All of the above were reported to Public Health Wales