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Current Awareness Bulletin Infection Control April 2015 Guidelines and Guidance RCN and IPS briefing Greater clarity on infection control This updated briefing has set out the current approaches to infection prevention and control and current organisation of agencies including those responsible for commissioning, performance management and regulation in the NHS in England. http://www.rcn.org.uk/__data/assets/pdf_file/0017/610613/PosState-Infection-control250215.pdf?utm_campaign=Pure360+Copy+of+Quality+and+Safety+eBulletin+Issue+14&utm_source=emailCa mpaign&utm_medium=email&utm_content= Journal articles Please note that, in order to comply with copyright legislation, we are only able to source a maximum of 2 articles from any one issue of a particular journal on your behalf. Journal of Hospital Infection Volume 89, Issue 4 , Pages 221-362, April 2015 Proceedings from the 9th Healthcare Infection Society International Conference9th Healthcare Infection Society International Conference Lyon, France Edited by A.M. Walker Lowbury lecture Airborne transmission and precautions: facts and myths Pages 225-228 W.H. Seto Papers What's trending in the infection prevention and control literature? From HIS 2012 to HIS 2014, and beyond Pages 229-236 J.A. Otter Infection control: beyond the horizon Pages 237-240 J. Gray Multidrug-resistant Gram-negative bacteria: a product of globalization Pages 241-247 P.M. Hawkey Challenges of controlling a large outbreak of OXA-48 carbapenemase-producing Klebsiella pneumoniae in a French university hospital Pages 248-253 B. Semin-Pelletier, L. Cazet, C. Bourigault, M.E. Juvin, D. Boutoille, F. Raffi, M. Hourmant, G. Blancho, C. Agard, J. Connault, S. Corvec, J. Caillon, E. Batard, D. Lepelletier Controlling multidrug-resistant Gram-negative bacilli in your hospital: a transformational journey Pages 254-258 L.S. Munoz-Price Antibiotic resistance in Enterobacteriaceae: what impact on the efficacy of antibiotic prophylaxis in colorectal surgery? Pages 259-263 A. Kirby, N. Santoni Antibiotic stewardship programmes and the surgeon's role Pages 264-266 M. Cakmakci Role of data warehousing in healthcare epidemiology Pages 267-270 D. Wyllie, J. Davies Integrating intensive care unit (ICU) surveillance into an ICU clinical care electronic system Pages 271-275 J.S. Reilly, J. McCoubrey, S. Cole, A. Khan, B. Cook Healthcare-associated infections and antimicrobial use in long-term care facilities: the Irish experience with the HALT surveys Pages 276-280 K. Burns, F. Roche, S. Donlon Surveillance and management of ventriculitis following neurosurgery Pages 281-286 H. Humphreys, P.J. Jenks How to eradicate Clostridium difficile from the environment Pages 287-295 F. Barbut Burden of norovirus in healthcare facilities and strategies for outbreak control Pages 296-301 A. Kambhampati, M. Koopmans, B.A. Lopman Preventing invasive candida infections. Where could we do better? Pages 302-308 Philippe Eggimann, Yok-Ai Que, Jean-Pierre Revelly, Jean-Luc Pagani Epidemiology of infection and current guidelines for infection prevention in cystic fibrosis patients Pages 309-313 K. Schaffer Rapid bedside tests for diagnosis, management, and prevention of nosocomial influenza Pages 314-318 M. Bouscambert, M. Valette, B. Lina Prevention of healthcare-associated infections in neonates: room for improvement Pages 319-323 C. Legeay, C. Bourigault, D. Lepelletier, J.R. Zahar Pseudomonas aeruginosa in hospital water systems: biofilms, guidelines, and practicalities Pages 324-327 J. Walker, G. Moore How infection control teams can assess their own performance and enhance their prestige using activity and outcome indicators for public reporting Pages 328-330 P. Parneix Root cause analysis to support infection control in healthcare premises Pages 331-334 A.-G. Venier The impact of economic recession on infection prevention and control Pages 340-345 M. O'Riordan, F. Fitzpatrick Impact of organizations on healthcare-associated infections Pages 346-350 E. Castro-Sanchez, A.H. Holmes Prevention and control of healthcare-associated infection in Europe: a review of patients' perspectives and existing differences Pages 357-362 S. Marschang, G. Bernardo American Journal of Infection Control Volume 43, Issue 4 , Pages A1-A22, 313-422, 1 April 2015 Major Articles Burden of Clostridium difficile infection on hospital readmissions and its potential impact under the Hospital Readmission Reduction Program Pages 314-317 Teena Chopra, Anupama Neelakanta, Carolyn Dombecki, Reda A. Awali, Sarit Sharma, Keith S. Kaye, Paru Patel Impact of Clostridium difficile recurrence on hospital readmissions Pages 318-322 Margaret A. Olsen, Yan Yan, Kimberly A. Reske, Marya Zilberberg, Erik R. Dubberke Surgical site infections after hip arthroplasty in Norway, 2005-2011: Influence of duration and intensity of postdischarge surveillance Pages 323-328 Hege Line Løwer, Havard Dale, Hanne-Merete Eriksen, Preben Aavitsland, Finn Egil Skjeldestad Prevalence and risk factors for methicillin-resistant Staphylococcus aureus in an HIV-positive cohort Pages 329-335 Jason E. Farley, Matthew J. Hayat, Paul L. Sacamano, Tracy Ross, Karen Carroll Trends in emergency department management of skin abscesses Pages 336-340 Melanie K. Prusakowski, Damon R. Kuehl Provider perspectives on the use of indwelling urinary catheters in older adults in emergency department settings: Developing a novel clinical protocol Pages 341-347 Mary R. Mulcare, Tony Rosen, Sunday Clark, Benjamin A. Scherban, Michael E. Stern, Neal E. Flomenbaum Novel low-resource intervention reduces urinary catheter use and associated urinary tract infections: Role of outcome measure bias? Pages 348-353 Blair Carl Schwartz, Charles Frenette, Todd C. Lee, Laurence Green, Dev Jayaraman Demographic characteristics of patients and their assessment of selected hygienic practices of hospital personnel in the context of safety climate of hospitalization Pages 354-357 Anna Rozanska, Małgorzata Bulanda Influence of antimicrobial consumption on gram-negative bacteria in inpatients receiving antimicrobial resistance therapy from 2008-2013 at a tertiary hospital in Shanghai, China Pages 358-364 Wei Guo, Qian He, Zhiyong Wang, Min Wei, Zhangwei Yang, Yin Du, Cheng Wu, Jia He Brief Reports Outbreak of coinfection with human metapneumovirus and measles virus resulting in the death of a child at a hospital in China Pages 365-367 Yu Kou, Zhou Sun, Feng Li, Xinfen Yu, Xuhui Yang, Jun Li, Jingcao Pan Handling Europe's first Ebola case: Internal hospital communication experience Pages 368-369 Margarita Mosquera, Victoria Melendez, Pello Latasa Advancing the competency of infection preventionists Pages 370-379 Kathleen A. Gase, Carole Leone, Raya Khoury, Hilary M. Babcock Efficacy of a novel skin antiseptic against carbapenem-resistant Enterobacteriaceae Pages 380-382 Timothy L. Wiemken, Robert R. Kelley, Ruth M. Carrico, Laura E. Binford, Brian E. Guinn, William A. Mattingly, Paula Peyrani, Julio A. Ramirez Impact of polymerase chain reaction testing on Clostridium difficile infection rates in an acute health care facility Pages 383-386 Yanal M. Murad, Justo Perez, Reza Nokhbeh, Gustavo Ybazeta, Brenda Dewar, Sebastien Lefebvre, Francisco Diaz-Mitoma Impact of sink location on hand hygiene compliance for Clostridium difficile infection Pages 387-389 Caroline Zellmer, Rebekah Blakney, Sarah Van Hoof, Nasia Safdar Diagnosing ventilator-associated pneumonia in pediatric intensive care Pages 390-393 Elias Iosifidis, Stella Stabouli, Anastasia Tsolaki, Vaios Sigounas, Emilia-Barbara Panagiotidou, Maria Sdougka, Emmanuel Roilides Prevention of respiratory infections in tracheostomized patients of a pediatric long-term rehabilitation setting Pages 394-396 Marco Pozzi, Sara Galbiati, Federica Locatelli, Marica Granziera, Marika Santi, Daniele Colombo, Paolo Pellegrino, Sonia Radice, Emilio Clementi, Sandra Strazzer Effects of isolation on patients and staff Pages 397-399 Carmen Lupion-Mendoza, Maria J. Antunez-Dominguez, Carmen Gonzalez-Fernandez, Concepcion RomeroBrioso, Jesus Rodriguez-Bano Group B Streptococcus: Compliance with the information in prenatal card records and knowledge of pregnant women Pages 400-401 Debora Silva de Mello, Maria Alice Tsunechiro, Caroline Ataide Mendelski, Sandra Abib Pierre, Atalanta Ruiz Silva, Maria Clara Padoveze Comparison of two methods of documenting urinary and central venous catheters at an academic medical center Pages 402-403 Bladimir R. Quijano Rondan, Anna Stachel, Michael Phillips Necrotizing fasciitis in patients with head and neck cancer Pages 404-405 Akshat Malik, Swagnik Chakrabarty, Sudhir Nair, Deepa Nair, Pankaj Chaturvedi A case of postoperative breast infection by Mycobacterium fortuitum associated with the hospital water supply Pages 406-408 Julien Jaubert, Faiza Mougari, Sandrine Picot, Malik Boukerrou, Georges Barau, Sitty-Amina Ali Ahmed, Laurent Raskine, Guillaume Camuset, Alain Michault, Catherine Simac, Emmanuelle Cambau Correlates of change in health care worker seasonal influenza vaccination rates among dialysis facilities Pages 409-411 Janet R. Lynch, Nancy Armistead, Brandy B. Vinson, Andrew D. Howard Disinfecting personal protective equipment with pulsed xenon ultraviolet as a risk mitigation strategy for health care workers Pages 412-414 Chetan Jinadatha, Sarah Simmons, Charles Dale, Nagaraja Ganachari-Mallappa, Frank Charles Villamaria, Nicole Goulding, Benjamin Tanner, Julie Stachowiak, Mark Stibich Can pulsed xenon ultraviolet light systems disinfect aerobic bacteria in the absence of manual disinfection? Pages 415-417 Chetan Jinadatha, Frank C. Villamaria, Nagaraja Ganachari-Mallappa, Donna S. Brown, I-Chia Liao, Eileen M. Stock, Laurel A. Copeland, John E. Zeber Infection Control and Hospital Epidemiology Volume 36 / Issue 04 , April 2015, pp 369 - 493 Please note that articles from this journal can only be sourced from the British Library, at a cost of £8 per article. Shea White Paper Guidance for Infection Prevention and Healthcare Epidemiology Programs: Healthcare Epidemiologist Skills and Competencies Keith S. Kaye, Deverick J. Anderson, Evelyn Cook, Susan S. Huang, Jane D. Siegel, Jerry M. Zuckerman, Thomas R. Talbot Infection Control & Hospital Epidemiology , Volume 36 , Issue 04 , April 2015, pp 369 - 380 Original Articles Regional Infection Control Assessment of Antibiotic Resistance Knowledge and Practice Stephanie R. Black, Kingsley N. Weaver, Robert A. Weinstein, Mary K. Hayden, Michael Y. Lin, Mary Alice Lavin, Susan I. Gerber Infection Control & Hospital Epidemiology , Volume 36 , Issue 04 , April 2015, pp 381 - 386 Risk Factors for gyrA and parC Mutations in Pseudomonas aeruginosa Valerie C. Cluzet, Ebbing Lautenbach, Irving Nachamkin, Mark S. Cary, Neil O. Fishman, Natalie N. C. Shih, Knashawn H. Morales, Darren R. Linkin Infection Control & Hospital Epidemiology , Volume 36 , Issue 04 , April 2015, pp 387 - 393 Extensive Dissemination of Extended Spectrum β-Lactamase–Producing Enterobacteriaceae in a Dutch Nursing Home Ina Willemsen, Jolande Nelson, Yvonne Hendriks, Ans Mulders, Sandrien Verhoeff, Paul Mulder, Robert Roosendaal, Kim van der Zwaluw, Carlo Verhulst, Marjolein Kluytmans-van den Bergh, Jan Kluytmans Infection Control & Hospital Epidemiology , Volume 36 , Issue 04 , April 2015, pp 394 - 400 Universal Screening and Decolonization for Control of MRSA in Nursing Homes: A Cluster Randomized Controlled Study Cristina Bellini, Christiane Petignat, Eric Masserey, Christophe Büla, Bernard Burnand, Valentin Rousson, Dominique S. Blanc, Giorgio Zanetti Infection Control & Hospital Epidemiology , Volume 36 , Issue 04 , April 2015, pp 401 - 408 Diminishing Surgical Site Infections in Australia: Time Trends in Infection Rates, Pathogens and Antimicrobial Resistance Using a Comprehensive Victorian Surveillance Program, 2002–2013 Leon J. Worth, Ann L. Bull, Tim Spelman, Judith Brett, Michael J. Richards Infection Control & Hospital Epidemiology , Volume 36 , Issue 04 , April 2015, pp 409 - 416 Surgical Site Infection after Renal Transplantation Anthony D. Harris, Brandon Fleming, Jonathan S. Bromberg, Peter Rock, Grace Nkonge, Michele Emerick, Michelle Harris-Williams, Kerri A. Thom Infection Control & Hospital Epidemiology , Volume 36 , Issue 04 , April 2015, pp 417 - 423 Central Line-Associated Bloodstream Infections in Non-ICU Inpatient Wards: A 2-Year Analysis Yoona Rhee, Michael Heung, Benrong Chen, Carol E. Chenoweth Infection Control & Hospital Epidemiology , Volume 36 , Issue 04 , April 2015, pp 424 - 430 Impact of Universal Gowning and Gloving on Health Care Worker Clothing Contamination Calvin Williams, Patty McGraw, Elyse E. Schneck, Anna LaFae, Jesse T. Jacob, Daniela Moreno, Katherine Reyes, G. Fernando Cubillos, Daniel H. Kett, Ronald Estrella, Daniel J. Morgan, Anthony D. Harris, Marci Drees Infection Control & Hospital Epidemiology , Volume 36 , Issue 04 , April 2015, pp 431 - 437 Cost-Effectiveness Analysis of Fecal Microbiota Transplantation for Recurrent Clostridium difficile Infection Raghu U. Varier, Eman Biltaji, Kenneth J. Smith, Mark S. Roberts, M. Kyle Jensen, Joanne LaFleur, Richard E. Nelson Infection Control & Hospital Epidemiology , Volume 36 , Issue 04 , April 2015, pp 438 - 444 Molecular Epidemiology of Clostridium difficile Infections in Children: A Retrospective Cohort Study Larry K. Kociolek, Sameer J. Patel, Stanford T. Shulman, Dale N. Gerding Infection Control & Hospital Epidemiology , Volume 36 , Issue 04 , April 2015, pp 445 - 451 Risk Factors for Recurrent Clostridium difficile Infection: A Systematic Review and Meta-Analysis Abhishek Deshpande, Vinay Pasupuleti, Priyaleela Thota, Chaitanya Pant, David D.K. Rolston, Adrian V. Hernandez, Curtis J. Donskey, Thomas G. Fraser Infection Control & Hospital Epidemiology , Volume 36 , Issue 04 , April 2015, pp 452 - 460 Concise Communications Examining Hospital Patients’ Knowledge and Attitudes Toward Hospital-Acquired Infections and Their Participation in Infection Control Holly Seale, Yuliya Novytska, Julie Gallard, Rajneesh Kaur Infection Control & Hospital Epidemiology , Volume 36 , Issue 04 , April 2015, pp 461 - 463 Substantial Variation in Hospital Rankings after Adjusting for Hospital-Level Predictors of PubliclyReported Hospital-Associated Clostridium difficile Infection Rates Rupak Datta, N. Neely Kazerouni, Jon Rosenberg, Vinh Q. Nguyen, Michael Phelan, John Billimek, Chenghua Cao, Patricia McLendon, Kate Cummings, Susan S. Huang Infection Control & Hospital Epidemiology , Volume 36 , Issue 04 , April 2015, pp 464 - 466 The Potential Impact of Excluding Funguria from the Surveillance Definition of Catheter-Associated Urinary Tract Infection Kristen V. Dicks, Arthur W. Baker, Michael J. Durkin, Sarah S. Lewis, Rebekah W. Moehring, Deverick J. Anderson, Daniel J. Sexton, Luke F. Chen Infection Control & Hospital Epidemiology , Volume 36 , Issue 04 , April 2015, pp 467 - 469 Overtreatment of Asymptomatic Bacteriuria: Identifying Targets for Improvement Sarah Hartley, Staci Valley, Latoya Kuhn, Laraine L. Washer, Tejal Gandhi, Jennifer Meddings, Carol Chenoweth, Anurag N. Malani, Sanjay Saint, Arjun Srinivasan, Scott A. Flanders Infection Control & Hospital Epidemiology , Volume 36 , Issue 04 , April 2015, pp 470 - 473 Antibiotic Prescribing at the Transition from Hospitalization to Discharge: A Target for Antibiotic Stewardship Norihiro Yogo, Michelle K. Haas, Bryan C. Knepper, William J. Burman, Philip S. Mehler, Timothy C. Jenkins Infection Control & Hospital Epidemiology , Volume 36 , Issue 04 , April 2015, pp 474 - 478 Risk Factors for Central-Line–Associated Bloodstream Infections: A Focus on Comorbid Conditions Christopher S. Pepin, Kerri A. Thom, John D. Sorkin, Surbhi Leekha, Max Masnick, Michael Anne Preas, Lisa Pineles, Anthony D. Harris Infection Control & Hospital Epidemiology , Volume 36 , Issue 04 , April 2015, pp 479 - 481 Research Briefs Compliance with the World Health Organization Hand Hygiene Technique: A Prospective Observational Study Sarah Tschudin-Sutter, Daniel Sepulcri, Marc Dangel, Heinz Schuhmacher, Andreas F. Widmer Infection Control & Hospital Epidemiology , Volume 36 , Issue 04 , April 2015, pp 482 - 483 Other Journal Articles Variable performance of models for predicting methicillin-resistant Staphylococcus aureus carriage in European surgical wards. Lee AS, Pan A, Harbarth S, Patroni A, Chalfine A, Daikos GL, Garilli S, Martínez JA, Cooper BS; MOSAR-04 Study Team. BMC Infect Dis. 2015 Dec;15(1):834. Methicillin-resistant Staphylococcus aureus prevention strategies in the ICU: a clinical decision analysis*. Ziakas PD, Zacharioudakis IM, Zervou FN, Mylonakis E. Crit Care Med. 2015 Feb;43(2):382-93. Keep It Clean: A Visual Approach to Reinforce Hand Hygiene Compliance in the Emergency Department Lynn L. Wiles, Chris Roberts, Kim Schmidt Journal of Emergency Nursing, March 2015, 41(2), p119–124 Impact of Nurse-Initiated ED Sepsis Protocol on Compliance With Sepsis Bundles, Time to Initial Antibiotic Administration, and In-Hospital Mortality Heather Rose Bruce, Jeanne Maiden, Peter F. Fedullo, Son Chae Kim Journal of Emergency Nursing, March 2015, 41(2), p130–137 Nurse-Physician Collaboration and Hospital-Acquired Infections in Critical Care Christine Boev and Yinglin Xia Crit Care Nurse April 2015 35:66-72 http://ccn.aacnjournals.org/content/35/2/66.abstract Clostridium difficile Infection [Review artic, Daniel A. Leffler, M.D., and J. Thomas Lamont, M.D. N Engl J Med 2015; 372:1539-1548April 16, 2015 http://www.nejm.org/doi/full/10.1056/NEJMra1403772?query=TOC Toward a True Bacteriotherapy for Clostridium difficile Infection Maja Rupnik, Ph.D. N Engl J Med 2015; 372:1566-1568April 16, 2015 http://www.nejm.org/doi/full/10.1056/NEJMcibr1500270?query=TOC The Epidemiology of Staphylococcus aureus Transmission in the Anesthesia Work Area Loftus, Randy W.; Koff, Matthew D.; Brown, Jeremiah R.; More Anesthesia & Analgesia. 120(4):807-818, April 2015. Transmission Dynamics of Gram-Negative Bacterial Pathogens in the Anesthesia Work Area Loftus, Randy W.; Brown, Jeremiah R.; Patel, Hetal M.; More Anesthesia & Analgesia. 120(4):819-826, April 2015. Double Gloves: A Randomized Trial to Evaluate a Simple Strategy to Reduce Contamination in the Operating Room Birnbach, David J.; Rosen, Lisa F.; Fitzpatrick, Maureen; More Anesthesia & Analgesia. 120(4):848-852, April 2015. The Bundle “Plus”: The Effect of a Multidisciplinary Team Approach to Eradicate Central LineAssociated Bloodstream Infections Walz, J. Matthias; Ellison, Richard T. III; Mack, Deborah A.; More Anesthesia & Analgesia. 120(4):868-876, April 2015. The Dynamics and Implications of Bacterial Transmission Events Arising from the Anesthesia Work Area [Review article] Loftus, Randy W.; Koff, Matthew D.; Birnbach, David J. Anesthesia & Analgesia. 120(4):853-860, April 2015. Administration of Parenteral Prophylactic Beta-Lactam Antibiotics in 2014: A Review Gordon, Ronald J. Anesthesia & Analgesia. 120(4):877-887, April 2015. Variable performance of models for predicting methicillin-resistant Staphylococcus aureus carriage in European surgical wards. Lee AS, Pan A, Harbarth S, Patroni A, Chalfine A, Daikos GL, Garilli S, Martínez JA, Cooper BS; MOSAR-04 Study Team. BMC Infect Dis. 2015 Feb 27;15(1):105. The epidemiology of sepsis during rapid response team reviews in a teaching hospital. Cross G, Bilgrami I, Eastwood G, Johnson P, Howden BP, Bellomo R, Jones D. Anaesth Intensive Care. 2015 Mar;43(2):193-8. Preintubation application of oral chlorhexidine does not provide additional benefit in prevention of earlyonset ventilator-associated pneumonia. Munro CL, Grap MJ, Sessler CN, Elswick RK Jr, Mangar D, Karlnoski-Everall R, Cairns P. Chest. 2015 Feb;147(2):328-34. An Epic journey to minimising bloodstream infections Janice Gabriel British Journal of Nursing, Vol. 24, No. Sup8: S14-S14. http://www.magonlinelibrary.com/doi/abs/10.12968/bjon.2015.24.Sup8.S14?ai=tq&ui=11zz&af=T A collaborative approach: seeking excellence in vascular access Jodie Coram British Journal of Nursing, Vol. 24, No. Sup8: S16-S22. http://www.magonlinelibrary.com/doi/abs/10.12968/bjon.2015.24.Sup8.S16?ai=tq&ui=11zz&af=T IV cannula securement: protecting the patient from infection Ray Higgingson British Journal of Nursing, Vol. 24, No. Sup8: S23-S28. http://www.magonlinelibrary.com/doi/abs/10.12968/bjon.2015.24.Sup8.S23?ai=tq&ui=11zz&af=T Biofouling of surgical power tools during routine use. Deshpande A, Smith GW, Smith AJ. J Hosp Infect. 2015 Apr 9. pii: S0195-6701(15)00149-8. [Epub ahead of print] Review. Evidence Updates Clostridium difficile infection: risk with broad-spectrum antibiotics- medicines and prescribing briefing (ESMPB1) National Institute for Health and Care Excellence Infection and infectious diseases This briefing found evidence that demonstrates the importance of following antibiotic guidelines that recommend that all broad spectrum antibiotics are prescribed appropriately and with careful stewardship. Preoperative bathing or showering with skin antiseptics to prevent surgical site infection. Webster J, Osborne S. Cochrane Database Syst Rev. 2015 Feb 20;2:CD004985. Public Health England Updated Start Smart - Then Focus antimicrobial stewardship toolkit for secondary care Public Health England Infection and infectious diseases Public Health England has issued an updated toolkit in light of user feedback and newly published evidence. Antimicrobial consumption data: validation protocol for NHS acute trusts Public Health England Infection and infectious diseases Acute NHS trusts are asked to validate their antibiotic prescribing data using this Public Health England validation protocol. Guidance: Carbapenemase-producing Gram-negative bacteria enhanced surveillance: ERS user guide 5 May, 2015 at 10:29am The electronic reporting system (ERS) user guide supports NHS Trusts and microbiology laboratories taking part in the national enhanced surveillance of carbapenemase-producing Gram-negative bacteria. News From Nursing Times Infection Control News: Half of hospital staff failing to 'adequately wash uniforms at home' 31 March, 2015 | By Nicola Merrifield Academics have called for national guidelines on washing nurse uniforms, after research revealed almost half of hospital staff are failing to clean them at temperatures hot enough to kill most bacteria. Researchers from De Montfort University in Leicester found 49% of hospital staff did not wash their uniforms at the recommended 60°C temperature. They surveyed 265 hospital staff at four East Midlands hospitals. http://www.nursingtimes.net/5083833.article?WT.tsrc=email&WT.mc_id=Newsletter6 Clinical feedback tool helps hospital trust bring down sepsis rate 10 April, 2015 One of England’s largest teaching hospitals has achieved a dramatic turnaround in the care of patients with lifethreatening severe sepsis after developing a tool to hold individual clinicians to account for their care. Clinicians at Nottingham University Hospitals Trust believe their work, covering more than 600 patients, could be adopted by other trusts and help save more lives and improve patient outcomes. “If you make teams and individuals aware of their performance they will improve” Mark Simmonds They developed an individualised feedback and audit process that reports on a monthly basis to nurses, consultants and junior doctors about how they cared for specific patients . Their care is RAG rated and given a score on how well the team complied with guidelines for treating severe sepsis. It was prompted by an initial assessment of the trust’s sepsis care in 2005, which showed the trust was just 15% compliant with the international guidelines launched that year. The trust has subsequently seen compliance with guidelines shift to 80% earlier this year. At the same time its crude mortality for critical care sepsis has fallen from 42% to 28%, while its trust wide septicaemia mortality has fallen from 119 to 86 since 2009. http://www.nursingtimes.net/5084096.article?WT.tsrc=email&WT.mc_id=Newsletter6 Disclaimer The information published in this bulletin is not intended to be exhaustive, and while Library staff make every effort to link only to reputable and reliable websites, the information contained in this bulletin has not been critically appraised by Library staff and it is therefore the responsibility of the reader to appraise this information for accuracy and relevance.