(c) MRSA Action UK June 2008
MRSA Action UK presenting on Multi Agency Working
4th December 2008
4th December 2008
The Improvement Foundation has designed an integrated programme of support to help tackle healthcare associated infections specifically in Care Homes, complementing the work already taking place locally and nationally in hospitals. The programme is available for Primary Care Trusts, Local Authorities and individual Care Homes who are committed to tackling healthcare associated infections. Each facility will identify local improvement teams which will include representative managers, nurses and other staff from each Care Home, residents, carers and relatives, local General Practitioners and community nursing teams.
MRSA Action UK has welcomed the opportunity to be part of this programme and the event in
- Some of the main risk factors for the acquisition of MRSA include previous hospitalisation, intravascular lines, catheters, other indwelling devices, pressure sores, underlying disease and recent antibiotics. Antibiotics can also cause Clostridium difficile
- A patient who has had an infection or has been previously colonised with MRSA, will most likely have multiple vulnerabilities. Diabetes, cancer, or other conditions can compromise their immune systems. They may require wound care, help with urinary catheter care or enteral feeding. A patient with mobility difficulties can be vulnerable to pressure sores which can become infected with MRSA or other bacteria
Speakers demonstrated that with extra care and support from the Primary Care Trust and other agencies infection is not inevitable.
MRSA Action UK outlined the new challenges arising from screening for MRSA and the work needed to support patients going into hospital. If patients are found to be MRSA positive and decolonisation is required this may cause anxieties, and the decolonisation regime will need to be carried out effectively so that the patient will be able to have their surgery. Support for informal carers at home and for staff in care homes will need to be available, and the community Infection Control Teams will need to respond to this new challenge.
When analysing healthcare infections in the community it is evident that two thirds of reported cases have had prior contact with hospitals. There is already a policy of accepting the elderly in nursing homes and residential homes who have a healthcare associated infection, and there is evidence of colonisation from patient and client contact. Key interventions for MRSA and Clostridium difficile were covered in the presentations and challenges identified.
MRSA Interventions required: |
Questions |
Hand hygiene Colonisation - screening - decolonization Indwelling devices Wounds Antibiotics |
Are staff cleaning hands every time they should & doing it correctly? How do you know? Do staff understand colonisation, risks and what to do? How are indwelling devices cared for How are leg , pressure ulcers managed Who is tracking antibiotic usage |
Clostridium difficile Interventions required: |
Questions |
Hand washing Antibiotics Prompt Isolation Cleaning |
How clean is your equipment ?commodes toilets, bed areas? What cleaning regimes are in place? How do you care for patients with suspected infection? Do staff understand the causes of infection, know what to do, have skills? How do you know? |
An assessment framework is being rolled out and staff in care homes will use this to identify the problems and find solutions. The framework will enable measurement of outcomes with the aim of reducing infections and encouraging leadership from everyone. There would be a zero tolerance to avoidable infections, with everyone playing their part.
A Selection of Speakers' presentations:
Healthcare Associated Infections:Theories, Enigmas and Practical Approaches
Bharat Patel Health Protection (HPA) Agency Consultant Microbiologist, HPA Regional Microbiology Network Healthcare associated infection lead for
Caroline Trevithick
Department of Health
Hand Hygiene Compliance and Accountability
Ann McQueen
Hand Hygiene Co-ordinator
NHS Lothian
If you or someone you care about has been affected by a healthcare infection and you wish to discuss this with us, please contact us at info@mrsaactionuk.net