89 / 150
ID: 4720
The relationship between HCW surface contacts, care type and
hand hygiene: An observational study in a single-bed hospital ward
Marco-Felipe King
1
, Catherine Noakes
1
, Andrew Sleigh
1
, Sue Bale
2
,
Liz Waters
2
.
1
University of Leeds,
2
Aneurin Bevan UHN
Background:
Hand hygiene is considered to be one of the major tenets
in infection control strategies. However, little is really knowabout how
care type effects compliance.
Aim(s)/Objective(s):
This study quantifies relationships between hand
hygiene and the frequency with which healthcare workers (HCWs)
touch surfaces in patient rooms for different care types. Surface
contacts patterns are quantified to determine patterns.
Method(s):
Surface contact order and hand hygiene likelihood were
recorded in an NHS single-bed UK hospital ward for six care types.
Results:
Surface contacts often formed representative non-random
patterns, but hygiene before or after patient contact depends
significantly on care-type (p = 0.001). Hygiene likelihood correlated
with the number of surface contacts (CI 1.1
–
5.8, p = 0.002) but not time
spent in the room.
Discussion and/or Conclusion(s):
This highlights that a potential
subconscious need for hand hygiene may have developed in HCWs,
which may support and help focus future hygiene education
programmes.
ID: 4767
One Health approach to antibiotic stewardship education Eden
AMR session 2016
Neil Powell
1
, Lee Evans
2
.
1
Royal Cornwall Hospital Trust,
2
Cornwall
Partnership Foundation Trust
Background:
Antimicrobial resistance (AMR) is a global threat
requiring collaboration across the healthcare community.
Aim(s)/Objective(s):
To develop a one day conference delivered by
speakers representing animal, human and environmental aspects of
antimicrobial resistance to professionals in Cornwall.
Method(s):
The following programme was delivered;
The epidemiology of AMR
The AMR drivers in livestock and farming
The AMR drivers in humans
The AMR drivers in the environment,
AMR infection case studies
NHS England strategy,
The audience represented nine sectors with sessions delivered
by representatives from five different professional backgrounds;
Consultant Epidemiologist of Public Health England Veterinary
Surgeon, two Medical Microbiologists, Environmental Microbiologist,
Pharmacist.
Results:
The day met the expectations of the diverse audience, with
participants reporting that the following knowledge learnt from the
conference will inform future practice (number or responses in
brackets); the website resources sign posted e.g. PHE Fingertips (14),
to become and promote Antibiotic Guardian (5), the risk of foreign
hospitalisation on CPE carriage (4), infection control key to tackling
AMR (4), the threat of CPE on health security (4), implementation of
the CPE toolkit (2), importance of screening patients (2), review
antibiotics by 72 hours (2).
Participants enjoyed; diversity of speakers (18), the broad and global
overview of current AMR (13), environmental dimensions of AMR (9),
farming and vets approach to tackling AMR/antibiotic stewardship
(9), human travel and the spread of resistance (8), the complexity of
AMR (5).
Discussion and/or Conclusion(s):
The complexity of AMR was
successfully delivered by a range of AMR specialists simultaneously
to a wide range of professionals.
ID: 4790
Hospital design and IPC: A UK-India collaboration
Teresa Inkster
1
, Christine Peters
2
, Peter Hoffman
3
.
1
Queen Elizabeth
University Hospital, Glasgow,
2
Queen Elizabeth University Hospital
Glasgow,
3
Public Health England
Background:
In March 2016 three Infection Control professionals from
the UK travelled to Mumbai to participate in a workshop on design for
Infection Control and Prevention, organised by the British Deputy High
Commission.
Aim(s)/Objective(s):
We describe our input to theworkshop and visits
to three local hospitals where we engaged with local infection control
teams.
Method(s):
We toured outpatient clinics, ICUs, operating theatres, and
a sterile supplies department. We discussed the challenges they face
e.g. MDR/XDR tuberculosis and multi/pan drug resistant Gram
negative organisms, both still rare in the UK as well as control
measures important in the prevention of antimicrobial resistance and
transmission of micro-organisms; decontamination of the environ-
ment and equipment, hand hygiene, antimicrobial stewardship,
surveillance, diagnostics and specialist ventilation.
Results:
Participating in the workshop enabled us to share our
experience of the built environment and hospital design. We each
presented talks on ventilation, water damage and the built environ-
ment in intensive care. Lots of discussion and debate took place
between delegates at the workshop with regards to hospital
ventilation issues and options for water control in hospitals.
Discussion and/or Conclusion(s):
Our visit was the start of an exciting
collaboration between India and the UK in relation to design for
infection prevention and control. Funding for future research is
available from a number of sources and opportunities exist for
international exchange programmes and fellowships.
ID: 4810
Finnish infection control nurses
’
educational needs
Tarja Kuutamo
1
, Maija Hupli
2
.
1
Hospital District of Helsinki and
Uusimaa, HUS, Unit of Infection Control and Hospital Epidemiology,
2
Department of Nursing Science, University of Turku
Background:
Infection control nurses play a key role in effective
infection control and prevention practices. However, according to
previous studies, infection control nurses
’
educational needs are
poorly defined. The purpose of this study was to describe the Finnish
infection control nurses
’
educational needs. The research question
was: What kind of educational needs do infection control nurses have?
Method(s):
The informants in this study were Finnish infection
control nurses (n = 148) and the response was 66.9%. The data were
collected using electronic questionnaires in summer of 2011. The data
were analyzed using the inductive content analysis. Two categories
were formed as a result of analysis to describe infection control nurses
’
educational needs. The formed categories were professional education
and education that supports executing assignments.
Results:
Infection control nurses described that they need a wide
educational background that is made especially for them. Nurse-
education is a good foundation for the job although some nurses
remarked, that education in the university gives a better starting point
to understand or write scientific publications. Educating staff is an
important part of infection control nurses job, but they rarely have any
formal education to do that. Human resource management, informa-
tion management, project management and pedagogic competence
are important skills for them.
Discussion and/or Conclusion(s):
Infection control nurses
’
education
should contain substance knowledge and skills that would support the
best performance. Infection control nurses
’
education should be at
university, which would also give the opportunity to use clinical
expert
’
s tittle.
Abstracts of FIS/HIS 2016
–
Poster Presentations / Journal of Hospital Infection 94S1 (2016) S24
–
S134
S84