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ID: 4818
Educational programme for healthcare cleaning professionals
Tarja Kuutamo
1
, Irma Meriö-Hietaniemi
2
, Päivi Liljendahl
3
.
1
Hospital
District of Helsinki and Uusimaa, HUS, Unit of Infection Control and
Hospital Epidemiology,
2
Hospital district of Helsinki and Uusimaa, HUS.
Unit of Infection Control and Hospital Epidemiology,
3
HUS, Hospital
Facility Maintenance and Institutional Hygiene Service
Background:
Patient infection safety in hospital entails that all health
care workers and associated personnel know how they can prevent
infections on daily basis. Changing environment, new technology and
employee turnover create a challenge to maintain the highest
standards of cleanliness and infection control requirements.
Aim(s)/Objective(s):
Hospital facility maintenance and institutional
hygiene service unit remarked that there is a need for a new team, that
has a wider knowledge and know-how on special cases in hospital
cleaning. The idea of the team is that it would take charge on situations
that require special expertise.
Method(s):
Infection control and Hospital epidemiology and Hospital
facility maintenance and institutional hygiene service units planned
together an educational program for Infection team. Identified
problem areas were handling of epidemic situations and difficulties
in isolations procedures.
The training included both theory and practical education. 24
healthcare cleaning professionals were chosen for the team in 2013.
All the chosen have had experience of several years
’
in institutional
cleaning and some had worked as a supervisor.
Results:
Infection team members described, that they need regular
education of basic elements on reducing infections. They also pointed
out need for education about personal protecive equipment, regarding
especially how to use them. Strengthening the basic skills on infection
prevention helped the healthcare cleaning professionals to take lead in
situations that required specific care. Infection team members also
educate their colleagues.
Discussion and/or Conclusion(s):
The team members are motivated
and knowledgeable healthcare cleaning professionals and they are an
important part of infection prevention at Hospital District of Helsinki
and Uusimaa.
ID: 4892
Microbiology demand management of female genital samples
submitted for culture from primary care in NHS Grampian
Noha Elsakka, Isabel Cook, Tanzeel-Ur Rehman, Ian Gould.
NHS
Grampian
Background:
A large number of female genital samples are submitted
to microbiology lab of Aberdeen Royal Infirmary every year.
Aim(s)/Objective(s):
A demandmanagement exercisewas undertaken
to endorse national guidelines regarding management and Lab
diagnosis of abnormal vaginal discharge.
Method(s):
An educational GP newsletter was issued in October 2011
explaining that high vaginal swabs in asymptomatic women should
not be sent for culture and highlighted the current guidelines. This was
followed by an audit of female genital samples submitted to the
microbiology lab for culture (01/01/2012
–
31/12/2012), which showed
that among 10192 samples received, 61% were culture negative.
Among positive samples 54% were positive for candida, and 31% for
mixed anaerobes. A further GP newsletter was issued advising that
clinical diagnosis of candida or bacterial vaginosis is not an indication
for testing, and patients should be treated empirically. A further
intervention was undertaken targeting eight GP practices with the
largest number of samples. An electronic decision support tool
was generated, including a list of clinical abstracts representing
common clinical scenarios; each was linked to a recommendation of
whether or not culture is indicated. A link to national guidelines was
included.
Results:
Analysis showed 1248 samples were submitted during Sept-
Nov 2014, this was significantly reduced to 791 samples in Sep-Nov
2015 (
p
< 0.005, paired t-test) following introduction of the electronic
tool.
Discussion and/or Conclusion(s):
The outcome represents a success-
ful targeted demand management exercise on culture of female
genital samples in NHS Grampian.
ID: 4902
The learning curve in hand hygiene technique
–
a multi-
institutional study
Tamás Haidegger
1
, Ákos Lehotsky
2
, Száva Bánsági
3
, Péter Róna
3
,
Péter Szerémy
3
, László Szilagyi
4
.
1
Hand-In:Scan,
2
Semmelweis
University,
3
Hand-In-Scan Kft.,
4
Hand-In-Scan
Background:
The heritage of Semmelweis is the discovery of the
importance of hand hygiene during the medical care. Our study was
focused on the quality of hand rubbing, employing an innovative
imaging-based device, deriving the learning curve in hand rubbing,
measuring the time to achieve optimal performance.
Method(s):
A total of 168 health-care workers (HCW) were involved
from 3 Hungarian hospitals in an educational and training program,
during which repetitive computer-enhanced fluorescein trials were
conducted at 2
–
3 days intervals. Therewere 22 doctors,124 nurses and
22 other employees; 157 female versus 11 male, 158 right- vs. 10 left-
handed. Mean age was 40.5 years. HCWs were asked to perform hand
rubbing with a UV-dyed solution (on a voluntary bases), and received
instantaneous, objective visual feedback.
Results:
The rate of successful/failed performance (regarding com-
plete coverage) was evaluated. On the institution level, the failure rate
was 32
–
62%, 25
–
46%, and 12
–
14% at first, third, and fifth attempt,
respectively, with an average of 42%, 29% and 13%.
Discussion and/or Conclusion(s):
Digital evaluation and direct
feedback on the quality of hand rubbing can be used efficiently to
acquire the skills for proper hand hygiene. The collected data shows
that multiple training sessions are required to achieve the desired level
of quality.
ID: 4909
Implementing a coordinated response to rising numbers of
measles cases: lessons from a London hospital
Beatrice Cockbain
1
, Tehmina Bharucha
2
, Jennifer Hart
2
,
Ons El Hayet Ben Ismail
2
, Tabitha Mahungu
2
, Tanzina Haque
2
,
Dianne Irish
2
.
1
Royal Free Hospital,
2
Royal Free Hospitals NHS Trust
Background:
In April 2016, a measles outbreak was declared in
London, with 138 cases confirmed from January-June 2016 in the city:
12.3% at our hospital. Despite this growing caseload, there have been
delays in the recognition and diagnosis of measles by clinicians due to
lack of awareness and exposure.
Aim(s)/Objective(s):
To improve measles awareness in front-line
healthcare workers (HCWs).
Method(s):
The implementation of a measles awareness campaign
focussing on three main areas: assessing immunity in patients and
HCWs; recognition of the clinical presentation and infection control
measures.
Results:
Awareness posters were displayed in key areas including the
Emergency Department, Paediatrics and Medical Admissions Unit.
Posters gave information about the clinical presentation of measles
and necessary infection control measures. Informationwas also placed
on the hospital intranet homepage and immunisation awareness
messages were emailed to staff.
Teaching sessions for frontline HCWs, including a medical
‘
Grand
Round
’
presentation, focused on all three areas of the measles
awareness campaign. HCWs were urged to clarify their immune
status with occupational health and be vaccinated, if required. In
addition emphasis was put on early recognition and the prompt
respiratory isolation of suspected cases.
Discussion and/or Conclusion(s):
Successful infection control strat-
egies require HCWs to find them both relevant and understandable.
This measles awareness strategy was both: HCWs found teaching
Abstracts of FIS/HIS 2016
–
Poster Presentations / Journal of Hospital Infection 94S1 (2016) S24
–
S134
S85