informative and actionwas taken by staff to clarify their immunisation
status. This is an example of a simple, effective and easily implemen-
table infection control strategy, which could be modified for other
current or emerging infections, in both primary and secondary
Acquaintance and attitude regarding nosocomial infections
among nursing staffs working in a tertiary care hospital in western
Manipal College of Medical Sciences, Pokhara, Nepal
Nosocomial infections are a significant cause of
morbidity and mortality in every health care system, especially in
The objective of the study was to find out the
acquaintance and attitude regarding nosocomial infections among
nursing staffs working in a tertiary care hospital in western Nepal.
It was a descriptive study conducted in Manipal Teaching
Hospital, Phulbari, Pokhara, Nepal between 1st January 2016 to 31st
March 2016. The questionnare were constructed using socio demo-
graphic variables, knowledge and attitude questions on nosocomial
infection. Data was collected by self-administered questionnaire. 120
staff nurses were participated in the study. Simple random sampling
were used to select the sample. The data were analyzed using
inferential statistics with SPSS 16 Windows Version.
88% of the participants were of the age group 20
and 49% of them had work experience more than 5 years. 75% of them
had good knowledge and 69% had positive attitude. There was no
association between socio demographic variables and other variables
viz. knowledge and attitude (p > 0.05). Therewas a positive correlation
between knowledge and attitude (r = 0.7, p < 0.05).
Discussion and/or Conclusion(s):
Based on the findings a significant
portion of the staff nurses had poor knowledge and attitude. Apart
from these attitude is related with their knowledge. More emphasis on
an in-service educational program, seminars, training, etc required on
nosocomial infections to increase the knowledge and reduce incidence
in the hospitals of Nepal.
Scottish Reduction in Antimicrobial Prescribing (ScRAP) Update
, Jacqueline Sneddon
, Gill Walker
, Hazel Steele
, Debbie Waddell
, Edward James
, Jill Nowell
, Fiona McMillan
, Graeme Bryson
Greater Glasgow and Clyde,
Scottish Antimicrobial Prescribing Group
National Education for Scotland (NES),
Glasgow Caledonian University,
Education Scotland (NES)/General Practice
A multidisciplinary reference group was established in
summer 2016 to update and extend the successful 2013 ScRAP
programme. The group aims to complete the resource by October 2016
for delivery from 2017.
Update and develop the 2013 ScRAP resource, to
support ongoing reduction in unnecessary antibiotic prescribing in
community settings. Develop to include additional content on
managing urinary tract infection (UTI).
To inform the update, semi-structured interviews were
undertaken with 6 randomly selected health boards. This builds on
feedback received via e-survey since 2013.
GP practice audit and literature searches were used to inform the
additional UTI content.
Examples of good practice were sought from across NHSScotland.
Discussion with boards indicated a need for more flexibility
around delivery to enable prioritisation depending on time available
and learning need. The benefits of continued small group delivery
were recognised, and access to data reports. Additional inclusion of
practical solutions/resources was requested to support change.
Good evidence was identified for use of delayed prescribing in
reducing antibiotic prescribing for UTI. Audit of current practice
suggested improvements could be made in symptom recording and
use of urinalysis (dipstick and culture) to support diagnosis.
Good practice examples for UTI management identified include use of
care home symptom recording forms, and key information, audit
templates, and patient group directive resources for community
Discussion and/or Conclusion(s):
Using this intelligence, the resource
pack is being designed to support a quality improvement approach.
The pack includes faciliated sessions on 6 key topics, each designed to
last around 30 minutes.
The journey of a surge centre
The Newcastle upon Tyne Hospitals NHS Foundation Trust
The unprecedented epidemic of
Africa in 2014
15 put the UK on high alert to ensure readiness for safe
management of cases entering the country.
This included the preparation of four surge centres in England to care
for confirmed cases.
This poster describes how one of these surge
centres reached its readiness.
Although the Trust had previously been one of two centres
in the UK tomanage patients with Viral Haemorrhagic Fever (VHF), the
old unit had closed 6 years previously. Therefore therewas very little in
place before preparations began in July 2014, when the Trust was
asked to be one of the surge centres.
An abundance of resources, training materials and policy documents
were required, through liaisonwith a plethora of internal and external
departments and training of many multidisciplinary staff from a
variety of specialities. ID staff also gained experience working with a
confirmed case at The Royal Free Hospital.
230 staff undertook training appropriate to their role;
including 64 staff to manage confirmed Ebola/VHF cases in either a
Trexler Isolator or PPE based High Level Isolation.
The Trust is ready to manage Ebola/VHF cases, however maintaining
readiness and sustaining theworkforcewill require continued training
Discussion and/or Conclusion(s):
A substantial legacy has been left
from this work which will be built upon to ensure readiness to manage
any organisms requiring high level isolation; whether adult or
paediatric, soon within a new state of the art facility.
bacteraemia linked to an aseptic pharmacy
unit water supply
, Pamela Joannidis
Queen Elizabeth University Hospital,
is a Gramnegative non fermentative
organismwhich is ubiquitous in the environment. Reported infections,
namely bacteraemias and meningitis, are rare in humans.
We describe persistent colonisation of the water
supply of an aseptic pharmacy unit with
. A patient look
back exercise during the period of contamination identified one
patient with bacteraemia who was receiving total parenteral nutrition
supplied by the unit.
Monthly water testing of two sinks in the aseptic unit
revealed persistent colonisation with
. Infection control
investigations revealed evidence of little used outlets and practice
issues with the sinks in question. Decanting of TPN and contaminated
water down the sinks occurred. The patient responded to treatment
with intravenous meropenem.
Abstracts of FIS/HIS 2016
Poster Presentations / Journal of Hospital Infection 94S1 (2016) S24