The development of an infection control link-nurse programme in a district general hospital

Teare, E.L.; Peacock, Alan

doi:10.1016/s0195-6701(96)90107-3

Cited by 37 publications

(22 citation statements)

References 4 publications

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“…Moreover, we should anticipate that full-time medical doctors as well as link nurses would play an important role in their own clinical area to facilitate liaison with the colleagues and other surrounding medical personnel in routine infection control practices [19,20]. …”

Section: Discussionmentioning

confidence: 99%

Successful cessation of transmitting healthcare-associated inpections due to Burkholderia cepacia complex in a neonatal intensive care unit in a japanese children's hospital

et al. 2011

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BackgroundBurkholderia cepacia strains have been known to possess the capability to cause serious infections especially in neonatal intensive care units (NICUs), and their multi-drug resistances become a severe threat in hospital settings. The aim of this investigation was to evaluate the B. cepacia complex infections in the NICU in Nagano Children's Hospital, Azumino 399-8288, Japan, and to report the intervention leading to the successful cessation of the outbreak.MethodologyThe incidence of isolation and antimicrobial susceptibilities of nosocomial Burkholderia cepacia complex strains during a four-year period were retrospectively examined by clinical microbiological records, and by pulsed-field gel electrophoresis analyses along with the bacteriological verification of disinfectant device itself and procedures for its maintenance routinely used in the NICU.ResultsDuring the period surveyed between 2007 and 2009, only an isolate per respective year of B. cepacia complex was recovered from each neonate in the NICU. However, in 2010, the successive 6 B. cepacia complex isolates were recovered from different hospitalized neonates. Among them, an isolate was originated from peripheral blood of a neonate, apparently giving rise to systemic infection. In addition, the hospitalized neonate with bacteremia due to B. cepacia complex also exhibited positive cultures from repeated catheterized urine samples together with tracheal aspirate secretions. However other 5 isolates were considered as the transients or contaminants having little to do with infections. Moreover, the 5 isolates between July and October in 2010 revealed completely the same electrophoresis patterns by means of pulsed-field gel electrophoresis analyses, strongly indicating that they were infected through the same medical practices, or by transmission of the same contaminant.ConclusionsA small outbreak due to B. cepacia complex was brought about in the NICU in 2010, which appeared to be associated with the same genomovar of B. cepacia complex. The source or the rout of infection was unknown in spite of the repeated epidemiological investigation. It is noteworthy that no outbreak due to B. cepacia complex was noted in the NICU after extensive surveillance intervention.

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Section: Discussionmentioning

confidence: 99%

Successful cessation of transmitting healthcare-associated inpections due to Burkholderia cepacia complex in a neonatal intensive care unit in a japanese children's hospital

et al. 2011

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“…However the strategies for carrying out the collaboration and the success of such programs were variable. 15,28–31 …”

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confidence: 99%

Infection Control Link Nurse Program: An interdisciplinary approach in targeting health care-acquired infection

Sopirala

Yahle-Dunbar

Smyer

et al. 2014

American Journal of Infection Control

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Background We describe a successful interdisciplinary liaison program that effectively reduced health care-acquired (HCA), methicillin-resistant Staphylococcus aureus (MRSA) in a university hospital setting. Methods Baseline was from January 2006 to March 2008, and intervention period was April 2008 to September 2009. Staff nurses were trained to be liaisons (link nurses) to infection prevention (IP) personnel with clearly defined goals assigned and with ongoing monthly education. HCA-MRSA incidence per 1,000 patient-days (PD) was compared between baseline and intervention period along with total and non-HCA-MRSA, HCA and non-HCA-MRSA bacteremia, and hand soap/sanitizer usage. Hand hygiene compliance was assessed. Results A reduction in MRSA rates was as follows in intervention period compared with baseline: HCA-MRSA decreased by 28% from 0.92 to 0.67 cases per 1,000 PD (incidence rate ratio, 0.72; 95% confidence interval: 0.62–0.83, P < .001), and HCA-MRSA bacteremia rate was reduced by 41% from 0.18 to 0.10 per 1,000 PD (incidence rate ratio, 0.59; 95% confidence interval: 0.42–0.84, P = .003). Total MRSA rate and MRSA bacteremia rate also showed significant reduction with nonsignificant reductions in overall non-HCA-MRSA and non-HCA-MRSA bacteremia. Hand soap/sanitizer usage and compliance with hand hygiene also increased significantly during IP. Conclusion Link nurse program effectively reduced HCA-MRSA. Goal-defined metrics with ongoing reeducation for the nurses by IP personnel helped drive these results.

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“…The advantages of the IPLP have been documented and include improved communication ( Hill et al, 2001 ), improved infection prevention practice ( Ching and Seto, 1990;Millward et al, 1993 ) and a higher profi le of infection prevention at the clinical level ( Teare and Peacock, 1996 ;Teare et al, 1998 ). The Healthcare Commission found that lower rates of coverage by link practitioners were associated with higher rates of C. diffi cile and, more recently, the National Audit Offi ce (NAO) confi rmed this fi nding ( National Audit Offi ce, 2009 ) and found evidence to support the relationship between incidence of infection and the provision of protected time for link practitioners.…”

Section: Discussionmentioning

confidence: 99%

Independent health care: using a board-to-ward approach to achieve improvement in infection prevention standards

Millward

Barnett

Jones

2010

Journal of Infection Prevention

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The Health and Social Care Act 2008 places a legal responsibility upon healthcare organisations to provide a clean environment where infection risks are minimised. From April 2010, the regulation of both the NHS and the independent healthcare sector will, for the first time, fall under the same legislative framework. Nuffield Health (NH) is an independent healthcare provider with 30 acute hospitals. Strategic management of infection prevention is led by the NH Director for Infection Prevention. Management at the hospital level is led by the matron/Director for Infection Prevention and Control supported by trained infection prevention link practitioners (IPLPs). High-quality infection prevention across a large geographical area presents many challenges and IPLPs have been used to both monitor and improve the quality of infection prevention using national audit tools and acting as role models to influence practice. Audit results over 4 years demonstrate yearly improvements and low rates of healthcare-associated infections.

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The development of an infection control link-nurse programme in a district general hospital

Cited by 37 publications

References 4 publications

Successful cessation of transmitting healthcare-associated inpections due to Burkholderia cepacia complex in a neonatal intensive care unit in a japanese children's hospital

Successful cessation of transmitting healthcare-associated inpections due to Burkholderia cepacia complex in a neonatal intensive care unit in a japanese children's hospital

Infection Control Link Nurse Program: An interdisciplinary approach in targeting health care-acquired infection

Independent health care: using a board-to-ward approach to achieve improvement in infection prevention standards

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