{"title":"Conducting a campaign to improve hand hygiene in non-acute health care","authors":"P. Weaving","doi":"10.1177/14690446070080010701","DOIUrl":"https://doi.org/10.1177/14690446070080010701","url":null,"abstract":"In 2004 the National Patient Safety Agency launched the cleanyourhands campaign to improve hand hygiene in acute NHS trusts in England and Wales through the provision of near patient alcohol hand-rub combined with regularly refreshed prompts. Calls have been made since the campaign started for it to be extended to non-acute healthcare, but the diversity of services and settings in the non-acute sector presents many challenges to successful implementation.","PeriodicalId":265443,"journal":{"name":"British Journal of Infection Control","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128485892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The MMR vaccine controversy — winners, losers, impact and challenges","authors":"P.F. MacDonald","doi":"10.1177/14690446070080010901","DOIUrl":"https://doi.org/10.1177/14690446070080010901","url":null,"abstract":"One of the biggest challenges to professionals involved in immunisation delivery in recent years has been the controversy surrounding the safety of the measles, mumps and rubella (MMR) vaccine. This article explores the history of the vaccine, the controversy and its impact on uptake rates. In discussion potential winners and losers are considered with the conclusion being that there are very few winners among the affected healthcare professionals, children, parents, the NHS and UK government .","PeriodicalId":265443,"journal":{"name":"British Journal of Infection Control","volume":"87 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121740458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A suitable environment for controlling infection?","authors":"C. Mackintosh","doi":"10.1177/14690446070080010401","DOIUrl":"https://doi.org/10.1177/14690446070080010401","url":null,"abstract":"n recent years there has been an increased preoccupation with the environment within which healthcare is provided, perhaps as a natural outcome of the focus that has moved progressively from air hygiene, through hand hygiene to ward hygiene over the last five decades. The obvious link between the physical environment and the ability to keep it clean has opened up a debate. Here, ‘environment’ does not signify the nebulous cloud of things that lie beyond and around the practices and interventions that we believe are the prime means by which microbes, and thus infections, are transmitted, but the ‘bricks and mortar’ that contribute to the architecture, layout, construction and fabric of each building used for healthcare. An early acknowledgement that the environment was once again officially significant was within the Controls Assurance Standards (now, unfortunately, no longer with us). Within Criterion No.4, ‘Prevention and control of infection is considered as part of all service development activity’ were statements that ‘Infection Control are involved in the development of policies relating to engineering and building services for the trust’, that ‘Infection Control are made aware and kept informed of all developments and actions taken in-between planning meetings’, also ‘infection control priorities are taken into account by hospital managers when considering purchase of equipment, consumables etc or in the planning of new facilities’ and that ‘planning teams have easy access to all relevant guidance relating to infection control matters’. In addition there were a number of statements to the effect that infection control teams should be involved in all stages relating to the purchase, or contracting processes, that relate to the hospital’s services (such as cleaning and waste disposal). More recently, Standards for Better Health core standard C21 within the sixth domain says: ‘Healthcare services are provided in environments which promote effective care and optimise health outcomes by being well designed and well maintained with cleanliness levels in clinical and non-clinical areas that meet the national specifications for clean NHS premises.’ In addition, Challenge 8 from Saving Lives directs us to ‘Review the status of the built environment and the effectiveness of the facilities management services, including cleaning, in order to provide a safe and clean environment for patient care.’ But the most relevant question under Challenge 8, in the context of this editorial, is – ‘Is the ICT involved at all stages in the design and building of new healthcare facilities or the refurbishment of existing facilities?’ This question underpins the importance of getting layout and construction details right first time, because once built it becomes difficult, disruptive and expensive to change these aspects of a building. In terms of legal impact, the most forceful declaration that the environment must be considered is probably The Health Act 2006 – Code","PeriodicalId":265443,"journal":{"name":"British Journal of Infection Control","volume":"239 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133824431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hand hygiene compliance: universally better post-contact than pre-contact in healthcare workers in the UK and Australia","authors":"A. Bahal, Karamchandani, A. Fraise, M. McLaws","doi":"10.1177/14690446070080011001","DOIUrl":"https://doi.org/10.1177/14690446070080011001","url":null,"abstract":"Objective: To establish whether post-patient contact hand hygiene practice is universally higher than pre-patient contact in two highly resourced countries. Methods: Observations of medical and nursing staffs' hand hygiene compliance were made by the same observers in two different hospitals in Sydney and Birmingham, in both intensive care units (ICU) and surgical wards, using a standardised data collection tool. Results: Hand hygiene rates pre- and post-patient contact were low for both nurses and doctors in Sydney and Birmingham, with the exception of Sydney ICU doctors (pre-contact 74.8% and post-contact 75.7%, p=0.868). Post-contact compliance was low but significantly better than pre-contact in Sydney ICU nurses (41.3% versus 59.6% p<0.0001), surgical ward nurses (14.9% versus 29.6%, p=0.0019) and Sydney surgeons (10.2% versus 30.2%, p<0.0001). Post-contact compliance rates were low but higher than pre-contact in Birmingham ICU nurses (33.1% versus 52.2%, p=0.0011) and doctors (29.3% versus 70.1%, p<0.0001) but not in the Birmingham surgical ward (nurses: 42.6% versus 43.4%, p=0.89; surgeons: 39.6% versus 48.4%, p=0.187). Handwashing on removal of gloves was extremely low (1.7% to 16.6%), regardless of city, specialties or clinical staff. Conclusion: The pattern of post-contact compliance and non-compliance associated with glove use strongly suggests hand hygiene practice in both countries is primarily self-protective rather than a patient safety centred practice.","PeriodicalId":265443,"journal":{"name":"British Journal of Infection Control","volume":"21 11","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113934859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Infection control nurses invited to go for awards","authors":"","doi":"10.1177/14690446070080010504","DOIUrl":"https://doi.org/10.1177/14690446070080010504","url":null,"abstract":"","PeriodicalId":265443,"journal":{"name":"British Journal of Infection Control","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124177319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Prieto, G. Hodgson, D. Williams, J. Hughes, H. Loveday
{"title":"Mapping the research aspirations for the ICNA","authors":"J. Prieto, G. Hodgson, D. Williams, J. Hughes, H. Loveday","doi":"10.1177/14690446070080010801","DOIUrl":"https://doi.org/10.1177/14690446070080010801","url":null,"abstract":"The need for evidence-based infection prevention and control practice necessitates ensuring research capacity and capability to deliver this agenda. This paper reports the findings of a research mapping exercise to identify current research activity and perceived need for support among members of the ICNA. These findings provide insights into how the ICNA research and development group can support practitioners in this field.","PeriodicalId":265443,"journal":{"name":"British Journal of Infection Control","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128666462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Increase seen in number of tuberculosis cases","authors":"","doi":"10.1177/14690446060070060202","DOIUrl":"https://doi.org/10.1177/14690446060070060202","url":null,"abstract":"","PeriodicalId":265443,"journal":{"name":"British Journal of Infection Control","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117227067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Infection prevention — a new era","authors":"J. Potter","doi":"10.1177/14690446060070060101","DOIUrl":"https://doi.org/10.1177/14690446060070060101","url":null,"abstract":"","PeriodicalId":265443,"journal":{"name":"British Journal of Infection Control","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114272850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}