Protocol for infection surveillance - Hampshire Hospitals NHS ...

Surveillance of Infection Protocol
Note:
• Positive blood cultures from the same patient within 14 days of the initial
culture are considered to be part of the original episode and should not be
reported
• Positive blood cultures more than 14 days apart should be reported as these
are considered to be a new episode.
4.4 Submission of data
Data is entered via a password protected web link to the HPA which includes:
• Core Dataset
• Risk Factor page (this is for Trust information only, to help with root cause
analysis (RCA). It is not information for publication by the HPA or Department
of Health.
4.5 Reconciliation of submitted data
• Trusts using the website have access to all the data they have entered.
• This can be compared to a regional and national aggregate also available to
Trusts from the website
4.6 Recording data locally
A database has been developed to record information regarding MRSA and MSSA
bacteraemia. This database is used to create information in spreadsheet format for
display on the Trust Reporting Warehouse computer drive. The database is also
used to record results of RCA and as a learning resource.
5.0 Clostridium difficile reporting
Clostridium difficile has been included in the MESS reporting scheme by the HPA
in April 2007. Coordinator enters cases via the website on a daily or weekly basis.
5.1 Coordinator responsibilities include
5.2 Data collection
Note:
• Liaises daily with the Consultant Microbiologist and the ICNet system, to
identify all C.difficile toxin positive episodes (and their source) detected in
BNHFT laboratory, whether clinically significant or not, whether treated or not,
whether acquired in the Trust or elsewhere.
• Positive C.difficile toxin assays from the same patient within 28 days of the
initial positive assay are considered to be part of the original episode and
should not be reported.
• Positive C.difficile toxin assays more than 28 days apart should be reported
as these are considered to be a new episode or recurrence or relapse.
5.3 Submission of data
Data is entered via a password protected web link to the HPA which includes:
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