Trust Board Febuary 2010 - Sandwell & West Birmingham Hospitals

SWBTB (2/10) 038 (a)
QUARTERLY INFECTION PREVENTION AND CONTROL REPORT
October to December 2009
Management and Organisation
Working arrangements both within the Trust and with community partners continue to work well. A
decision has been made to strengthen the role of the Infection Control Operational Committee by
devolving to it the role of monitoring of the Infection Control and Cleanliness Action Plan and this
will be kept under careful review. Within the wider healthcare economy current priorities include
joint working to gain a better understanding of the patient characteristics and risk factors for cases
of Clostridium difficile infection (CDI) diagnosed in the community or within 48 hours of admission
to hospital and to ensure that all general practitioners providing services across the economy are
familiar with important information regarding antibiotic prescribing and diagnosis and management
of CDI.
MRSA
Mandatory reporting of MRSA bloodstream infections
There were a total of 3 MRSA bacteraemias during this quarter (Figure 1) with our threshold for
that period being 6. This brings a total of 10 cases in 9 patients for the first 9 months of the year, of
which 4 were diagnosed more than 48 hours after admission and the remaining 6 were in samples
taken within the first 2 days of admission from patients originating from 3 different Primary Care
Trusts.
Figure 1. Total MRSA bacteraemias
4
3
2
1
0
A p r - 0 8
M a y - 0 8
J u n -0 8
J u l- 0 8
A u g -0 8
S e p -0 8
O c t- 0 8
N o v -0 8
D e c -0 8
J a n -0 9
Sandw ell City Trust DoH Trajectory
F e b - 0 9
M a r - 0 9
A p r - 0 9
M a y - 0 9
J u n -0 9
J u l- 0 9
A u g -0 9
S e p -0 9
O c t- 0 9
N o v -0 9
D e c -0 9
J a n -1 0
F e b - 1 0
M a r - 1 0