The Department of Health’s national objectives to reduce the number of healthcare associated infections (HCAI) continues. Hospitals are required to report certain positive laboratory results to a national surveillance system.
The Clatterbridge Cancer Centre reports on numbers of :
We have successfully achieved our objectives every year and take infection prevention and control very seriously.
Since March 2004 we have had 1 MRSA bacteraemia to report as attributable to the Trust.
Meticillin Resistant Staphylococcus Aureus (MRSA) is a sub-group of the species of bacterium known as Staphylococcus aureus which has acquired resistance to antibiotics including meticillin and flucloxacillin. MRSA may colonise an individual asymptomatically (carrier) or can cause a range of infections from minor wound infections, boils or impetigo to severe, blood infection or pneumonia.
Every year hospitals are challenged to reduce the number ofClostridium difficile cases.
Clostridium difficile is found normally in the gut (intestines) and rarely causes problems in babies, children or healthy adults, as it is kept in check by other bacteria. Antibiotics can disturb the balance of bacteria in the gut allowing Clostridium difficile to multiply and produce toxins. The toxins can cause a range of symptoms from mild diarrhoea to severe inflammation of the bowel.
Meticillin-sensitive Staphylococcus aureus is a type of bacteria (germ) which lives harmlessly on the skin and in the noses, in about one third of people. The germ can also cause disease, particularly if there is an opportunity for the bacteria to enter the body, for example through broken skin or a medical procedure. During 2013-2014 we reported 2 Meticillin-sensitive Staphylococcus aureus positive blood cultures.
Escherichia coli is found normally in the gut (intestines) where it lives harmlessly. Some strains of E.coli have the ability to cause infections including food poisoning, eg E. coli O157, or infections outside the intestinal tract such as urinary tract infections (UTIs), and bacteraemia (bacteria in the blood). All Trusts report every instance of E. coli in blood cultures even those occurring outside hospital. Public Health England use the information submitted with the aim of contributing to a better understanding of risk factors for this infection.
The Infection Prevention and Control Team are specialist nurses and consultant microbiologists who work together with all healthcare staff to try to identify infection risks and ensure patients are cared for in a safe, clean environment. The team is also closely involved with all new developments to make sure that infection prevention and control is an integral part of everything we do.
All staff are expected to attend the infection control mandatory lecture during Trust Induction Week.
At The Clatterbridge Cancer Centre, there are Infection Control Links in all wards and departments.
The Infection Control Nurses are contactable on 0151 556 5726 from Monday – Friday 8:30am – 4:30pm.
Sheila Lloyd Director of Nursing and Infection and Control
Karen Kay Deputy Director of Nursing and Infection Control
John Cunniffe Infection Control Doctor
Debbie Kretzer Infection Prevention and Control Lead Nurse
Jane Tideswell Infection Prevention and Control Nurse Specialist
Helen Mclaren Infection Prevention and Control Nurse Specialist
High Impact audit scores
All wards and departments undertake a minimum of 10 High Impact Intervention Audits every month according to Department of Health Standards. Results demonstrate consistently high scores and overall participation in the process especially for common interventions such as intravenous access devices and urinary catheters. Ward/department managers receive a summary report and can display results in clinical areas for patients and visitors to view.
Ward Audit Process and Scores
All clinical areas, are audited using a modified version of the Infection Prevention Society audit tool which includes:
The Clatterbridge Cancer Centre also participates in Environmental Swabbing.
Cleaning services are monitored daily and any problems are usually resolved immediately.
All our wards are cleaned at the standard recommended. In addition to this we have hydrogen peroxide machines which effectively destroys germs such as Clostridium difficile and MRSA. The machines dispense a mist of disinfectant to give an extra level of cleanliness in areas where infective patients have been nursed.
If you have any concerns about the cleanliness of any ward or department or any item of equipment, please tell us. You can talk to the staff where you are or ask to speak to the Head of nursing. If you prefer, you can share your concerns with the Patient Advisory Liaison Service (PALS) or contact the Infection control team directly.
Good hand hygiene is the single most effective way to prevent the spread of infection in hospital.
The Clatterbridge Cancer Centre does everything possible to ensure that staff clean their hands before any activity that involves contact with patients, but we are all human and sometimes we forget. If you think someone should have cleaned their hands and you have not seen them do it, please ask them if their hands are clean.
We are working hard to reduce avoidable infections and to provide a clean and safe environment for patients, their relatives and our staff. All wards have to monitor hand hygiene compliance in their own area and the Infection Prevention and Control Team undertake additional spot checks.
Hand rubs are very effective at killing germs but they are not a cure for all.
Please try to wash your hands regularly using soap and water.
The Infection Prevention and Control Team are happy to answer any queries or receive any comments from visitors, relatives or patients before, during or after a hospital visit.
The patient information leaflets give lots of advice on general infection prevention and control and more information on specific infections.