Infection Prevention &
Control Care Champion
(IPCCC) ForumInfection Prevention & Control Team
W: http://www.lancashire.gov.uk/practitioners/health/infection-prevention-and-control.aspx
Introduction
Housekeeping
Presentation
IPC care champion responsibilities
Evaluation forms & certificates
‘E.coli’• What is an e-coli blood stream infection?
• What is bacteraemia?
• Sepsis definition
• So, what is the problem?
• Lancashire
• Break the chain activity
• Hydration poster activity
• Catheter daily record
• Urine colour chart
What is an e.coli blood stream
infection?
Escherichia coli (E. coli) is a bacterium commonly found in the gut of animals and
people where it forms part of the normal gut flora that helps human digestion. Although most types of E. coli live harmlessly in your
gut, some types can make you unwell.
What is bacteraemia?
Bacteraemia is a serious infection that occurs when bacteria get into the blood stream. This
can be as a result of an infection (e.g. a urinary tract infection), surgery or the
inappropriate use of medical devices (e.g. catheters). A wide variety of bacteria can
cause bacteraemia. In its more severe form, bacteraemia is referred to as sepsis.
Sepsis Definition
Life threatening organ dysfunction caused by a dysregulated host response to infection
Or
Sepsis is a life threatening condition that arises when the body's response to an infection injures its own tis sues or
organs
(The Third International Consensus Definitions for Sepsis and Septic Shock, 2016)
(Independent Nurse, 2014)
So, what is the problem?
• Increasing numbers
• Mainly in the community
• Increasing resistance to
antibiotics
• Causes pneumonia
• BSI (Sepsis)
• Caused by:
– UTI
– Hepatobiliary
– Gastro-intestinal
– Unknown?
Is this a problem for
Lancashire?
900
950
1000
1050
1100
1150
1200
1250
2013/14 2014/15 2015/16 2016/17
Graph to show the annual increase in E. coli bloodstream
infections in Lancashire 2013-2017
Figures from April to December
• BwD = 108
• CSR = 114
• EL = 250
• FW = 95
• GP = 136
• LN = 164
• WL = 60
OVERALL = 927 confirmed cases of E.coli bacteraemia in
Lancashire
Please note the population differences in each of the areas
Activity – Break the Chain
Activity – Hydration Poster
Catheter Daily Record
How dark is their urine?
Work to take home….
• Have a think about how many residents are on
antibiotics. Why are they on them?
• Sign up to be an Antibiotic Guardian – click on
http://antibioticguardian.com/ - watch the video
and make a pledge.
Infection Prevention & Control
Team
W: http://www.lancashire.gov.uk/practitioners/health/infection-
prevention-and-control.aspx
