Launch of Bedford Hospital’s Infection Awareness Week

Monday 28th September 2009

Derek Butler MRSA Action UK

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Sir Alexander Ogston

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Alexander Fleming

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Howard Florey

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Nightingale Ward

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First outbreak at Queen Mary’s Children’s Hospital, Carlshalton in 1962

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MRSA was first identified in the USA in 1968 in a Boston Hospital

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European Antimicrobial Resistance Surveillance System

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Table 1 Susceptibility results for S. aureus isolates in participating countries in 2008 Participating country

Number Total Percentage

Suscep-tible

Resistant Suscep-tible

Resistant

France 3304 1072 4376 75.5 24.5 United Kingdom 2321 1029 3350 69.3 30.7 Sweden 2392 16 2408 99.3 0.7 Austria 1738 156 1894 91.8 8.2 Czech Republic 1471 244 1715 85.8 14.2 Portugal 733 823 1556 47.1 52.9 Spain 1104 401 1505 73.4 26.6 Denmark 1265 30 1295 97.7 2.3 Ireland 831 411 1242 66.9 33.1 Hungary 915 266 1181 77.5 22.5 Switzerland 985 112 1097 89.8 10.2 Germany 877 212 1089 80.5 19.5 Turkey 658 402 1060 62.1 37.9 The Netherlands 997 7 1004 99.3 0.7 Italy 618 312 930 66.5 33.5 Finland 894 27 921 97.1 2.9 Belgium 719 187 906 79.4 20.6 Greece 507 352 859 59 41 Norway 805 5 810 99.4 0.6 Croatia 306 168 474 64.6 35.4 Slovenia 388 30 418 92.8 7.2 Israel 250 136 386 64.8 35.2 Lithuania 247 31 278 88.8 11.2 Estonia 177 8 185 95.7 4.3 Bulgaria 120 40 160 75 25 Latvia 114 17 131 87 13 Luxembourg 106 11 117 90.6 9.4 Malta 48 60 108 44.4 55.6 Poland 87 12 99 87.9 12.1 Cyprus 50 42 92 54.3 45.7 Bosnia Herzegovina

56 15 71 78.9 21.1

Iceland 62 1 63 98.4 1.6 Romania 26 13 39 66.7 33.3

The Rt Hon John Reid MP5th November 2004

“I expect MRSA bloodstream infection rates to be halved in our hospitals by 2008. NHS Acute Trusts will be tasked with achieving a year on year reduction up to and beyond March 2008."

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MRSA Bacteraemias 2006-2009

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MRSA Bacteraemias 2001-2005

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Oct 01 -Mar 02

Apr 02 -Sep 02

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Apr 03 -Sep 03

Oct 03 -Mar 04

Apr 04 -Sep 04

Oct 04 -Mar 05

April 05- Sep

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John Reid’s target focused hearts and minds

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Clostridium difficile recorded in people aged over 2

2007-2009

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July 2007– Sept2007

Oct 2007 –Dec 2007

Jan 2008 –Mar 2008

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July 2008– Sept2008

Oct 2008 –Dec 2008

Jan 2009Mar 2009

Apr 2009June 2009

Recorded Surgical Site Infections 2008 – Health Protection Agency

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Monitoring HCAIs in addition to bacteraemias to drive improvement

Percentage of total HCAIs identified in HIS/ICNA study in 2007

19.7%

13.8%

10.5%6.8%

13.9%

22.0%

13.3% urinary tract

surgical site

skin & soft tissue

bloodstream

pneumonia

gastrointestinal

other

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Working with local Health Protection Units on emerging threats from micro-organisms

Percentage of micro-organisms causing SSI (HIS/ICNA study 2007)

MRSA, 25%

MSSA, 14%

Enterobacteriaceae, 21%

CNS, 9%

Enterococcus spp., 9%

Pseudomonas, 9%Other bacteria, 6%

Streptococcus spp., 3%

Anaerobic bacilli, 2%

Anaerobic cocci, 2%Acinetobacter spp.,

1%

Good hand hygiene

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Benjamin Franklin

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“When there is a wrong it is incumbent on those that have the ability to correct that wrong to have placed upon them the responsibility to correct that wrong”

Aneurin Bevan

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“Resources of medical skill and the apparatus of healing shall be placed at the disposal of the patient, without charge, when he or she needs them; medical treatment and care should be a communal responsibility made available to rich and poor alike in accordance with medical need. No society can legitimately call itself civilized if a sick person is denied medical aid because of lack of means” “In Place of Fear: A Free Health Service”

Aristotle

“We are what we repeatedly do. Excellence, then, is not an act, but a habit.” Aristotle 384-322 BCE

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Florence Nightingale

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Great leaders don’t just lead, they bring out the best in everyone else too

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Juliet at the reception after MRSA Action UK’s annual memorial event – when told she was inspirational by people who had been recently bereaved through losing a loved one to MRSA, she said “it isn’t me, this is the staff at Bedford Hospital”

Janice Stevens, Associate Programme Director, HCAI and Cleanliness Division, Department of Health

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“Infection prevention is everyone’s responsibility, as is providing clean and safe care to patients.  Robust infection prevention practice is easier to instil than management of the problem, and will provide sustainable reductions in infection rates”

Tomorrow’s generation

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In memory of those who suffered and are lost to healthcare infections

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“When does one’s life become important enough to love, respect, protect and save? This is a powerful question – not a question that is usually asked but, instead, a question that may someday be asked when faced with

the tragic loss of a loved one.”

Julia Nora Pilas

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Thank you for listening, please join us in supporting Jeanine Thomas and her colleagues in the USA and let everyone know that October 2nd 2009 is the first World MRSA Awareness Day, and the MRSA Survivors Network promotion of MRSA Awareness Month - October

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