C. difficile in England is on the rise, but why? A sign of a system on the edge and could a new variant push it over?

C. difficile in England is on the rise, but why? A sign of a system on the edge and could a new variant push it over?

In this episode, Martin Talks to Dr Mark Wilcox OBE, Professor of Microbiology at the University of Leeds, Head of Microbiology Research & Development at Leeds University Hospitals NHS Trust and National Clinical Director for Infection Prevention and Control at NHS England. We mull over the possible reasons for the increase in hospital-onset, hospital attributed cases in England, including ribotypes and antibiotic use. Given that the NHS is under great stress, we discuss the damage potential from a ribotype 955 which shares some genetic characteristics with the 027 ribotype that caused so many problems in the UK and worldwide in the early 2000s. One thing that we agree on is that reductions targets (with teeth) have been very successful in the past and should we venture in that direction again?

Information on data collection, hospital and national typing reports for England can be found here: https://www.gov.uk/government/collections/clostridium-difficile-guidance-data-and-analysis#epidemiology

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Trust Your Instincts? Wound Dressings, Airborne Microbes and Infection Prevention

Trust Your Instincts? Wound Dressings, Airborne Microbes and Infection Prevention

Can something as routine as removing a wound dressing release microorganisms into the surrounding air? In this episode of Infection Control Matters, Martin and Brett explore a paper by Mellon and coll...

4 Marras 16min

The Beautiful Game of Infection Prevention: Can leadership lessons from the world of soccer help?

The Beautiful Game of Infection Prevention: Can leadership lessons from the world of soccer help?

The central theme of this episode is that some of the most valuable lessons in healthcare leadership can be found on the football pitch. Drawing on his paper, Pitch Perfect: Healthcare Leadership Less...

21 Loka 28min

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Cleaning is Patient Safety: Empowering the People Who Keep Hospitals Safe

In this episode, Martin Kiernan talks with Dr Alexandra Peters, President of Clean Hospitals, ahead of the annual Clean Hospitals Day on 20 October. They discuss this year’s theme of empowerment—why e...

8 Loka 19min

Evidence or Efficiency? How We Make IPC Decisions

Evidence or Efficiency? How We Make IPC Decisions

In this episode, Phil Russo and Brett Mitchell are joined by Dr Shalini Elangovan from Duke-NUS Medical School in Singapore to discuss her global study exploring how IPC professionals make decisions. ...

24 Syys 24min

RCTs in Infection Prevention and Control - Are we getting the evidence that we need?

RCTs in Infection Prevention and Control - Are we getting the evidence that we need?

In this episode of Infection Control Matters, Martin Kiernan talks to Brett Mitchell about a new review of RCTs in IPC over the past two decades. The review identified 239 trials, with a striking incr...

9 Syys 22min

Who Do You Listen To? The Hidden Influencers of Hand Hygiene

Who Do You Listen To? The Hidden Influencers of Hand Hygiene

In this episode, Brett and Martin discuss a cluster RCT from the Journal of Hospital Infection that took a very different approach. The researchers used social network analysis to identify the people ...

26 Elo 12min

C. difficile: Follow the Faeces

C. difficile: Follow the Faeces

In this episode of Infection Control Matters, Brett and Martin talk to Professor Tom Riley about why we need to look well beyond the hospital to understand where Clostridioides difficile comes from. T...

12 Elo 18min

WISDOM: Using AI to Prioritise Surgical Wound Review

WISDOM: Using AI to Prioritise Surgical Wound Review

Artificial intelligence has enormous potential in healthcare, but where can it genuinely improve infection prevention without replacing clinical judgement? In this episode, Phil Russo and Martin Kiern...

29 Heinä 34min

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