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Reduction in hospital infections

11/05/2018

The Trust which runs hospitals in Scunthorpe, Grimsby and Goole has been praised for achieving a reduction in Escherichia coli (E.coli) infections.

Cases of hospital acquired E.coli bloodstream infections at Northern Lincolnshire and Goole NHS Foundation Trust reduced by more than a third between 2016 and 2017.

E.coli infections can cause diarrhoea, vomiting, stomach cramps, and fever but are also the most common cause of Gram negative blood stream infections, which are resistant to antibiotics and so carry a significant increase in patient mortality. There were 58 cases of E.coli at the Trust in 2016, which dropped to 37 in 2017 and has led to praise from NHS Improvement.

Among the initiatives the Trust has implemented to achieve this are:

  • Reducing the use of urinary catheters, which can increase the risk of urinary tract infections
  • Promoting improved hydration in the elderly, particularly those with a urinary catheters
  • Improving oral hygiene in vulnerable patients to reduce the number of chest infections.

 Infection control lead for the Trust, Maurice Madeao, said: “Our clinical staff have worked incredibly hard to reduce the incidence of E.coli and remain committed to doing all they can to prevent such infections.

 “Our infection control team carry out regular audits to look at the use of invasive devices and antibiotic usage, with instant results fed back to frontline staff. Work is also ongoing to examine the use of urine dipsticks in the diagnosis of urinary tract infections.

“These are just some of the steps we are taking; we are also working closely with our community partners to make this an ongoing success.”

The Trust received praise from NHS Improvement for being one of 59 Trusts across the country to achieve a reduction of 10 per cent or more.

 In a letter to the Trust, Ruth May, executive director of nursing, deputy CNO & national director for infection, prevention and control for NHS Improvement, said: “I am really pleased to see the excellent contribution the Trust has made to reducing these infections; it is a challenging ambition, but an incredibly important one. These are not just numbers; these are people so this directly contributes to better outcomes for patients.”

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