Coffee, Registration & Networking

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Chair's Welcome

Speaker: Dr Bharat Patel

Consultant Medical Microbiologist, Public Health Laboratory, London, Public Health England

Gram Negative Bacteraemia

Speaker: Dr Susan Hopkins

Consultant in Infectious Diseases & Microbiology, Royal Free London NHS Foundation Trust, Healthcare Epidemiologist, Public Health England, Honorary Senior Lecturer, University College London

Reducing Gram Negative Bloodstream Infections and Inappropriate Antibiotic Prescribing in at Risk Groups: A Whole Health Economy Approach to the NHS England Quality Premium

Speaker: Elizabeth Beech

Pharmacist at NHS Bath and North East Somerset CCG and National Project Lead HAI & AMR NHS Improvement

PATIENT STORY UTI, Bacteraemia and Continence

Speaker: Mark Webb

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Infection Prevention and Control – Focus on Reducing E.coli Bacteraemia?

Speaker: Linda Dempster

Head of Infection Prevention and Control at NHS Improvement

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Sepsis!!!

Speaker: Dr Ron Daniels

Clinical Advisor (Sepsis) to NHS England, CEO UK Sepsis Trust 

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Managing Serious Infections: Looking Forward & Learning from the Previous National CQUIN

Speaker: Celia Ingham Clark MBE

National Director for Reducing Premature Deaths, NHS England

Question and Answer Panel Session

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Morning Coffee, Networking and Poster Viewing

Stream 1: Efficacy of a Multiple Emitter UV-C Whole Room Disinfection System

Presented by: Jeff Veenhuis, President & CEO of Surfacide Manufacturing Julie Jolly, Royal Manchester Children's Hospital Matron – Service Improvement, Enhanced Recovery and Care Co-Ordination, V2A Programme Lead (Children’s) and Matron for Trafford Children’s Resource Centre.

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The use of automated, non-touch, UV-C disinfection has become common practice and has drawn much attention.  We will review the fundamental principles which drive improved efficacy from the use of multiple emitters in a single cycle.  Additionally we will discuss the design considerations as well as the current clinical evidence as well as drawing on the experience of a NHS Hospital.

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- Gain an understanding of the key consideration factors for evaluation of UV-C systems.

- Understand total room coverage and shadow reduction.

- Understand principles of physics related to UV-C disinfection.

- Review practical applications of a multiple emitter system within the NHS.

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- Data and evidence of a NHS Hospital, Royal Manchester Children's Hospital, presented by Julie Jolly.

- Total room coverage

- Reduction of shadows

- Minimizing distance to surfaces

- Validation via laser mapping

- Fluency meter verification

- Safe recommended usage

- Cloud reporting

Stream 2: Domestic Laundering of Nurses Uniforms: The Effect of Low Temperature Laundering.

Presented by: Katie Laird, Senior Lecturer in Microbiology, De Montfort University & Prof Hugh Montgomery, University College London

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In the UK, healthcare uniforms are laundered domestically in line with the Department of Health (DoH) Uniform and Workwear guidance (2010). Nurses in the National Health Service (NHS) are required to domestically launder their uniforms at 60°C to ensure safe removal of microorganisms. Recently 33% of NHS staff questioned said they launder their uniforms at 40°C, well below the DoH guideline temperature of 60°C. Although, a 60°C wash is sufficient to remove bacteria from textiles at lower temperatures (40°C), with a biological detergent both Staphylococcus aureus and Escherichia coli at low levels remain on the textiles and are able to cross contaminate other items in the wash. Those cells remaining may have the potential for further contamination of the clinical environment.

Stream 3: SOFTWARE FOR SAFER HEALTHCARE – Effective Infection Control and Antimicrobial Stewardship Systems that Manage Risks and Deliver Improved Patient and Organisational Outcomes

Presented by: Peter Askew, Regional Sales Vice President, UK and EMEA & John Coulthard CEO Tarea

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In this workshop, RL Solutions will draw on its worldwide experience in providing the operational tools that organisations need to drive patient safety, quality, appropriate use of antibiotics, antimicrobial stewardship, and infection surveillance strategies. The workshop will focus on acute, primary, and community health systems, using real-life examples of how RL's clients have tackled specific risks to drive sustained improvement in patient safety outcomes. Being able to effectively benchmark and quantify these problems is the first step, while subsequent monitoring and surveillance, at both individual patient and cohort levels, linked to accurate reporting helps drive incremental improvements. Attendees will come away from the workshop with principles and strategies to address infection control and antimicrobial stewardship in their organisations and communities.

Transition

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Stream 1: No-Touch Disinfection: The New Frontier in Patient Safety

Presented by: Mark Stibich, PhD, Founder and Chief Scientific Officer, Xenex Disinfection Services

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A review of current methods of no-touch disinfection for the hospital environment, with a focus on evidence for clinical outcomes. 

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Attendees will be able to: -Describe the difference methods of achieving no-touch disinfection -Describe the state of the medical literature with regards to clinical outcomes from no-touch disinfection systems -List key criteria when assessing the use of no-touch disinfection for use in the hospital setting

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-Review the evidence behind the need for no-touch disinfection -Review of all available methods of no-touch disinfection (Hydrogen Peroxide Vapor, Ultraviolet Light, Ozone, Nano Technology) -Discuss the benefits and drawbacks of each technology, and scenarios where they can be best implemented -Evaluate the clinical evidence for each type of technology -Look ahead to where the no-touch disinfection market will be in the future

Stream 2: Infection Control and Engineering in Practice

Presented by: Elise Maynard, Director, Elise Maynard & Associates LLP and Immediate Past Chair of the Water Management Society

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Drinking water is stringently controlled. Therefore, it is hard to imagine that water for human use delivered through taps, showers and other sources within buildings could contain harmful microorganisms. However, in-premise water distribution systems are increasingly recognised as a source of infection. 

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Gain a greater understanding and appreciation of the recognised and emerging risks posed from drinking water systems, how to reduce that risk and recognise best hygienic practice.   

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• Outline key and emerging waterborne pathogens within relation to in-premise drinking water systems

• Illustrate where poor practice can contribute to infectious risks.

• Understand what evidence based physical actions and control measures can be completed to mitigate risks associated with water usage

• Confirm the importance of a cross functional Water Safety Team in taking on responsibility for an in-premise water system

Stream 3: Automated Real Time Monitoring and Reminder to Foster Hand Hygiene.

Presented by: Professor Philippe BROUQUI. Medical Director Infectious disease and tropical medicine institute Marseille, France

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Healthcare-associated infection affects approximately 5 million people each year in Europe. Estimated cost is €13-€24 billion, attributable mortality ranging from 50000-135000 cases. Estimated prevalence rates vary worldwide from 5-10% of hospital admissions to 20-30% in intensive care.

Hand hygiene is key to protecting patients against some HCAI and the risk of colonization with multi-resistant microorganisms. Observed compliance rates have been regarded by public health authorities as unacceptably poor. Direct observational surveys suffer from limitations: time-consuming, costly, no continuous monitoring, based on limited samples of opportunities; staff members change their behavior as per the ‘Hawthorne effect’; video cameras monitoring is time consuming, costly, non real-time. Simple hand rub alcohol consumption does not capture the appropriate denominator.

In response to these gaps, several automated monitoring systems such as electronic hand rub dispensers and RFID-based systems have been developed. The workshop presents the available technologies and their expected role in enhancing hand hygiene in hospitals.

Lunch, Networking & Poster Viewing

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