Infection Prevention in Conversation – Détails, épisodes et analyse

ECCMID Shorts 2023: Antibiotic therapy duration and multidisciplinary decision-making in the ICU

Join Gemma Winzor (Editor in Chief, Infection Prevention in Practice) live from Copenhagen, Denmark, for the 33rd European Congress of Clinical Microbiology & Infectious Diseases (ECCMID 2023), 15-18 April 2023.

In this short, Robin ME Janssen (Raboud University Medical Centre, Netherlands) provides insight into the decision-making process on antibiotic therapy duration during multidisciplinary meetings. How can you work better with colleagues from other departments, and how can you fit antimicrobial stewardship into your department’s daily routine?

Episode links

Janssen RME et al. Why we prescribe antibiotics for too long in the hospital setting: a systematic scoping review. Journal of Antimicrobial Chemotherapy. 2022:77:8; 2105-2119. 

See the ECCMID programme here

Twitter:

@jhieditor | @IPIP_open

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Join Gemma Winzor (Editor in Chief, Infection Prevention in Practice) live from Copenhagen, Denmark, for the 33rd European Congress of Clinical Microbiology & Infectious Diseases (ECCMID 2023), 15-18 April 2023. 

In this short, Prof. Jasmine R Marcelin (Infectious Diseases Physician and Associate Professor of Infectious Diseases at the University of Nebraska Medical Centre, USA) discusses bridging gaps in research equity, the importance of being intentional about including individuals from different backgrounds in all stages of research, how demographic intersectionality impacts how we approach our research and patients, and the myth of meritocracy.

Episode links

Works by Jasmine Marcelin

•Marcelin J et al Demographic Representation Among Speakers and Program Committee Members at the IDWeek Conference, 2013-2021 Clin Infect Dis. 2023;76(5)

•Marcelin J et al Supporting Inclusion, Diversity, Access, and Equity in the Infectious Disease Workforce. J Infect Dis. 2019;220(220:2)

•Marcelin J et al Improved Infectious Diseases Physician Compensation but Continued Disparities for Women and Underrepresented Minorities Open Forum Infect Dis. 2019;6(2)

•Marcelin J et al The impact of unconscious bias in healthcare: how to recognize and mitigate it J Infect Dis. 2019;220(220:2)

•Chen J et al Racial/ethnic inequities in healthcare-associated infections under the shadow of structural racism: narrative review and call to action Curr Infect Dis Rep. 2021;23(10)

Other referenced work

•Crenshaw, K On Intersectionality: Essential Writings (New York: The New Press 2017)

•Seeing Race Again: Countering Colorblindness across the Disciplines eds. Crenshaw, Harris, HoSang, Lipsitz (Berkeley: University of California Press 2019)

•Essien UR et al A policy prescription for reducing health disparities-achieving pharmacoequity JAMA. 2021;326(18)

•Yang Y et al Gender-diverse teams produce more novel and higher-impact scientific ideas Proc Natl Acad Sci USA. 2022;119(36)

•Miller T & Del Carmen Triana M Demographic diversity in the boardroom: mediators of the board diversity–firm performance relationship Journal of Management Studies. 2009; 46(5): 755-786

•Andrasik MP et al Increasing Black, Indigenous and People of Color participation in clinical trials through community engagement and recruitment goal establishment PLoS One. 2021;16(10)

•Eddo Lodge R Why I'm No Longer Talking to White People About Race (London: Bloomsbury Publishing, 2017)

Twitter:

@jhieditor | @IPIP_open | @DrJRMarcelin

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'Something in the water' is the latest podcast from the Healthcare Infection Society journals.

Gemma Winzor (University Hospitals Birmingham; Editor in Chief Infection Prevention in Practice) is joined by two fantastic guests: Mike Weinbren (NHS England and NHS improvement) and Teresa Inkster, (NHS greater Glasgow and Clyde, NHS Assure, and HCAI Scotland).  

The trio talk about the problems encountered in new-build healthcare facilities, training sub-specialties, and the infection prevention and control risks of water and waste water drains on augmented care - an area many find a bit daunting as it does not come up that often in day-to-day life as an infection control practitioner.  

Twitter: @jhieditor @IPIP_open

Episode links:

• Halstead et al. Pseudomonas aeruginosa infection in augmented care: the molecular ecology and transmission dynamics in four large UK hospitals. Journal of Hospital Infection, Volume 111, 162-168.
• Breathnach et al. Multidrug-resistant Pseudomonas aeruginosa outbreaks in two hospitals: association with contaminated hospital waste-water systems. Journal of Hospital Infection, Volume 82(1),19-24.
• Philip C. Carling. Wastewater drains: epidemiology and interventions in 23 carbapenem-resistant organism outbreaks. Infection Control & Hospital Epidemiology, Volume 39(8), 972-979.
• Find out more about the Healthcare Infection Society here

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For the second episode of Infection Prevention in Conversation, Gemma Winzor is joined by the editors of the Journal of Hospital Infection, Jim Gray (Birmingham Women’s and Children’s Hospital) and Nik Mahida (Nottingham University Hospitals).

The group discuss five papers, linked via their titles below, and share their thoughts on how to work - and have difficult conversations with - colleagues from a range of departments, what we take for granted in infection control, and how the pandemic has brought IPC into focus worldwide.

Twitter: @jhieditor @IPIP_open

Episode links:

• Castro-Sánchez et al. Evaluation of a personal protective equipment support programme for staff during the COVID-19 pandemic in London. Journal of Hospital Infection, Volume 109, 68-77.

• Chamseddine et al. Detection of influenza virus in air samples of patient rooms, Journal of Hospital Infection, Volume 108, 33-42.

• Kinnevey et al. Meticillin-resistant Staphylococcus aureus transmission among healthcare workers, patients and the environment in a large acute hospital under non-outbreak conditions investigated using whole-genome sequencing. Journal of Hospital Infection, Volume 118, 99-107.

• Halstead et al. Pseudomonas aeruginosa infection in augmented care: the molecular ecology and transmission dynamics in four large UK hospitals. Journal of Hospital Infection, Volume 111, 162-168.

• Pougnet et al. Pneumocystis exhalation by infants developing Pneumocystis primary infection: putative infectious sources in hospitals and the community. Journal of Hospital Infection, Volume 113, 10-13.

• Nevez et al. A proposal for pragmatic investigation of possible clonal clusters of pneumocystis pneumonia cases. Journal of Hospital Infection, Volume 108, 215-216.

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With 'MRSA Guidelines: new evidence against an old adversary', we kick off our first mini-series of podcasts from the Healthcare Infection Society journals.

Dr Gemma Winzor (University Hospitals Birmingham; Editor in Chief Infection Prevention in Practice) chats about the recently published joint Healthcare Infection Society and Infection Prevention Society MRSA Guidelines.

Gemma is joined by three guideline authors and experts within the field of MRSA and infection prevention more broadly: Hilary Humphreys (Royal College of Surgeons in Ireland), Jennie Wilson (University of West London) and Lisa Butcher (Oxford University Hospitals NHS Foundation Trusts). The group talk decolonisation, future research directions and dirty mops.

Twitter: @jhieditor @IPIP_open

Episode links:

• Joint Healthcare Infection Society (HIS) and Infection Prevention Society (IPS) guidelines for the prevention and control of meticillin-resistant Staphylococcus aureus (MRSA) in healthcare facilities: read it for free here
• Find out more about the Healthcare Infection Society here
• Further resources for managing MRSA from HIS here
• Watch our MRSA webinar series here

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Join Gemma Winzor (Editor in Chief, Infection Prevention in Practice) live from Copenhagen, Denmark, for the 33rd European Congress of Clinical Microbiology & Infectious Diseases (ECCMID 2023), 15-18 April 2023.

In this short, Timothy Jones (Oxford University Hospitals) talks to Gemma about his poster (Poster number #E0170) and forthcoming paper on optimising blood culture management and diagnosis of bacteremia.

Episode links

See the ECCMID programme here

Twitter:

@jhieditor | @IPIP_open

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Join Gemma Winzor (Editor in Chief, Infection Prevention in Practice) and Nik Mahida (Editor in Chief, Journal of Hospital Infection) live from FIS/HIS International 2022, as they talk with guests about how environmental factors impact infection control practice.

Christine Peters (Queen Elizabeth University Hospital, Glasgow) discusses two cases of Mycobacterium chelonae infection in haemato-oncology patients, using whole-genome sequencing and a potential link to the hospital water supply.

Katie Prescott (Nottingham University Hospitals NHS Trust) outlines an outbreak of New Delhi Metallo-Beta-lactamase Carbapenemase Producing Enterobaterales on a bone marrow transplant unit, and the role of environment in the outbreaks.

Peter Kinnevey (Trinity College Dublin) discusses MRSA and MSSA among healthcare workers, patients and the environment, and answers questions about healthcare working testing. 

Episode links

Inkster et al. Investigation of two cases of Mycobacterium chelonae infection in haemato-oncology patients using whole-genome sequencing and a potential link to the hospital water supply Journal of Hospital Infection 2021; Volume 114:111-115.

Prescott et al. Outbreak of New Delhi Metallo-Beta-lactamase Carbapenemase Producing Enterobacterales on a bone marrow transplant unit: Role of the environment Infection Prevention in Practice 2021; Volume 3(2):100125

Kinnevey et al. Meticillin-susceptible Staphylococcus aureus transmission among healthcare workers, patients and the environment in a large acute hospital under non-outbreak conditions investigated using whole-genome sequencing Journal of Hospital Infection 2022; Volume 127:15-25.

Twitter:

@jhieditor | @IPIP_open

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Elaine Cloutman Green (Consultant Clinical Scientist and Infection Control Doctor at Great Ormond Street Hospital for Children NHS Foundation Trust) discuss the role of the healthcare scientist in the IPC team.

Elaine also shares how she forged a successful healthcare career from a start in zoology, how to make people aware of the opportunities available for careers in science, and how to learn from our failure.

The importance of public outreach as part of our communication as IPC professionals is also discussed. Elaine shares stories from The Nosocomial Project, which was supported by a HIS Public Outreach grant to produce Nosocomial, a play, and now showcases other creative ways to communicate about infectious disease – including Klebsiella the Drag Queen.

Elaine has been the recipient of a Healthcare Infection Society Small Research Grant, a Mike Emmerson Early Career Award and a HIS Public Engagement Grant. You can find out more about available HIS grants here.

Episode links

• Elaine’s blog: Girly Microbiologist
• The Nosocomial Project
• The Environmental Infection Prevention and Control Network – Your guide to all things linked to prevention of infection transmission from healthcare environments

Twitter:

@girlymicro | @jhieditor | @IPIP_open

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In this episode Gemma talks with Ron Daniels, an NHS Consultant in Intensive Care, Executive Director and founder of the UK Sepsis Trust and board member of the Global Sepsis Alliance.

The conversation focuses on a recently-published white paper Ron co-authored as part of the Infection Management Coalition, which, in response to the COVID-19 pandemic, makes 29 recommendations to encourage interdisciplinary collaboration in order to accelerate the creation of a system which is resilient and mature with regard to outbreak and pandemic preparedness; infection prevention; rapid recognition, diagnosis and treatment of time-critical viral and bacterial infections; and to, ultimately, deliver effective antimicrobial stewardship.

Gemma and Ron also discuss the impact of sepsis on global mortality, the economic impact of antimicrobial resistance (AMR), and the importance of communicating the dangers of AMR to the public.

Episode links

• Infection Management Coalition White Paper
• Launch of the Infection Management Coalition white paper
• UK Sepsis Trust
• Global Sepsis Alliance – and how to get involved in World Sepsis Day
• Ron’s educational short video on ventilation

Twitter:

@SepsisUK | @jhieditor | @IPIP_open

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Gemma Winzor talks with Gonzalo Bearman (Professor of Infectious Diseases at Virginia Commonwealth University, Editor in Chief of Antimicrobial Stewardship & Healthcare Epidemiology) about his work on contact precautions for the control of endemic multidrug resistant organisms in healthcare settings. The conversation takes in the importance of horizontal and vertical IPC measures, adverse outcomes associated with isolation and contact precautions, cost-savings and customer satisfaction, and the research still to be done in the field.

Episode links

• RP Wenzel & MB Edmond, Infection control: the case for horizontal rather than vertical interventional programs. International Journal of Infectious Diseases 2010;Volume 14 (S1), S3-S5
• G Bearman et al. Impact of discontinuing contact precautions for methicillin-resistant Staphylococcus aureus and vancomycin-resistant Enterococcus: an interrupted time series analysis. Infection Control & Hospital Epidemiology 2018;Volume 39(6):676-682
• Haessler et al. Stopping the routine use of contact precautions for management of MRSA and VRE at three academic medical centers: an interrupted time series analysis. American Journal of Infection Control 2020;Volume 48(12):1466-1473
• Coia et al. Joint Healthcare Infection Society (HIS) and Infection Prevention Society (IPS) guidelines for the prevention and control of meticillin-resistant Staphylococcus aureus (MRSA) in healthcare facilities. Journal of Hospital Infection 2021;Volume 118:S1-S39
• Godbout et al. Impact of discontinuation of contact precautions on central-line associated bloodstream infections in an academic children’s hospital. Infection Control & Hospital Epidemiology 2019;Volume 40(4):473-475
• Gonzalo Bearman & Richard P. Wenzel Richmond-Times Dispatch column: New threats to controlling health care-associated infections
• Podcast: MRSA Guidelines: new evidence against an old adversary
• Twitter: @jhieditor @IPIP_open

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