Infection Control Matters Brett Mitchell

This week we have a second batch of posters that we liked at ESCMID Global and will be talking about:
VRE Surveillance using hospital waste water during an outbreak
Assessing the Hawthorne effect: Implications and solutions
The impact of an early Infectious Disease consultation for CLABSI: a single centre retrospective study
Semi-continuous disinfection of sinks with UVC on a haematologydepartment for infection prevention
Urinary tract microbiome of asymptomatic individuals with spinal cord injury
Nurses known to be colonized with livestock-associated MRSA did not cause transmission to patients
Clostridium difficile contamination of australian retail vegetables and households
Prolonged use of breathing systems used in anesthesia for up to 7 days instead of 24H
A pdf of the posters can be downloaded here

In this episode Brett, Phil and Martin tour the posters at ESCMID Global 2024 and we discuss some of them with the authors. A link to images of the posters can be found below.
Here are the posters we discuss
AMR Surveillance in waste water and clinical isolates from a tertiary hospital: Preliminary results
Deciphering the temporal short-term dynamics of Acinetobacter baumanii: Impact of colonisation pressure in infection in an endemic Indian intensive care unit (Manasa Tantry discussion)
Post-antibiotic risk for recurrent lower respiratory tract infection during prolonged hospitalisation
Transmission of MDRO during physical and occupational therapy appointmants a 3 Veterans Affairs Hospitals
Aircraft lavatory wastewater surveillance for SARS-CoV2 and other coronaviruses by using family-wide RT-PCR, Thailand, October – November 2023
Enhancing feedback and implementation of infection risk scan findings (IRIS) among healthcare workers in nursing homes
Proper glove use: a multicentre before-after regional study (Anne F. Voor and Juliëtte Severin discussion)
Poster link to see the posters we discuss Posters from ESCMID Global - Part 1
More posters to come!

It was day 3 at ESCMID Global 2024 and Phil, Brett and Martin mull over the day. Amongst the items we discuss are:
What does endogenous really mean?
AI in the IPC space - friend or foe?
Fungal outbreaks - epidemiological challenges and tracing the source
Automated bloodstream infection surveillance
The Euro PPS survey results - data in action (or inaction)
Subsequent to the podcast recording the ECDC PPS results have been published and can be found here:
https://www.ecdc.europa.eu/sites/default/files/documents/healthcare-associated--infections-antimicrobial-use-point-prevalence-survey-2016-2017.pdf

In this episode, Phil, Brett and Martin dicuss more sessions from ESCMID Global (Barcelona, 2024). We talk about sessions on cleaning the occupied bed space, SSI prevention and the difficulty of designing and executing good studies in IPC. We were particularly interested in papers from Italy on the use of probiotics in IPC and some papers from Prof Cassini's group are highlighted below.
Calabro GE, Caselli E, Rognoni C, Laurenti P, Moscato U, ML DIP, et al. [Health Technology Assessment of the introduction of the Probiotic Cleaning Hygiene System (PCHS) in the Italian healthcare setting: update]. J Prev Med Hyg. 2023;64:E1-E35. https://www.ncbi.nlm.nih.gov/pubmed/37881619
D'Accolti M, Soffritti I, Bini F, Mazziga E, Cason C, Comar M, et al. Shaping the subway microbiome through probiotic-based sanitation during the COVID-19 emergency: a pre-post case-control study. Microbiome. 2023;11:64. https://www.ncbi.nlm.nih.gov/pubmed/36991513
D'Accolti M, Soffritti I, Bini F, Mazziga E, Mazzacane S, Caselli E. Pathogen Control in the Built Environment: A Probiotic-Based System as a Remedy for the Spread of Antibiotic Resistance. Microorganisms. 2022;10. https://www.ncbi.nlm.nih.gov/pubmed/35208679
Caselli E, Purificato I. Could we fight healthcare-associated infections and antimicrobial resistance with probiotic-based sanitation? Commentary. Ann Ist Super Sanita. 2020;56:263-6. https://www.ncbi.nlm.nih.gov/pubmed/32959791|
Caselli E, D'Accolti M, Vandini A, Lanzoni L, Camerada MT, Coccagna M, et al. Impact of a Probiotic-Based Cleaning Intervention on the Microbiota Ecosystem of the Hospital Surfaces: Focus on the Resistome Remodulation. PLoS One. 2016;11:e0148857. https://www.ncbi.nlm.nih.gov/pubmed/26886448

In this episode, Brett, Martin and Phil mull over the newly published WHO discussion document on respiratory particles and Martin catches up with Prof Cath Noakes from the School of Engineering in Leeds, UK to get her take on it.
 
You can download the document we are discussing here
https://www.who.int/publications/m/item/global-technical-consultation-report-on-proposed-terminology-for-pathogens-that-transmit-through-the-air

In this podcast, Brett and Martin reflect on the "Infection Control Papers of the Year" presented at ECCMID (AKA ESCMID Global) 2024.
Here are a selection of some of the papers mentioned:

Decolonization in Nursing Homes to Prevent Infection and Hospitalization https://pubmed.ncbi.nlm.nih.gov/37815935/


Reducing Hospitalizations and Multidrug-Resistant Organisms vi a Regional Decolonization in Hospitals and Nursing Homes https://pubmed.ncbi.nlm.nih.gov/38557703/


Prevention of non-ventilator-associated hospital-acquired pneumonia in Switzerland: a type 2 hybrid effectiveness-implementation trial https://pubmed.ncbi.nlm.nih.gov/36893785/


Skin Antisepsis before Surgical Fixation of Extremity Fractures https://www.nejm.org/doi/full/10.1056/NEJMoa2307679


Trial of Vancomycin and Cefazolin as Surgical Prophylaxis in Arthroplasty https://www.nejm.org/doi/full/10.1056/NEJMoa2301401

Investigation of individual nurses' relative hand hygiene performance using an anonymous automated electronic hand hygiene monitoring system and a nursing assignment schedule https://www.ajicjournal.org/article/S0196-6553(22)00468-0/abstract

Environmental cleaning to prevent hospital-acquired infections on non-intensive care units: a pragmatic, single-centre, cluster randomized controlled, crossover trial comparing soap-based, disinfection and probiotic cleaning https://pubmed.ncbi.nlm.nih.gov/37089619/