Infection control protocols: Is it time to clean up our act?

Makiela, S. , Weber, A., Maguire, B.J ., Taylor-Robinson, A.W. |2018|Infection control protocols: Is it time to clean up our act?| Australian Journal of Paraemdicine | Vol. 3 |3, 5|Accessed here: ajp.paramedics.org

New commentary published in the Australian Journal of Paraemdicine considers the infection protocols for emergency care, notes that Australia currently has no national protocol, (there are guidelines at state and territory level)  and praises the infection control measures in the United Kingdom.

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Abstract
While paramedics in Australia respond to many call-outs daily, little is known of the risks of infectious disease transmission that may arise from contamination of vehicles, equipment, personnel and/or patients. We examine what is currently known of the current risks in Australia posed by contamination of emergency service vehicles by antimicrobial-resistant microorganisms.

The commentary can be read here 

Hospital superbugs developing ‘tolerance to alcohol disinfectants’

Nursing Times | August 2018 | Hospital superbugs developing ‘tolerance to alcohol disinfectants’

An Australian study has found that multidrug-resistant bacterial species that can cause infections in hospitals are becoming increasingly tolerant to the alcohols used in handwash disinfectants. adult-alcohol-clean-257279.jpg

Australian researchers analysed bacterial samples from two different hospitals over a nineteen-year period between 1997 and 2015. They discovered that drug-resistant E. faecium infections had increased, in spite of  using  alcohol based disenfectants. This led  the research team to investigate if E. faecium could be developing resistance to the alcohols used in hand rubs (Source: Nursing Times). 

Rotherham NHS staff can request this article here 

 

Antimicrobial Resistance and Immunisation

Houses of Parliament | July 2018 |Antimicrobial Resistance and Immunisation

A new POSTnote, based on literature reviews and interviews with range of stakeholders, and externally peer reviewed, has been released from the House of Commons Library. This POSTnote considers the rise of antimicrobial resistance and immunisation. 

AMR
Image source: researchbriefings.parliament.uk

Key points from the POSTNOTE:

  • Antimicrobial resistance (AMR) has reached a point where some infections may become untreatable.
  • Immunisation is one strategy to tackle AMR, by decreasing rates of infection and thereby antibiotic use and preventing the development of resistant infections.
  • The World Health Organization has developed a list of pathogens where AMR is of most concern and new antibiotics are needed; there is no equivalent for vaccines.
  • Quantifying the impact of immunisation on AMR and incorporating this into calculating the cost-effectiveness of vaccines is still an area of ongoing research.
  • Using immunisation to tackle AMR depends on wider use and increased uptake of existing vaccines, and increasing the development of new ones (Source: House of Commons Library).

The briefing Antimicrobial Resistance and Immunisation is available from the House of Commons Library