Comparison of VRE infection rates in Ontario hospitalsApr18

This paper was published in the Canadian Medical Association Journal (CMAJ) on April 4, 2017 (vol.5 no.2 E273-E280)

Abstract

Background: Some Ontario hospitals have discontinued active screening and isolation programs for vancomycin-resistant Enterococcus (VRE). The aim of this study was to determine whether this practice change is associated with a change in the rate of rise of VRE-positive blood cultures.

Methods: All Ontario hospitals are mandated to report VRE bacteremia. Using this publicly reported data set, we included all validated results between January 2009 and June 2015. Beginning in June 2012, some hospitals discontinued active VRE screening and isolation programs (intervention). We used an interrupted time series Poisson regression to assess the slope change in the incidence rate of VRE-positive blood cultures (primary outcome) after versus before the intervention. Hospitals that continued to screen were the comparison group. Incidence rates were adjusted for hospital type and clustering within hospital site; slope changes are presented as incidence rate ratios (IRRs) with 95% confidence intervals (CIs).

Results: In hospitals that had ceased screening (n = 13), there was an increase in slope after screening and isolation were discontinued compared with before screening and isolation were discontinued (slope change IRR 1.25 [95% CI 1.01-1.54]). In hospitals that continued screening (n = 50), the slope was not significantly different after June 2012 compared with before June 2012 (slope change IRR 0.81 [95% CI 0.56-1.15]).

Interpretation: There was a significant increase in the rate of rise of VRE-positive blood cultures in hospitals that discontinued active VRE screening and isolation programs but not in hospitals that continued to screen and isolate. Hospitals aiming to minimize rising rates should consider maintaining active screening and isolation programs.

You can read the full paper on the CMAJ Open website.

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CIPHI Annual Education Conference 2017Mar28

83rd CIPHI Annual Education Conference – Honouring Traditions, Inspiring Innovation

November 5 – 8, 2017 | Richmond, BC, Canada

The Canadian Institute of Public Health Inspectors (CIPHI) – BC Branch and Vancouver Coastal Health Authority will jointly host the 83rd CIPHI Annual Education Conference on November 5 – 8, 2017 at the Sheraton Vancouver Airport Hotel in Richmond, BC, Canada. This education conference will focus on current and emerging environmental public health issues and explore innovative ways to safeguard public health.

Please join CIPHI in Richmond, and visit their webpage at www.ciphi2017.ca for more information.

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New Bugs & Drugs websiteMar28

The Bugs & Drugs® resource is now available in a website format for BC users at the following link: www.bugsanddrugs.org.

The website is available to users accessing the website from an IP address that is from anywhere in British Columbia. Users can access the website from their personal or work devices as long as they have internet connectivity.   

Bugs & Drugs® is the recommended reference for management of infectious diseases and appropriate antimicrobial use. It is peer-reviewed, evidence-based, and frequently updated. Bugs & Drugs® is supported by the Do Bugs Need Drugs?® program and is funded in BC by the BC Ministry of Health, Pharmaceutical Services Division. 

For those preferring to use a mobile version of Bugs & Drugs®, further information can be found at http://www.bugsanddrugs.ca/.

Any questions about the above resources can be directed to Kim Dreher of the Do Bugs Need Drugs? program.

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Stop! Clean Your Hands day: CPSI video competitionMar17

This year, the Canadian Patient Safety Institute (CPSI) is hosting a video competition for Stop! Clean Your Hands Day (also known as World Hand Hygiene Day).

CPSI is looking for creative and original video submissions featuring the important questions you ask yourself to make sure the care you provide is the safest possible. Every video they receive will be uploaded to CPSI’s YouTube channel.

STOP! Clean Your Hands Day takes place May 5, 2017 – but the video submission deadline is April 7, 2017. CPSI is also hosting a webinar, online quizzes for the public and providers, and has a website full of tools and resources for the event.

Read more about CPSI’s video contest

 

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