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Collaborative action on hygiene essential

More collaborative action is needed throughout the NHS if the number of cases of healthcare-acquired infections is to be significantly reduced. This was a message given to delegates attending the Hospital Hygiene conference held recently at ExCeL, London.

Professor Christine Beasley, chief nursing officer, Department of Health, told delegates on the first day of the conference that lessening was a widespread belief that hospitals were dirty. People who had used hospitals recently were likely to perceive the premises had become cleaner. Attention still needed to be focused on high usage areas such as entrances, A&E departments and lavatories where cleanliness could still remain unsatisfactory.

Other speakers on the first day included Jean Lawrence, chair of the Infection Control Nurses Association, and Professor Gary French, professor of microbiology, Guy’s and St Thomas’ NHS Trust. Jean Lawrence stressed the need for a collaborative approach to achieving effective infection prevention. She said infection control was an uncomplicated matter, involving the application of standard principles. It was paramount that effective hand hygiene regimes were implemented.

Professor French said there was considerable evidence that routine cleaning methods did not achieve necessary results and that required was a scientific review of the methods to ensure satisfactory cleaning performance. The elevation of hospital hygiene on the political agenda was the single biggest issue to arise on the second day of the conference. Beginning with a rallying call from Beverly Malone, general secretary, Royal College of Nursing, for the Government to incorporate RCN’s “Wipe it out” ten point hygiene plan, the scene was set for much consensus on the need for action at the highest level.

Other contributions from speakers including Dr Helen Glenister, National Patient Safety Agency, and Carole Fry, Department of Health, reinforced the requirement for health policy to adequately reflect the need to protect patients from healthcare-acquired infections, and calls were made for a coherent national strategy for infection control that could be universally understood and rigorously enforced. A case study from Judy Potter, director of infection prevention and control, Royal Devon & Exeter NHS Foundation Trust, outlined how steps taken to deal with an outbreak of Clostridium difficile infections at the Trust demonstrated the need for a collaborative and determined approach to ensuring patient protection from dangerous infections.

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