Infection Prevention & Control Care Champion Forum Outbreak - - PowerPoint PPT Presentation

Infection Prevention & Control Care Champion Forum Outbreak management of a gastrointestinal infection

Housekeeping

Fire exit & test alarm Toilets Refreshments

Scenario

• Mrs Smith a resident goes to the communal dining area for

her breakfast she begins to feel unwell and projectile vomits

• n the carpet. She returns to her room complaining of

feeling nauseous and has several episodes of diarrhoea and vomiting throughout the day.

• By evening two more residents who were in the dining room

at the time begin to have symptoms.

• Mrs Smith tells the carers that one of her visitors yesterday

had told her that he had had D&V the day before but felt alright when he visited her.

Scenario

• What should be your first actions and when?
• Who should you inform?
• Where should personal protective equipment (PPE) be

placed?

• What should staff working patterns around the home be?
• What should domestics be advised?
• What should laundry staff be advised?
• Can residents in hospital awaiting discharge be allowed

back?

Scenario

• How long before you can say the outbreak is over?
• When can affected staff come back to work?
• What is the rationale for this time period?
• What is an end of outbreak “deep clean” or “terminal

clean”? When should this be done?

What could have caused this outbreak?

• Norovirus (most likely)
• Food borne disease

e.g. Salmonella, Campylobacter

• Clostridium difficile

infection (CDI)

Clostridium difficile infection (CDI)

• Causes diarrhoea (CDAD)
• Pseudomembranous colitis
• Toxic megacolon
• Can lead to sepsis and

death

• 17% with CDI will die 30

days after diagnosis.

• People who have been

treated with broad spectrum antibiotics

• People with serious

underlying illnesses

• The elderly – over 80% of

CDI reported are in people aged over 65 years (PHE 2014)

Clostridium difficile infection (CDI)

Chain of Infection

CDI GDH

Admitted to healthcare facility

Antimicrobials C Diff exposure & acquisition Colonized no symptoms Infected symptomatic

1

CDI SIGHT

Prevent the spread

Prevent the Spread

• Hand Hygiene
• Personal protective

equipment (PPE)

• Safe handling of clinical

waste

• Decontaminate equipment
• Maintain a clean

environment