Healthcare-Associated Infections (HAI) Update - March 2018

Minnesota Department of Health

Healthcare-Associated Infections (HAI) Update

View this as a webpage

March 15, 2018

Register for the 2018 Minnesota Antibiotic Stewardship Conference

Minnesota Antibiotic Stewardship Conference


When: May 1, 2018

What: Free full-day conference focused on stewardship in ambulatory care settings

Who: Relevant for clinical staff, prescribers, and pharmacists in outpatient medical clinics, emergency departments, and dental clinics. Administrators and those involved in patient engagement and quality improvement are also welcome to attend.

Where: Wilder Center, 451 Lexington Avenue North, Saint Paul, MN 55104

Registration: Antibiotic Stewardship Conference: Focus on Ambulatory Care


New Clinical Practice Guidelines for Clostridium difficile Infection Released by IDSA & SHEA

The Infectious Diseases Society of America (IDSA) and the Society for Healthcare Epidemiology of America (SHEA) have developed new guidelines for Clostridium difficile, including new advancements in prevention, diagnostic methods and treatments for children and adults. The guidelines now include:

  • Preventive strategies for epidemiology and antibiotic stewardship
  • Specimen collection and laboratory testing using molecular tests vs. immunoassay
  • New recommendations for antibiotics include vancomycin and fidaxomicin as the first-line treatment
  • Fecal microbiota transplantation (FMT) as a recommendation for patients who have experienced multiple recurrences of C. difficile infection
  • Recommendations on epidemiologic surveillance, diagnosis, and treatment of C. difficile in children

Learn more: Clinical Practice Guidelines for Clostridium difficile Infection in Adults and Children: 2017 Update by IDSA and SHEA

IDSA has issued new guidelines that promote the use of fecal transplants to treat Clostridium difficile. C. diff infections are associated with antibiotic use that can destroy the natural defenses of a healthy gut microbiome. In the new guidelines, the ISDA notes a success rate nearing 90 percent of transplants, although long-term data on the effectiveness of the treatment is not yet available. Fecal transplants are intended to take the microbiome of healthy donors and allow them to flourish in the recipients.

Learn more: Fecal Transplants See Success in 90 Percent of Bacterial Gut Infections


Make Your Job "Mission Possible!"

Word cloud with infection related terms

APIC Minnesota is now offering its Basic Infection Prevention Course for professionals specializing in infection prevention. Certified (CIC) Instructors from a variety of clinical settings will provide real world problem solving with peers, networking support, and discuss current regulations and standards.

Upcoming course dates in St. Paul, MN:

April 25-26, 2018; July 26-27, 2018; October 25-26, 2018

Learn More: APIC Minnesota Basic Infection Prevention Course


Injection Safety Webinar Series Continues on March 27

Please join us for the third webinar in the MDH Injection Safety Workshop webinar series on March 27, 2018. The Injection Safety webinar series offers participants the tools to review injection safety practices within their own facility and identify steps to create an injection safety program. Participants must attend all three sessions in order to be eligible for CEUs.

Learn more and register in advance to attend the webinar: Injection Safety Workshop Webinar Series

Contact the MDH HAI unit at Health.HAI@state.mn.us with any questions.


Learn More about New Duodenoscope Surveillance Sampling and Culturing Protocols

The U.S. Food and Drug Administration (FDA), along with the Centers for Disease Control and Prevention (CDC), representatives from the American Society for Microbiology (ASM), and other endoscope culturing experts, developed voluntary standardized protocols for duodenoscope surveillance sampling and culturing.

The protocols outline steps hospitals and health care facilities can take to reduce the risk of infection and increase the safety of these medical devices. These steps are in addition to meticulously following manufacturer reprocessing instructions.

Find out more on this topic during a webinar with FDA, CDC, ASM and other endoscope culturing experts on March 22, 2018, 12:00-1:30 p.m. central time.

Learn more: FDA Webinar- Duodenoscope Sampling and Culturing


Lights, Camera, Action Video Contest Winners Announced!

Lights camera action for antibiotics video contest image

The winners have been named for the Lights, Camera, Action for Antibiotics Video Contest! The finalists' videos will be included in MDH's portfolio of public and patient engagement materials. Thank you to all who voted online!

View the first place video and finalists: Minnesota Department of Health Video Contest


FREE Continuing Education: CDC’s Web-based Training on Antibiotic Stewardship

The CDC is offering a new web-based course aimed at optimizing antibiotic prescribing. This course informs health care professionals about proper antibiotic use, encouraging open discussion among doctors and patients.

Doctors, nurse practitioners, physician assistants, certified health education specialists, nurses, pharmacists, and public health practitioners with a master's degree in public health are all eligible to receive up to eight hours of FREE CE from this course, which is accessible in multiple modules offered in four sections. The first section is available now, with additional content releasing later this year.

To learn more about this course, as well as other continuing education opportunities, visit the CDC Antibiotic Use website.

This course fulfills Improvement Activities (IA) Patient Safety and Practice Assessment (PSPA)_23 and PSPA_24 under the Centers for Medicare & Medicaid Services (CMS) Merit-Based Incentive Programs (MIPS).

Register: CDC Training on Antibiotic Stewardship


Minnesota Antibiotic Stewardship Honor Roll

Congratulations to the Minnesota facilities who have received Honor Roll recognition for their commitment to antibiotic stewardship! All honorees are listed on the Minnesota One Health Antibiotic Stewardship website. Apply any time. New facilities are added to the website quarterly.

Learn more: Minnesota Antibiotic Stewardship Acute Care and Critical Access Honor Roll

CHAIN Award for Excellence

The Minnesota Collaborative Healthcare-Associated Infection Network (CHAIN) Award for Excellence commends the infection prevention and antibiotic stewardship efforts of health care teams working to build safer health care environments. The awards are presented annually by CHAIN. We had many great initiatives submitted and we will be featuring a brief summary of each nomination in the coming months. This month we are featuring the Lakeview Hospital Antimicrobial Stewardship Team. We hope the lessons learned will provide you with innovative ideas that are useful to you regarding patient safety and quality of care. 


Lakeview Hospital Antimicrobial Stewardship Team

The Lakeview Hospital Antimicrobial Stewardship Team used the Joint Commission framework to identify improvement opportunities and focus work on the development of educational training, clinical best practices, and reporting capabilities. In one improvement initiative, the team partnered with other pharmacies across the HealthPartners organization to update over 3,000 order sets to require an indication for all antibiotics prescribed in the hospital setting. Baseline reporting and data validation are under review, with the goal of benchmarking against national data and utilization of dashboard reports.


What is CHAIN?

CHAIN represents a partnership formed in 2011 between the Minnesota Chapter of the Association for Professionals in Infection Control and Epidemiology (APIC-Minnesota), the Minnesota Department of Health, the Minnesota Hospital Association, and Stratis Health. In early 2017, CHAIN expanded membership to include organizations representing providers across care settings.
CHAIN coordinates across the continuum of health care delivery, and supports patients, individuals, and their families to prevent harm from infections acquired in the process of care and combat antibiotic resistance.