Healthcare-Associated Infections (HAI) Update - Sept. 2018

Minnesota Department of Health

Healthcare-Associated Infections (HAI) Update

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September 2018

Quiz

Which animal has a chemical in its saliva that can kill Staphylococcus aureus?

a) Dog

b) Siberian tiger

c) Snow leopard

d) Siberian brown bear

e) Komodo dragon

The answer is at the bottom of this newsletter.


Save the Date: MDH Injection Safety Workshop Webinar Series

Calling all infection preventionists, directors of nursing, and nurse educators! MDH is hosting the 2018 Injection Safety Workshop, a free, three-part webinar series. The Injection Safety Workshop will give participants the tools to review injection safety practices within their own facility and identify steps to create an injection safety program. Participants must register for and attend all three sessions in order to be eligible for CEUs.

Oct. 30, Nov. 6, and Nov. 13, 2018
11:30 a.m. - 12:30 p.m. CT

Learn more and register: MDH Injection Safety Workshops

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


MDH Infectious Disease Lab Participating in CDC Pilot Program using HP Printers for Antibiotic Resistance Testing

The Minnesota Department of Health (MDH), Infectious Disease Laboratory (IDL) is one of four Antibiotic Resistance Laboratory Network (ARLN) regional laboratories that will participate in a pilot program using an HP D300e Digital Dispenser BioPrinter to make reference antimicrobial testing panels. These panels will perform susceptibility testing on new antibiotics before commercial testing methods are available. MDH-IDL will receive the printer and begin preliminary testing this fall. Once initial testing and validation are performed, testing of clinical isolates will be made available, per special request, to test patient isolates against new antibiotics that are resistant to almost all available standard antibiotics. As new antibiotics are developed there are plans to include those in the testing algorithm.

Learn more: CDC: Pilot Program with HP Accelerates Antibiotic Testing


Hospitals Moving Forward in Antibiotic Stewardship

This year several Minnesota hospitals began tracking and reporting antibiotic use data using the Antimicrobial Use and Resistance (AUR) Module, a component of the National Healthcare Safety Network (NHSN) system. Most recently, Lakeview Hospital in Stillwater and Sanford Bemidji Medical Center have started to use this system. In addition to promoting the safety of their own patients, they are providing a public health benefit. NHSN data on antibiotic use will be used to track national and state-specific trends in hospital antibiotic use.

There are now five Minnesota hospitals submitting antibiotic use data to NHSN, up from a single hospital at the start of this year. If you are interested in learning more about NHSN antibiotic use reporting, particularly to explore use within your hospital, please contact us at health.HAI@state.mn.us.

Learn more: NHSN Antimicrobial Use and Resistance Module


Long-term Care Access and Reporting Healthcare-Associated Infections in the National Healthcare Safety Network

The National Healthcare Safety Network (NHSN) is CDC’s tracking system for healthcare-associated infections. NHSN gives facilities the ability to see their data in real time and provides analytic tools to track and compare performance over time and against other similar facilities in the nation.

The 2018 NHSN Long-term Care Facility (LTCF) Component Training recorded videos and PDF slidesets are now available on the NHSN LTCF Component Training website. Presentations include 2018 NHSN updates, epidemiology and infection surveillance in long-term care, and more.

Continuing Education

NSHN’s continuing education (CE) certificate process includes registering for a course on the CDC Training and Continuing Education Online system, completing the course posttest and assessment, and printing the CE certificate. Available CEs include CME, CNE, CPH, and CEU.

Learn more: CDC: NHSN Training Continuing Education

Support

For training-related questions, please email NHSNtrain@cdc.gov with the subject line “LTCF Annual Training.”

If you would like to enroll in NHSN and begin tracking Clostridium difficile events or urinary tract infections in NHSN, support is available through MDH. Please contact 651-201-5414 or health.HAI@state.mn.us.


September is Sepsis Awareness Month

Get Ahead of Sepsis

 

Get Ahead of Sepsis is a national educational effort developed by the CDC to provide information to patients and health care professionals about how to recognize, treat, and prevent infections. Sepsis is the body's extreme response to an infection. It is life-threatening, and without timely treatment, sepsis can rapidly lead to tissue damage, organ failure, and death. Each year in the U.S., more than 1.5 million people develop sepsis, and at least 250,000 Americans die as a result.

Get involved: Share and download FREE educational materials for patients and health care professionals to learn how to prevent infections, be alert to the signs and symptoms of sepsis, and act fast if sepsis is suspected.

Learn more: CDC: Sepsis


CDC Antibiotic Stewardship Training Course

CDC offers a FREE online antibiotic stewardship training course on CDC TRAIN. Participants can receive up to eight hours of continuing education (CE). The course is divided into four sections. You can choose which sections are of interest to you. Three of the sections are applicable to outpatient settings such as clinics, dentistry, and emergency departments. The course is designed for prescribing clinicians, nurse practitioners, physician assistants, health education specialists, nurses, pharmacists, and public health practitioners.

Create an account and register for this course directly on CDC TRAIN.

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, or MIPS.

Learn more: CDC: Antibiotic Prescribing and Use in Doctor’s Offices Continuing Education


Release of the 6th Edition Guide to Infection Control in the Healthcare Setting

Infection Prevention and Control - It's Everyone's Concern!

Whether partnering with others, linking information to action, or working on the frontline, we all benefit from having the information we need to prevent and control infections. The newly released 6th edition of the Guide to Infection Control in the Healthcare Setting is a free online resource released by the International Society for Infectious Diseases (ISID). The guide includes contributions from more than 60 infectious disease experts and covers prevention principles and interventions for patients, families, and health care systems to improve quality of care and patient safety while limiting the use of antibiotics.

Learn more: ISID: Guide to Infection Control in the Healthcare Setting


CHAIN has a New Website

The Collaborative Healthcare-Associated Infections Network (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 (MDH), the Minnesota Hospital Association (MHA), and Stratis Health. In early 2017, CHAIN expanded its membership to include organizations representing providers across care settings.

In the Get Engaged section of the CHAIN website, you will find a current list of offerings compiled by MDH. The list includes tools, resources, and initiatives available in Minnesota and information on how organizations can take an active role in preventing healthcare-associated infections and antibiotic resistance. It is exciting to see all the activities going on in our state!

Learn more: CHAIN: Preventing HAIs in Minnesota


Sept. 28 is National Penicillin Allergy Day

Sept. 28, 2018, marks the 90th anniversary of Alexander Fleming's discovery of penicillin. Today, it is now recognized as National Penicillin Allergy Day to increase knowledge about penicillin allergies and benefits of allergy testing. In the United States, 10 percent of people report a penicillin allergy, but less than one percent of the population is truly allergic. It is important to correctly identify those with and without a penicillin allergy. This will provide more patients access to safer, less toxic antibiotics and will help in the fight to combat antibiotic-resistant infections.

Get involved: Download or order free print materials from the National Penicillin Allergy Day Tool Kit and show your commitment to raising awareness of penicillin allergies within your health system and community!

9 out of 10 patients who report a penicillin allergy are not truly allergic

Quiz Answer

d) Siberian brown bear. Due to the increase in multi-drug resistant organisms (MDROs) and growing limitations of existing antimicrobials, extensive research is taking place to find new antibiotics. A team of scientists studying microbiota found a chemical in Siberian brown bear saliva that kills S. aureus.

Learn more: PNAS article: Ultrahigh-throughput functional profiling of microbiota communities

Dog saliva does have antimicrobial properties, but these are generally not helpful to humans. Komodo dragon saliva contains toxins and an anticoagulant that add to the lethality of their bites, but a powerful antibacterial peptide has been found in their blood. A synthesized peptide based on this, called DRGN-1, is effective at killing some drug-resistant bacteria and fungi.

It may take years to translate findings like these into effective antimicrobials for clinical use. Meanwhile, antimicrobial stewardship and infection prevention efforts are key to limiting the occurrence and spread of MDROs.