eBulletin December 2009 Edition 40
In this Edition:
Reminders - Data:
| |
Data Due |
Reports posted |
| Type 1 Q2, 2009/10 |
5th February |
19th March |
| Type 2 Q2, 2009/10 |
29th January |
19th March |
| Hand Hygiene |
2nd April |
TBA |
VICNISS Webforms for Data Entry
The VCC has recently revised and expanded the webforms that are available on the VICNISS web site. A webform
resembles a paper data collection form which can be filled out using checkboxes and text fields. The VICNISS webforms can be accessed
via the VICNISS website and allows data to be sent
directly to the VICNISS server for processing.
Webforms are currently available for several VICNISS modules including:
- Haemodialysis incidents & denominator
- Influenza vaccinations
- Occupational exposures (Type 2)
Webforms under development include:
- Staphylococcus aureus bacteraemia (SAB)
- Monthly data summary forms (Type 2)
To facilitate introduction of the webforms the VICNISS Coordinating Centre is offering education to any VICNISS participating hospital.
Contact Noleen Bennett
noleen.bennett @ mh.org.au or Judy Brett (judy.brett @ mh.org.au) to organise education.
Remember - webforms will replace the need to fax or post VICNISS data collection forms. Using webforms should also reduce data entry error
and turn around time of reports back to hospitals.
It is anticipated that all haemodialysis, occupational exposure and influenza surveillance data will be submitted via webforms from
early 2010.
Staphylococcus aureus Bacteraemia (SAB) & Hand Hygiene
As of 1st September 2009 the activities of Hand Hygiene Victoria transferred to the VICNISS Coordinating Centre.
VICNISS now collects all hand hygiene data and is currently working on a revised form for the inclusion of SAB data that will come into
effect on 1st January 2010.
Staphylococcus aureus Bacteraemia (SAB) - User Group
To facilitate a smooth introduction & ensure consistent use of the SAB definition all participants are invited to a SAB user group via
teleconference.
To ensure the teleconference session is manageable and all participants have an opportunity to contribute, numbers will be limited to 15
for each teleconference. Although VICNISS has planned two teleconferences users only need to attend one session.
The SAB user groups are scheduled for:
- Session 1 - Wednesday 16th December 2009, 2pm
- Session 2 - Wednesday 16th December 2009, 3pm
Relevant documents and teleconference details will be forwarded to all participants closer to the session.
Please RSVP via email vicniss @ mh.org.au by
Monday, 14th December 2009, stating which session you wish to attend (session 1 commences 2pm OR session 2 commences 3pm).
If you require further information please contact the VICNISS Coordinating Centre, 9342 2605.
- In August 2009 168 hospitals were participating in HHA this number has increased in November to 250 nationwide.
- It is expected that online data entry for HH will be available through HHA from April 2010.
- Planning by the Australian Commission On Quality & Safety in healthcare has commenced for the National HH program beyond 2010.
- Data for the past 4 months was due to the Coordinating Centre on 27/11/09 for collation and submission to Bernadette Kennedy at DHS
before being sent onto the HHA. The next date for data submission is 2nd April 2010.
- VICNISS participates in regular teleconferences with HHA to ensure Victoria is implementing all aspect of the program.
- All data and queries regarding the VICNISS HH program should be directed to vicnisshh @ mh.org.au and a member of the Coordinating
Centre will get back to you.
Journal Club
The VICPA/VICNISS Journal Club provides a forum for infection control professionals to widely engage with literature and published
data in the field.
The next VICPA/VICNISS Journal Club to be held on:
| Date: | Friday 11th December 2009 |
| Time: | 8.00am Breakfast; 8.30am start presentations |
| Venue: | Baptcare. 1/1193 Toorak Rd, Camberwell. (Carparking is available in Wattle Valley Rd
off Toorak Rd; or Tram 75 to Vermont South, stop 52 and then a short walk up the street in the same direction; or train Alamein line,
situated between Burwood and Hartwell train stations - short walk from either station). |
| Speakers & Articles: |
Sue Flockhart (Ballarat Health): L Galoisy-Guibal, JL Soubirou, G. Desjeux, JY Dusseau, O Eve, J Escarment, R Ecochard. Screening for
Multidrug-Resistant Bacteria as a Predictive Test for Subsequent Onset of Nosocomial Infection. Infection Control and Hospital Epidemiology.
Nov. 2006, vol. 27, no. 11.
Kerry Rigby (Baptcare): J Heijne, P Teunis, G Morroy, C Wijkmans, S Oostveen, E Duizer, M Kretzschmar and J Wallinga. Enhanced Hygiene
Measures and Norovirus Transmission during an Outbreak 2009. Emerg Infect Dis. 2009 January; 15(1): 24-30.
|
| RSVP: | To assist with catering please RSVP by COB Tuesday 8th Dec 2009, email:
enquiries@vicpa.org.au |
Note: Copies of articles will be forwarded to participants when RSVP received.
Type 1 Surveillance Update
Education Workshops and User Group
| Introductory Workshop: | Thursday, 28th January 2010 (9am - 4pm) |
| Reports Workshop: | Friday, 29th January 2010 (9am - 12.30pm) |
| User Group: | Friday, 29th January 2010 (1.30-2.30pm) (teleconference available) |
| Venue: | VICNISS Coordinating Centre
10 Wreckyn Street, North Melbourne |
The 'Introductory Workshop' is designed for surveillance newcomers or ICPs that would like a refresher on VICNISS surveillance principles
and any changes. The 'Reports Workshop' outlines how to read reports and interpret your results. The 'User Group' is a forum for
VICNISS users to share their experiences, discuss issues arising from surveillance (e.g. definitions, data collection, software, reports),
and suggest improvements.
So, if you are new to surveillance or, have never attended one of these sessions it is probably time. If you or a member of your team
wish to attend one or all of these sessions please email judy.brett @ mh.org.au, or phone 9342 2605, to register your interest.
Following a review of VICNISS Form 1.1 Surgical Site Procedure (denominator) data collection form some changes have been made.
The data fields 'multiple procedure', 'trauma' and 'emergency' are no longer required. The form will reflect these changes when
next updated.
Note: Form 1.3 Caesarean Section Procedure (denominator) data collection form still requires the 'emergency' data field to be completed
as this information contributes to the standardised infection ratio (SIR).
VICNISS in partnership with Health IQ is continuing to roll out the Safer Hospitals Integrated Information Network (SHIINe) software
application to all Type 1 hospitals across the state.
There are currently seven hospitals where SHIINe is installed and is being tested by the infection prevention teams. We look forward to
working with the remaining Type 1 hospitals in this implementation phase.
If you require any further information about SHIINe and or your hospital's progress please contact the project manager at the
VICNISS Coordinating Centre Simon Burrell. He can be contacted via email Simon.Burrell @ mh.org.au or mobile 0400 331 464.
Validation of Central Line-associated Bloodstream Infection Intensive Care Unit Surveillance
Data from VICNISS
In 2006, a number of Type 1 VICNISS centres participated in a validation study of the module for monitoring CLABSI in ICU patients. Using
external review and application of NNIS criteria as the gold standard, the positive predictive value, negative predictive value,
sensitivity and specificity were found to be 59%, 74%, 35% and 87%, respectively. Of note, VICNISS has subsequently updated the
case-definition for CLABSI (July 2008) to maintain consistency with the NHSN. Findings of the current study suggest that this is one
important step towards improved validity (sensitivity) of the CLABSI module.
A more detailed article is also available on the VICNISS website: Validation of Central Line-associated Bloodstream
Infection Intensive Care Unit Surveillance Data from VICNISS.
Type 2 Surveillance Update
For some Type 2 surveillance modules, the reporting format was recently changed. For these modules, some of the surveillance data that has
previously been presented cumulatively will now be presented as annual rates.
1. Process indicator surveillance modules
For each participating hospital, the 'peripheral venous catheter use' data will now be presented as annual rates. The previous five years
of annual rates are to be included in the quarterly reports.
At this stage, the surgical antibiotic prophylaxis, health care workers and measles/hepatitis B immunisation modules remain unchanged.
2. Outcome indicator surveillance modules
For each hospital and region, the 'multi resistant organism' infection, 'bloodstream infection', 'occupational exposure' and 'surgical
infection report' surveillance data will now be presented as annual rates. The previous three years of annual rates are to be included
in the quarterly reports.
Christmas and New Year Period
Please note that the VICNISS Coordinating Centre will continue to operate during the Christmas and New Year period.
We'd like to take this opportunity to thank all the Infection Control teams for their hard work in collecting and submitting VICNISS
data during 2009.
From everybody at the VICNISS Coordinating Centre, we'd like to wish you all a SAFE and HAPPY festive season.
Infection Control Literature Review, December 2009
Our most recent
literature review, for December, compiled by Dr Leon Worth, ID Physician,
discusses current research on the following selected topics:
- Catheter-related Bloodstream Infection: Taking a Look Beyond ICU
- Chlorhexidine Bathing and Reduction of Bloodstream Infections in a Long-term Acute Care Hospital
