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High levels of hospital acquired infection on children’s intensive care wards A new study demonstrates ‘unacceptably high’


rates of hospital-acquired infections among children in the UK and Europe. The report, published in The Lancet Infectious Diseases, ound that one in six children in paediatric intensive care units, and one in 10 babies in neonatal intensive care units had developed hospital infections while being treated. The study found that the pattern of hospital- acquired infections is different in babies and children compared to adults, with more serious infections such as blood poisoning/bloodstream infections being commonly seen (45%) followed by respiratory tract infections/pneumonia (22%). Many of these hospital-related infections are also multi-drug resistant, making their treatment more complicated.


The study was led by the European Centre NEWS IN BRIEF


Staff sickness down


The latest figures released by NHS Digital show that NHS staff sickness absence has decreased from 4% in September 2015 to 3.99% in September 2016. The data considers sickness absence rates and total days lost supplied by staff groups, Health Education England (HEE) regions and organisations. The lowest sickness rate groups for September 2016 were nursing, midwifery and health visiting learners, with 0.99%. The highest sickness rate groups were healthcare assistants and other support staff at 6.16%. The North West London HEE region had the lowest regional sickness absence at 3.07% for September 2016, while the North West HEE region had the highest sickness absence at 4.64%.


Conflicts of interest


NHS England is publishing new guidelines that will strengthen the management of conflicts of interest and ensure transparent and accountable healthcare. The guidance will permit staff, such as nurses, to receive a box of chocolates or other small tokens of gratitude from patients but will require them to decline anything that could be seen to affect their professional judgement. Gifts with a value over £50, accepted on behalf of organisations, will need to be declared. It will also be standard practice for NHS commitments to take precedence over private practice, and for any member of staff – clinical or non-clinical – to declare outside employment and the details of where and when this takes place, although not earnings at this stage.


MARCH 2017 245,000 Over


procedures performed


NEWS


for Disease Control (ECDC). The authors, from St George’s University of London and Imperial College London, are calling for continued action to prevent and reduce infection rates in children in hospital with a focus on neonatal and paediatric intensive care units. Mike Sharland, Professor of Paediatric Infections at St George’s, University of London, commented: “These rates of hospital-acquired infections are unacceptably high both in the UK and Europe, with worrying implications for babies, children and their families.” Alison Holmes, Professor of Infectious Diseases at Imperial College London, added: “We urgently need focus and investment on reducing the risk of bloodstream infections in babies and children in intensive care units across Europe.”


Public Health England, the Department of Health and NHS England have now launched a national Infection in Critical Care Quality Improvement Programme (ICCQIP) working with adult, paediatric and neonatal intensive care societies and providers. This programme has the capacity to reduce these potentially avoidable infections where hospitals collect data, develop and implement evidence-based interventions.


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