Current Issue

Journal of Hospital InfectionFull Member Access ...

 

August 2018

The August issue focuses principally on the infection prevention challenges around Gram-negative bacteria. Highlighted here are interesting papers from three European countries currently facing differing levels of challenge from carbapenem-resistant Gram-negative bacteria (CR-GNB). A survey of English hospitals found that whilst almost all had a carbapenemase-producing Enterobactericaeae (CPE) plan, 80% did not believe that the current national toolkit guidance offered an effective means to prevent CPE or was practical to follow. In France, where cohorting patients and healthcare workers is the mainstay of CPE control, Legeay et al concluded that colonization pressure, antibiotic consumption and a high caregiver:patient ratio were the main factors driving in hospital transmission. Finally, in Greece, Karampatakis et al reported that enhanced infection control measures can be effective in controlling CR-GNB, even in endemic areas. There is a Practice Point from Italy, and once again, we encourage all readers to use this format to report experiences that might not otherwise consider publishing. The letters section continues the debate on another important issue: the feasibility of reducing healthcare-associated Gram-negative bloodstream infections. As well as Gram-negative bacteria, the issue has a section on Clostridium difficile, with an emphasis on infections acquired outside the traditional hospital setting.