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June 2018

Welcome to the first issue of the Journal of Hospital Infection with our new visual identity. The new look cover features this month's special section on Antibiotic Stewardship. The section opens with a systematic review of antimicrobial stewardship programmes in children, which reminds us of the dearth of research in this area and also of the lack of evidence that current programmes have reduced consumption of antibiotics, or broad-spectrum antibiotic use, in PICUs. In other paediatric studies Murray et al report widespread antibiotic use in paediatric long-term care facilities, amounting to 2.75 antibiotic courses per 1000 resident-days, while Chou et  al investigate the scope for electronic health records to optimize empiric antibiotic therapy for BSIs caused by GNB. Papers by O'Donnell et al and Nakagawa et al explore how new laboratory technologies may assist with antibiotic stewardship.

 In a virology section there are some articles on respiratory viruses; the paper by Gallagher et al is a particularly interesting reminder of the morbidity caused by respiratory viruses in care homes. Meanwhile, Maltezou et al propose an interesting approach to improve influenza vaccine uptake by healthcare workers - a day off work as an incentive!

 Finally three papers on the management of risks associated with high-consequence infectious diseases are highlighted. Kang et al found that adding colouring to chlorine solutions facilitated improved chlorine disinfection procedures. A pair of articles from describe the development and use of ‘VIOLET’: a new training for simulation exercises.

Editor's choice article

Role of antimicrobial stewardship programmes in children: a systematic review and  

'VIOLET’: a fluorescence-based simulation exercise for training healthcare workers in the use of personal protective equipment