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Paper 4
Ayrshire and Arran NHS Board Monday 21 March 2016
Healthcare Associated Infection (HAI) HAIRT Report Author: Bob Wilson, Infection Control Manager
Sponsoring Director: Hazel Borland, Nurse Director
Date: 22 February 2016
Recommendation NHS Board members are asked to review this report on Healthcare Associated Infections (HAI) with particular reference to performance against the HEAT targets for 2015/2016, together with other infection prevention and control (IP&C) monitoring locally. The report topics are: Staphylococcus aureus bacteraemia (SABs) Clostridium difficile infection (CDI) Meticillin resistant Staphylococcus aureus (MRSA) Outbreaks/Incidents updates This report provides the full Healthcare Associated Infection Reporting Template (HAIRT).
Summary
HEAT Target Position 1 April 2015 – 31 January 2016
NHS Ayrshire and Arran update
(1) CDI: To achieve a rate of no more than 0.32 cases per 1,000 occupied bed days in the 15 and over age group by the year ending 31 March 2016 (equates to no more than 120 cases).
One hundred and thirty six (136) CDI cases. The Board has now exceeded the CDI HEAT Target.
(2) SAB: To achieve a rate of no more than 0.24 cases per 1,000 acute occupied bed days by the year ending 31 March 2016 (equates to no more than 84).
Eighty-four (84) SAB cases. This equates to the SAB HEAT target. The Board will not achieve the SAB HEAT, however it remains on course for achieving an overall reduction when compared with 2014-15.
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Glossary of Terms
ACH Ayrshire Central Hospital CDI Clostridium difficile Infection HAI Healthcare Associated Infection HAIRT Healthcare Associated Infection Reporting Template HEAT Health, Efficiency, Access, Treatment IPCT Infection Prevention & Control Team KPI Key Performance Indicator MRSA Meticillin Resistant Staphylococcus aureus PVC Peripheral Vascular Catheter SAB Staphylococcus aureus bacteraemia UHA University Hospital Ayr UHC University Hospital Crosshouse
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1. SAB Update 1.1 HEAT Target To achieve a rate of no more than 0.24 cases per 1,000 acute occupied bed days for SABs by the year ending 31 March 2016 (equates to no more than 7 SABs per month / 84 cases in total).
1 April 2015 – 31 January 2016 (Month 10)
Total SABs 84 cases
There were 16 SABs in January, the highest monthly total since August 2014. As a result the Board is no longer in a position to achieve the HEAT target.
45 Healthcare Acquired 20 Healthcare Associated 19 Community
Chart 1 – SAB HEAT Target 2015–16 monthly position (Year 2)
Significant progress has been made in reversing the increase in SABs experienced during 2014-15.
The Board has now returned to having one of the lowest SAB rates amongst mainland territorial Boards.
The rolling annual rate has declined from 0.35 in March 2015 to a verified rate of 0.28 at September 2015.
The projected rate for the year ending December 2015 is 0.26.
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Chart 2 – Rolling Annual SAB rate Vs HEAT Target Key actions to support SAB reduction
A package of PVC support materials including a clinical guideline; a care bundle; a patient information leaflet and Learn-pro module was launched in February.
A package of blood culture support materials including new equipment, revised guidance and a learn-pro package was launched in February.
The IPCT and consultant microbiologists are supporting the roll out of both packages.
2. CDI Update 2.1 HEAT Target To achieve a rate of no more than 0.32 cases per 1,000 occupied bed days for CDIs in the 15 and over age group by the year ending 31 March 2016 (equates to no more than 10 cases per month / 120 cases in total).
1 April 2015 – 31 January 2016 (Month 10)
Total CDIs 136 cases
The Board has now exceeded the CDI HEAT trajectory
90 Out of hospital cases (66%) 46 Hospital acquired (34%)
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Chart 3 – CDI HEAT Target 2015–16 monthly position
The Board has again experienced an increase in the CDI rate in the first 2 quarters of the year (Chart 4 below). This seasonal increase is also evident in the Scottish data. The reasons for the seasonal increase both locally and nationally are unknown.
Unfortunately the decrease traditionally seen in the 3rd quarter of the year has not matched that experienced previously especially in hospital identified cases.
Chart 4 - Number of CDI Cases (15 and Over Age Group) per Quarter
After a prolonged period of year on year reductions in the CDI rate, the Board is now experiencing a plateau in its annual rate with some indications that rates may be slowly increasing (Chart 5below).
In September 2014 the Board’s annual CDI rate was 0.36 cases per 1,000 occupied bed days. This is the lowest annual rate achieved by the Board.
The rate has since increased with a verified rate of 0.39 cases for the year ending September 2015.
The projected rate for the quarter ending December 2015 is 0.4.
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Chart 5 – Rolling Annual CDI rate Vs HEAT Target Key actions to support CDI reduction
Our focus remains on reducing the overall levels of antimicrobial prescribing.
A programme of antimicrobial wards rounds undertaken by the microbiologists and the antimicrobial pharmacists commenced in December 2015 and is being well received by clinical teams.
Data is being collected to measure the effectiveness of the wards rounds and the impact on antibiotic prescribing.
Quarterly CDI care plan audits are underway by the IPCT. These are reported at each Prevention and Control of Infection Committee. Action plans or learning notes will be developed to address any themes that emerge from the audit findings.
A CDI Summit to identify further areas of intervention has been convened by the Nurse Director for April 2016. Those invited include clinicians, management, IPCT and the local Health Protection Team. Health Protection Scotland will provide national expertise.
3. MRSA National Policy Clinical Risk Assessment (CRA) Update The national Key Performance Indicator (KPI) target is to achieve 90% and above. The compliane level for Quarter 3 (2015-2016) was 94%, a 2% increase on the previous quarter (Table 1). This is highest level achieved to date and the second consecutive quarter above the national target (Chart 6).
Quarter Activity 2014-2015
Number of Clinical Areas
Audited
Total Nursing Notes
Assessed
NHS Ayrshire & Arran
Compliance
NHS Scotland Compliance
Q1 (Apr – Jun 15) 34 437 85% 83%
Q2 (Jul – Sept 15) 9 114 92% 78%
Q3 (Oct – Dec15) 22 262 94% 83%
Table 1 – MRSA KPI Quarterly Compliance
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Chart 6 – Compliance with the National KPI
4. Outbreaks / Incidents Update 4.1 Ward/Room Closures Since the commencement of the Norovirus Season in September 2015, there have been six wards closures due to confirmed or suspected norovirus. A breakdown of these outbreaks is shown in Table 2.
Ward/Hospital Month Patients Affected
Staff Affected
Causative Agent
Length of Closure
Station 8, UHA November 2015
13 0 Norovirus (suspected)
9 days
Pavilion 1, ACH November 2015
3 8 Norovirus (confirmed)
2 days
Pavilion 3, ACH December 2015
5 4 Norovirus (suspected)
9 days
Ward 1D, UHC December 2015
11 6 Norovirus (confirmed)
11 days
Station 16, UHA December 2015
6 0 Norovirus (suspected)
3 days
Pavillion 1, ACH February 2016 4 0 Norovirus (suspected)
3 days
Table 2 – Breakdown of Norovirus Season 2015 Ward Closures As part of the routine preparation for norovirus season, the following actions were taken:
Communication to the public through a combination of media releases and social media.
Information to staff via huddles and the daily digest.
ICNs visiting wards to advise of the commencement of the norovirus season and the actions required regarding prompt identification and isolation of patients with diahorrea and vomiting.
Norovirus pack detailing the appropriate infection control patient management is available via the IPCT homepage on Athena.
Norovirus formed a core component of the IPCT roadshow events held during November / December 2015 attended by approximately 350 members of staff across a number of hospital sites.
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Monitoring Form
Policy/Strategy Implications
Not required. This update report has no policy/strategy implications.
Workforce Implications
Not required. This update report has no workforce resource implications.
Financial Implications
The continual management and monitoring of HAIs in NHS Ayrshire & Arran in driving down infection rates as far as possible will ensure that costs per patient stay (ie treatments, length of stay, terminal ward cleaning etc) will not be impacted upon, ensuring that costs are minimised across the organisation.
Consultation (including Professional Committees)
The HAI update is provided to agreed NHS Boards, Healthcare Governance Committees and to the Prevention & Control of Infection Committee at every meeting (four times per year).
Risk Assessment
Assessments are carried out on the HAI alert organisms by the Infection Control Nurse responsible for that particular clinical area to ensure that all necessary standard infection control precautions are initiated as appropriate in managing the patients care.
Best Value - Vision and leadership - Effective partnerships - Governance and
accountability - Use of resources - Performance management
Delivers effective partnerships and governance and accountability for the Board and best use of resources.
Compliance with Corporate Objectives
Patient Safety
Single Outcome Agreement (SOA)
Not required. This is an update report to NHS Board members.
Impact Assessment Equality Impact Assessment not required as this is an update report to NHS Board members.
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Appendix 1
Healthcare Associated Infection Reporting Template (HAIRT)
Section 1 – Board Wide Issues
Key Healthcare Associated Infection Headlines
84 SAB cases contributing to the HEAT target (14 above trajectory)
136 CDI cases contributing to the HEAT target (36 above trajectory)
Staphylococcus aureus (including MRSA)
There have been 84 SAB cases between April 2015 and January 2016. This is 14 cases above the HEAT Target trajectory. The board will not meet the 2015-16 HEAT target.
This section of the HAIRT covers Board wide infection prevention and control activity and actions. For reports on individual hospitals, please refer to the ‘Healthcare Associated Infection Report Cards’ in Section 2. A report card summarising Board wide statistics can be found at the end of section 1.
Staphylococcus aureus is an organism which is responsible for a large number of healthcare associated infections, although it can also cause infections in people who have not had any recent contact with the healthcare system. The most common form of this is Meticillin Sensitive Staphylococcus Aureus (MSSA), but the more well known is MRSA (Meticillin Resistant Staphylococcus Aureus), which is a specific type of the organism which is resistant to certain antibiotics and is therefore more difficult to treat. More information on these organisms can be found at:
Staphylococcus aureus :
http://www.nhs24.com/content/default.asp?page=s5_4&articleID=346
MRSA: http://www.nhs24.com/content/default.asp?page=s5_4&articleID=252
NHS Boards carry out surveillance of Staphylococcus aureus blood stream infections, known as bacteraemias. These are a serious form of infection and there is a national target to reduce them. The number of patients with MSSA and MRSA bacteraemias for the Board can be found at the end of section 1 and for each hospital in section 2. Information on the national surveillance programme for Staphylococcus aureus bacteraemias can be found at:
http://www.hps.scot.nhs.uk/haiic/sshaip/publicationsdetail.aspx?id=30248
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Clostridium difficile
There have been 136 SAB cases between April 2015 and January 2016. This is 36 cases above the HEAT Target trajectory. The board has exceeded the HEAT.
Hand Hygiene
The HAIRT contains hand hygiene compliance obtained through local hand hygiene auditing.
Cleaning and the Healthcare Environment
The HAIRT contains cleaning and the healthcare environment compliance obtained through local auditing.
Clostridium difficile is an organism which is responsible for a large number of healthcare associated infections, although it can also cause infections in people who have not had any recent contact with the healthcare system. More information can be found at:
http://www.nhs.uk/conditions/Clostridium-difficile/Pages/Introduction.aspx
NHS Boards carry out surveillance of Clostridium difficile infections (CDI), and there is a national target to reduce these. The number of patients with CDI for the Board can be found at the end of section 1 and for each hospital in section 2. Information on the national surveillance programme for Clostridium difficile infections can be found at:
http://www.hps.scot.nhs.uk/haiic/sshaip/ssdetail.aspx?id=277
Good hand hygiene by staff, patients and visitors is a key way to prevent the spread of infections. More information on the importance of good hand hygiene can be found at:
http://www.washyourhandsofthem.com/
NHS Boards monitor hand hygiene and ensure a zero tolerance approach to non compliance. The hand hygiene compliance score for the Board can be found at the end of section 1 and for each hospital in section 2. Information on national hand hygiene monitoring can be found at:
http://www.hps.scot.nhs.uk/haiic/ic/nationalhandhygienecampaign.aspx
Keeping the healthcare environment clean is essential to prevent the spread of infections. NHS Boards monitor the cleanliness of hospitals and there is a national target to maintain compliance with standards above 90%. The cleaning compliance score for the Board can be found at the end of section 1 and for each hospital in section 2. Information on national cleanliness compliance monitoring can be found at:
http://www.hfs.scot.nhs.uk/online-services/publications/hai/
Healthcare environment standards are also independently inspected by the Healthcare Environment Inspectorate. More details can be found at:
http://www.nhshealthquality.org/nhsqis/6710.140.1366.html
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Outbreaks 2015-16
Outbreaks of Diarrhoea and/or Vomiting
Ward/Hospital Month Patients Affected
Staff Affected
Causative Agent
Length of Closure
Station 8, UHA November 2015
13 0 Norovirus (suspected)
9 days
Pavilion 1, ACH November 2015
3 8 Norovirus (confirmed)
2 days
Pavilion 3, ACH December 2015
5 4 Norovirus (suspected)
9 days
Ward 1D, UHC December 2015
11 6 Norovirus (confirmed)
11 days
Station 16, UHA December 2015
6 0 Norovirus (suspected)
3 days
Pavilion 1, ACH February 2016 4 0 Norovirus (suspected)
3 days
This section should give details on any outbreaks that have taken place in the Board since the last report, or a brief note confirming that none have taken place. Where there has been an outbreak then for most organisms as a minimum this section should state when it was declared, number of patients affected, number of deaths (if any), actions being taken to bring the outbreak under control and whether this was reported to the Scottish Government. For outbreaks of norovirus a more general outline of the outbreak may be more appropriate.
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Healthcare Associated Infection Reporting Template (HAIRT)
Section 2 – Healthcare Associated Infection Report Cards
The following section is a series of ‘Report Cards’ that provide information, for each acute hospital and key community hospitals in the Board, on the number of cases of Staphylococcus aureus blood stream infections (also broken down into MSSA and MRSA) and Clostridium difficile infections, as well as hand hygiene and cleaning compliance. In addition, there is a single report card which covers all community hospitals [which do not have individual cards], and a report which covers infections identified as having been contracted from outwith hospital. The information in the report cards is provisional local data, and may differ from the national surveillance reports carried out by Health Protection Scotland and Health Facilities Scotland. The national reports are official statistics which undergo rigorous validation, which means final national figures may differ from those reported here. However, these reports aim to provide more detailed and up to date information on HAI activities at local level than is possible to provide through the national statistics. Understanding the Report Cards – Infection Case Numbers Clostridium difficile infections (CDI) and Staphylococcus aureus bacteraemia (SAB) cases are presented for each hospital, broken down by month. Staphylococcus aureus bacteraemia (SAB) cases are further broken down into Meticillin Sensitive Staphylococcus aureus (MSSA) and Meticillin Resistant Staphylococcus aureus (MRSA). More information on these organisms can be found on the NHS24 website: Clostridium difficile : http://www.nhs24.com/content/default.asp?page=s5_4&articleID=2139§ionID=1 Staphylococcus aureus : http://www.nhs24.com/content/default.asp?page=s5_4&articleID=346 MRSA: http://www.nhs24.com/content/default.asp?page=s5_4&articleID=252§ionID=1 For each hospital the total number of cases for each month are those which have been reported as positive from a laboratory report on samples taken more than 48 hours after admission. For the purposes of these reports, positive samples taken from patients within 48 hours of admission will be considered to be confirmation that the infection was contracted prior to hospital admission and will be shown in the “out of hospital” report card. Targets There are national targets associated with reductions in C.diff and SABs. More information on these can be found on the Scotland Performs website: http://www.scotland.gov.uk/About/Performance/scotPerforms/partnerstories/NHSScotlandperformance Understanding the Report Cards – Hand Hygiene Compliance Hospitals carry out regular audits of how well their staff are complying with hand hygiene. Each hospital report card presents the combined percentage of hand hygiene compliance with both opportunity taken and technique used broken down by staff group.
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Understanding the Report Cards – Cleaning Compliance Hospitals strive to keep the care environment as clean as possible. This is monitored through cleaning and estates compliance audits. More information on how hospitals carry out these audits can be found on the Health Facilities Scotland website: http://www.hfs.scot.nhs.uk/online-services/publications/hai/ Understanding the Report Cards – ‘Out of Hospital Infections’ Clostridium difficile infections and Staphylococcus aureus (including MRSA) bacteraemia cases are all associated with being treated in hospitals. However, this is not the only place a patient may contract an infection. This total will also include infection from community sources such as GP surgeries and care homes and. The final Report Card report in this section covers ‘Out of Hospital Infections’ and reports on SAB and CDI cases reported to a Health Board which are not attributable to a hospital.
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NHS AYRSHIRE & ARRAN REPORT CARD
Staphylococcus aureus bacteraemia monthly case numbers
Feb
2015
Mar
2015
Apr
2015
May
2015
Jun
2015
Jul
2015
Aug
2015
Sept
2015
Oct
2015
Nov
2015
Dec
2015
Jan
2016
MRSA 0 0 1 0 0 0 0 1 0 0 1 3
MSSA 8 8 8 7 6 11 3 7 8 6 9 13
Total SABS 8 8 9 7 6 11 3 8 8 6 10 16
Clostridium difficile infection monthly case numbers
Feb
2015
Mar
2015
Apr
2015
May
2015
Jun
2015
Jul
2015
Aug
2015
Sept
2015
Oct
2015
Nov
2015
Dec
2015
Jan
2016
Ages 15-64 5 5 2 4 4 5 1 3 2 2 3 5
Ages > 65 5 4 9 9 10 8 19 12 15 10 5 8
Total > 15 10 9 11 13 14 13 20 15 17 12 8 13
Hand Hygiene Monitoring Compliance (%)
Feb
2015
Mar
2015
Apr
2015
May
2015
Jun
2015
Jul
2015
Aug
2015
Sept
2015
Oct
2015
Nov
2015
Dec
2015
Jan
2016
AHP 98.0 96.3 98.6 98.5 98.5 99.2 100 98.8 99 100 97 100
Ancillary 94.6 97.6 94.8 94.6 96.2 94.9 93 96 97 99 96 98
Medical 96.7 96.0 97.2 97.1 97.2 97.4 97.4 98.1 99 97 99 99
Nurse 99.0 98.8 98.1 98.5 98.5 97.6 98.7 99 99 99 96 100
Board Total 98.0 97.7 97.6 97.8 98.0 97.5 98.1 98.5 99 99 97 99
Cleaning Compliance (%)
Feb
2015
Mar
2015
Apr
2015
May
2015
Jun
2015
Jul
2015
Aug
2015
Sept
2015
Oct
2015
Nov
2015
Dec
2015
Jan
2016
Board Total 96 95 95 95 96 94 96 95 94 95 96 95
Estates Monitoring Compliance (%)
Feb
2015
Mar
2015
Apr
2015
May
2015
Jun
2015
Jul
2015
Aug
2015
Sept
2015
Oct
2015
Nov
2015
Dec
2015
Jan
2016
Board Total 96 97 98 96 97 96 96 97 97 97 99 98
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UNIVERSITY HOSPITAL AYR REPORT CARD
Staphylococcus aureus bacteraemia monthly case numbers
Feb
2015
Mar
2015
Apr
2015
May
2015
Jun
2015
Jul
2015
Aug
2015
Sept
2015
Oct
2015
Nov
2015
Dec
2015
Jan
2016
MRSA 0 0 0 0 0 0 0 0 1 1 0 1
MSSA 0 0 1 0 2 1 0 1 0 0 0 3
Total SABS 0 0 1 0 2 1 0 1 1 1 0 4
Clostridium difficile infection monthly case numbers
Feb
2015
Mar
2015
Apr
2015
May
2015
Jun
2015
Jul
2015
Aug
2015
Sept
2015
Oct
2015
Nov
2015
Dec
2015
Jan
2016
Ages 15-64 0 0 0 0 0 0 0 0 1 0 0 0
Ages 65
plus 2 1 0 2 1 0 3 0 1 1 1 1
Ages 15
plus 2 1 0 2 1 0 3 0 2 1 1 1
Cleaning Compliance (%)
Feb
2015
Mar
2015
Apr
2015
May
2015
Jun
2015
Jul
2015
Aug
2015
Sept
2015
Oct
2015
Nov
2015
Dec
2015
Jan
2016
Ayr 95 95 95 95 94 95 96 95 95 98 94 94
Estates Monitoring Compliance (%)
Feb
2015
Mar
2015
Apr
2015
May
2015
Jun
2015
Jul
2015
Aug
2015
Sept
2015
Oct
2015
Nov
2015
Dec
2015
Jan
2016
Ayr 96 99 97 95 96 96 96 96 96 97 97 97
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UNIVERSITY HOSPITAL CROSSHOUSE REPORT CARD
Staphylococcus aureus bacteraemia monthly case numbers
Feb
2015
Mar
2015
Apr
2015
May
2015
Jun
2015
Jul
2015
Aug
2015
Sept
2015
Oct
2015
Nov
2015
Dec
2015
Jan
2016
MRSA 0 0 0 0 0 0 0 1 0 0 0 1
MSSA 4 2 2 4 2 2 2 2 5 1 2 3
Total SABS 4 2 2 4 2 0 0 3 5 1 2 4
Clostridium difficile infection monthly case numbers
Feb
2015
Mar
2015
Apr
2015
May
2015
Jun
2015
Jul
2015
Aug
2015
Sept
2015
Oct
2015
Nov
2015
Dec
2015
Jan
2016
Ages 15-64 0 1 0 0 0 2 0 0 0 0 1 0
Ages 65
plus 1 2 0 4 0 2 5 2 2 2 1 2
Ages 15
plus 1 3 0 4 0 4 5 2 2 2 2 2
Cleaning Compliance (%)
Feb
2015
Mar
2015
Apr
2015
May
2015
Jun
2015
Jul
2015
Aug
2015
Sept
2015
Oct
2015
Nov
2015
Dec
2015
Jan
2016
Crosshouse 96 95 96 96 96 96 96 96 96 95 95 97
Estates Monitoring Compliance (%)
Feb
2015
Mar
2015
Apr
2015
May
2015
Jun
2015
Jul
2015
Aug
2015
Sept
2015
Oct
2015
Nov
2015
Dec
2015
Jan
2016
Crosshouse 97 98 100 97 97 97 97 97 97 97 99 98
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AYRSHIRE CENTRAL HOSPITAL REPORT CARD
Staphylococcus aureus bacteraemia monthly case numbers
Feb
2015
Mar
2015
Apr
2015
May
2015
Jun
2015
Jul
2015
Aug
2015
Sept
2015
Oct
2015
Nov
2015
Dec
2015
Jan
2016
MRSA 0 0 0 0 0 0 0 0 0 0 2 1
MSSA 0 0 1 0 0 1 0 0 0 0 0 0
Total SABS 0 0 1 0 0 1 0 0 0 0 2 1
Clostridium difficile infection monthly case numbers
Feb
2015
Mar
2015
Apr
2015
May
2015
Jun
2015
Jul
2015
Aug
2015
Sept
2015
Oct
2015
Nov
2015
Dec
2015
Jan
2016
Ages 15-64 0 0 0 0 0 0 0 0 0 0 0 1
Ages 65
plus 0 0 1 0 0 0 0 0 1 1 0 0
Ages 15
plus 0 0 1 0 0 0 0 0 1 1 0 1
Cleaning Compliance (%)
Feb
2015
Mar
2015
Apr
2015
May
2015
Jun
2015
Jul
2015
Aug
2015
Sept
2015
Oct
2015
Nov
2015
Dec
2015
Jan
2016
ACH - 96 - 96 96 91 - 94 96 94 96 96
Estates Monitoring Compliance (%)
Feb
2015
Mar
2015
Apr
2015
May
2015
Jun
2015
Jul
2015
Aug
2015
Sept
2015
Oct
2015
Nov
2015
Dec
2015
Jan
2016
ACH - 95 - 99 99 96 - 99 98 95 99 99
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BIGGART HOSPITAL REPORT CARD
Staphylococcus aureus bacteraemia monthly case numbers
Feb
2015
Mar
2015
Apr
2015
May
2015
Jun
2015
Jul
2015
Aug
2015
Sept
2015
Oct
2015
Nov
2015
Dec
2015
Jan
2016
MRSA 0 0 0 0 0 0 0 0 0 0 0 0
MSSA 1 0 0 2 0 0 0 0 0 0 0 0
Total SABS 1 0 0 2 0 0 0 0 0 0 0 0
Clostridium difficile infection monthly case numbers
Feb
2015
Mar
2015
Apr
2015
May
2015
Jun
2015
Jul
2015
Aug
2015
Sept
2015
Oct
2015
Nov
2015
Dec
2015
Jan
2016
Ages 15-64 0 0 0 0 0 0 0 0 0 0 0 0
Ages 65
plus 0 0 1 0 0 0 1 0 2 0 0 0
Ages 15
plus 0 0 1 0 0 0 1 0 2 0 0 0
Cleaning Compliance (%)
Feb
2015
Mar
2015
Apr
2015
May
2015
Jun
2015
Jul
2015
Aug
2015
Sept
2015
Oct
2015
Nov
2015
Dec
2015
Jan
2016
Biggart 96 93 95 93 97 92 98 95 90 94 98 93
Estates Monitoring Compliance (%)
Feb
2015
Mar
2015
Apr
2015
May
2015
Jun
2015
Jul
2015
Aug
2015
Sept
2015
Oct
2015
Nov
2015
Dec
2015
Jan
2016
Biggart 96 95 98 93 97 95 94 96 97 98 100 98
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NHS COMMUNITY HOSPITALS REPORT CARD
The community hospitals covered in this report card include:
Ailsa Hospital
Arran War Memorial Hospital
Arrol Park Resource Centre
East Ayrshire Community Hospital
Girvan Community Hospital
Kirklandside Hospital
Lady Margaret Staphylococcus aureus bacteraemia monthly case numbers Feb
2015
Mar
2015
Apr
2015
May
2015
Jun
2015
Jul
2015
Aug
2015
Sept
2015
Oct
2015
Nov
2015
Dec
2015
Jan
2016
MRSA 0 0 0 0 0 0 0 0 0 0 0 0
MSSA 0 0 0 0 0 0 0 0 0 0 0 0
Total SABS 0 0 0 0 0 0 0 0 0 0 0 0
Clostridium difficile infection monthly case numbers Feb
2015
Mar
2015
Apr
2015
May
2015
Jun
2015
Jul
2015
Aug
2015
Sept
2015
Oct
2015
Nov
2015
Dec
2015
Jan
2016
Ages 15-64 0 0 0 0 0 0 0 0 0 0 0 0
Ages 65 plus
1 0 1 0 1 0 0 0 0 0 0 1
Ages 15 plus
1 0 1 0 1 0 0 0 0 0 0 1
NHS OUT OF HOSPITAL REPORT CARD Staphylococcus aureus bacteraemia monthly case numbers Feb
2015
Mar
2015
Apr
2015
May
2015
Jun
2015
Jul
2015
Aug
2015
Sept
2015
Oct
2015
Nov
2015
Dec
2015
Jan
2016
MRSA 4 6 1 0 0 0 0 0 0 0 1 0
MSSA 0 0 4 1 2 7 1 4 2 4 5 7
Total SABS 4 6 5 1 2 7 1 4 2 4 6 7
Clostridium difficile infection monthly case numbers Feb
2015
Mar
2015
Apr
2015
May
2015
Jun
2015
Jul
2015
Aug
2015
Sept
2015
Oct
2015
Nov
2015
Dec
2015
Jan
2016
Ages 15-64 1 1 2 4 4 3 1 3 1 2 2 3
Ages 65 plus
5 4 6 3 8 6 10 9 9 6 3 5
Ages 15 plus
6 5 8 7 12 9 11 12 10 8 5 8
