Quality report 2021-2022

3.4 Clinical indicators - Patient safety 3.4.1 Healthcare acquired infections

We have low levels of healthcare acquired infections despite the particular vulnerability of many of our patients to infections as a result of their disease and treatment. Low rates of healthcare acquired infections indicate high standards of cleanliness, hygiene, antibiotic use and other measures to prevent cross-infection. MRSA bacteremia In 2021/22 we have had no cases of MRSA bacteremia, against a threshold of 0.

MRSA Bacteraemia

3

2

1

0

May

Jun

Jul

Mar

Apr

Aug

Sep

Oct

Nov

Dec

Jan

Feb

2020/21 Total 2021/22 Total

0 0 0

0 0 0

0 0 0

0 0 0

1 0 0

0 0 0

0 0 0

0 0 0

0 0 0

1 0 0

0 0 0

0 0 0

Threshold

MRSA % appropriate elective patients In 2021/22 The Christie screened 100% of eligible elective patients.

3.4.2 Healthcare acquired infections - Clostridium Difficile There were 39 cases of Clostridium Difficile infections (CDI) – healthcare acquired in 2021/22 against an agreed threshold of no more than 31. There were 23 community acquired cases identified on admission and therefore not attributable. Upon full root cause analysis, there were no healthcare acquired cases due to lapses in care. Each case of CDI is subjected to a rigorous review and multi-disciplinary root cause analysis. This has demonstrated that each attributable case of CDI was induced by the specialist treatment provided at The Christie. The treatments we provide make our patients more susceptible to CDI and this is balanced against the importance of delivering effective cancer treatments.

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