News survey for May 12, 2022

News survey for May 12, 2022

Avian influenza infects several Minnesota foxes; More poultry outbreaks in 4 states

The Minnesota Department of Natural Resources (DNR) announced yesterday that a wild fox in Anoka County near Minneapolis has tested positive for highly pathogenic avian influenza, which came after similar discoveries in Canadian foxes that were the first known infections of wild mammals in North America.

Like the Ontario foxes, the Minnesota fox was a group. DNR, which routinely responds to reports of sick wildlife, said it has added bird flu to routine screening of foxes showing neurological symptoms.

The strain was previously found in a few mammals in Europe and Japan and in two people, one from the United Kingdom and one from Colorado, raising concerns about the potential for the virus to spread.
May 11 Press Release Minnesota DNR
May 6 CIDRAP News Survey

In other high-pathway bird flu developments, the U.S. Department of Agriculture (USDA) Animal and Plant Health Inspection Service (APHIS) reported six other poultry outbreaks in four states, all of which involved backyard flocks.

In the West, Washington has reported three outbreaks, two in Clamham County near Seattle and one in Pierce County near Tacoma. Utah reported an outbreak in Cache County in the north, and Idaho reported another outbreak in Ada County near Boise.

Elsewhere, the virus has infected backyard birds in Chisago County, Minnesota, which is northeast of Minneapolis.
USDA Poultry Influenza Page (APHIS)

The team effort is closely related C . teams Discounts at Community Hospital

A quality improvement program led by a multidisciplinary team was associated with significant and continuous reductions at the start of the hospital Clostridium difficile infection (HO-CDI) in a community hospital, researchers report today in American Journal of Infection Control.

The program was implemented in a 410-bed community hospital in the southeastern United States from 2015 to 2020, led by a team that included nurses, a champion physician, a hospital epidemiologist, an infection prevention physician, a clinical microbiologist, and antimicrobial stewardship. Pharmacist.

The team and program were created in response to hospital HO-CDI rates that were consistently above the national standard set by the Centers for Disease Control and Prevention. Interventions to reduce HO-CDI rates included diagnostic supervision (a c difficult The test algorithm called “diarrhea decision tree”), improves environmental clean-up, antimicrobial stewardship, education and accountability.

Prior to implementation of the program, the incidence of HO-CDI in hospital was 12.91 per 10,000 patient-days. After the first year of implementation, the incidence of HO-CDI decreased to 4.72/10 000 patient days, a reduction of 63%. After three years, the incidence of HO-CDI decreased to 2.8/10 000 patient days, a 77% decrease from baseline. The standard incidence rate has seen a sustained decline, falling from 1.11 in 2015 to 0.43 in 2020 – below the national benchmark of 0.51.

The intervention also led to an increase c difficult Test for suitable patients within the first 3 days of hospitalization and low use of fluoroquinolones.

“Our project demonstrated that collaboration between professionals and continuous improvement can significantly impact the incidence of HO-CDI, sustaining reductions over years,” said Cherith Walter, MSN, RN, the study’s first author, in a press release from the Association of Professionals in Infection. Control (APIC), which publishes the journal. “We hope our findings will help other healthcare teams battling with this highly challenging healthcare-associated infection to improve patient safety and reduce associated costs.”
May 12 i j infect control Brief summary
May 12 APIC Press Release

2022-05-12 20:05:38

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