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Saturday 21 December 2024
Salisbury Foundation Trust

FOI_8317

Internal Reference Number: FOI_8317

Date Request Received: 28/11/2024 00:00:00

Date Request Replied To: 10/12/2024 00:00:00

This response was sent via: By Email

Request Summary: Coagulase-Negative Staphylococci Data in ICU

Request Category: Students (Educational)

 
Question Number 1:
I am writing to request information under the Freedom of Information Act 2000. In order to assist you with this request, I am outlining my request as specifically as possible.

I would be greatly appreciative if you could provide the following information:

Number of blood cultures taken from patients in intensive care units in your Trust that grew coagulase-negative staphylococci (including coagulase-negative staphylococci that were identified to species level) from January 2023 to December 2024.
 
Answer To Question 1:
20
 
Question Number 2:
Please confirm whether in your Trust antimicrobial susceptibility testing data is routinely available for all coagulase-negative staphylococcal blood culture isolates or only for those deemed to be a cause of infection.
 
Answer To Question 2:
Direct sensitivities are carried out on all isolates but EUCAST sensitivities are only carried out and released if considered to be a cause of bloodstream infection.
 
Question Number 3:
If antimicrobial susceptibility testing data is available for all coagulase-negative staphylococcal blood culture isolates, please indicate how far back in time and for what time period is the antimicrobial susceptibility testing data available.
 
Answer To Question 3:
Antimicrobial susceptibility testing data is held on the LIMS so goes back to when the LIMS was introduced, unsure when but > 10years
 
Question Number 4:
Please confirm the antimicrobial susceptibility testing method used in your Trust, e.g. disc diffusion, Vitek 2, and whether EUCAST or CLSI interpretative criteria are used.
 
Answer To Question 4:
EUCAST disc diffusion
 
Question Number 5:
Please confirm whether coagulase-negative staphylococcal blood culture isolates in your Trust are routinely retained in the laboratory, e.g. on beads or on slopes.
 
Answer To Question 5:
On beads for 1 year if clinically significant
 
Question Number 6:
If yes to Question 5, indicate how far back in time and for what time period coagulase-negative staphylococcal blood culture isolates are available. Please indicate if only select isolates are available, for example, those considered to be a cause of bloodstream infection.
 
Answer To Question 6:
On beads for 1 year if clinically significant
 
Question Number 7:
Does your Trust use whole-body skin bacterial decontamination for all or selected patients?
 
Answer To Question 7:
Selected patients
 
Question Number 8:
With respect to whole-body skin decontamination, please confirm to which hospital patient groups this is administered, e.g. all admissions, only high-impact acute specialities, only MRSA-positive patient. Please provide the relevant Trust policy/guideline.
 
Answer To Question 8:
MRSA positive, pre orthopaedic joint arthroplasty and complex spinal operations
 
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