MRSA is a type of bacterium (bug) that is less easily treated with common antibiotics. People can have it on their skin or up their nose (called colonisation) without it causing any problems. However, people can go on to develop more serious infections.

MRSA is not only hospital acquired, it can also be acquired within the community. 

Infection prevention and control is one of our top priorities. We are serious about preventing all infections (including MRSA) especially for patients who are most at risk. This includes those who have intravenous (IV) lines, wounds or who are susceptible to infections e.g. people who have cancer, the very old and the very young.

MRSA can be treated with specific antibiotics. If someone has a colonisation, we can use treatment to reduce the organism on the skin.

C.diff is present as one of the ‘normal’ bacteria in the gut of around 5% of healthy guts. It can also be found in children under the age of 2 years but rarely causes a problem. C.diff can cause illness when certain antibiotics disturb the balance of ‘normal’ bacteria in the gut.

Symptoms of diarrhoea are usually mild and resolve once antibiotic treatment has stopped. However, C.diff may also require specific antibiotic treatment. On very rare occasions severe bowel inflammation may occur which requires both antibiotic and surgical treatment.

It is possible for the infection to spread from person to person because those suffering from C.diff diarrhoea shed spores in their faeces. These spores can survive for a very long time in the environment and be transported on the hands of anyone. Good hygiene and environmental cleaning is therefore essential.

It is important to know and remember hand sanitiser is ineffective against C.diff; therefore hands must be washed with soap and water.

NHCT has a very robust and strictly enforced antibiotic policy, ensuring the right antibiotics are targeted for specific conditions. Patients with C.diff are cared for in a single room whilst they have diarrhoea. All equipment, floors, surfaces and furniture in the room are thoroughly cleaned with specific products.

Surveillance and education plays an integral role in our practice to reduce C.diff infection. You will be visited on the ward by a healthcare professional and offered support. Contact details for the infection prevention and control team and further information will also be provided.

Following discharge from hospital, should you develop diarrhoea which concerns you, please contact your GP for advice.

• Do not visit if you have been unwell during the past 48 hours – specifically with diarrhoea and/or vomiting for flu-like illness. Please contact the nurse in charge of the ward if you are unsure.
• We ask visitors not to sit on patient’s beds.
• May we remind visitors to refrain from using patient toilets on wards.
• Adhere to visiting times, unless prior arrangements have been made. We appreciate you may wish to bring young children in to visit, this may not always be appropriate. Please remember that hospitals are public buildings. Children are the responsibility of their parent, guardian or accompanying adult while they are on hospital premises.
• There may be occasions where wards are closed to visiting due to outbreaks of infection. If you are unsure, please contact the ward prior to visiting.
• When visiting clean your hands at the sinks on entrance to the ward and exit. Alternatively, you will find hand sanitiser available. Remember if the person you are visiting has C.diff you must wash your hands with soap and water. Hand sanitiser is ineffective against this bug.
• Do not touch or allow your relatives and friends to touch wounds or any other device such as catheters or drips.
• Limit the amount of presents, food, books etc. Too many can cause clutter around the bed space making cleaning difficult. Please refrain from bringing flowers and we no longer allow plants on the ward.
• Wash your hands after using the toilet, urinal or commode.
• Prior to eating and drinking it is essential that you clean your hands with a moist wipe or soap and water. Wipes will be provided at each mealtime and we ask you to use these prior to eating.
• Talk to the nurse in charge in you have any concerns about the cleanliness of the environment or if you are concerned regarding the care you, your friend or relative are receiving. You can also discuss any concerns with the Patient Advice and Liaison Services (PALS) 0800 032 0202.

Have you had an overnight stay in another hospital within the past 12 months? This includes both in the UK and abroad.

If you answered ‘yes’, please inform a staff member at your earliest opportunity. There may be a requirement to screen you for a bacteria called Carbapenemase producing Enterobacteriaceae (CPE). This is the name given to a group of bacteria that have become resistant to antibiotics including those called Carbapenems.

People can get CPE if they have been in hospitals abroad but also in some hospitals within the UK. It is important that you inform your doctor of any recent travel or hospital admissions so that you receive the most appropriate care and treatment. You can also become colonised with CPE if you have taken a lot of antibiotics in the past. Resistant bacteria can survive after you have taken antibiotics and are then able to multiply. You may also acquire CPE if you have been exposed to other carriers.