Cross Infection Guidelines
Aim and objectives of the guidelines
The aim of these guidelines is to reduce the probability of PWCF acquiring new bacterial infections with difficult to treat bacterial species. The objective is to provide evidence based recommendations upon with individual upon which individual PWCF can either assess themselves as a risk to other PWCF or that the risk of other PWCF present to them. Where such risk assessment is difficult for an individual, the individual should seek specific guidance from their CF physician and this may include consultation with the cross infection sub-committee if required. It should be stressed that the success of any such guidance is very largely dependent on a high degree of compliance by not only PWCF but also their family, friends, work colleagues, healthcare workers and event organisers.
There is a strong recommendation to accept the principle that all PWCF have some type of bacteria in their respiratory secretions and that other PWCF may acquire these bacteria. Standard precautions must apply at all times between PWCF. With respect to socialising, the key risks are close physical contact, contact within conversational distance and prolonged duration of contact such as overnight functions under the same roof. The implications are therefore relevant to the CFI National Conference, PWCF Christmas Party, CF Annual Walk, Regional meetings or any other events organised by the CFI. It is important to emphasise participation in a non-contact way such as teleconferencing, web-based discussion forum, and parties or pilgrimages with non-CF organisations.
The role of your CF physician is vital and central to your care. This should properly include all aspects of infection control not only in hospital but equally in your outside hospital activities where a risk of infection exists.
Three groups of bacteria will be considered special risks: all Burkholderia cepacia complex species; Staphylococcus aureus which are resistant to the indicator antbiotic methicillin (MRSA); and Pseudomonas aeruginosa which are multidrug resistant (MDR).
PWCF should not interact with other PWCF if unwell with an acute respiratory infection such as flu, tuberculosis etc. Similarly, PWCF should specifically avoid non-CF people with active respiratory infection.
If you wish to attend a CFI organised event please get your CF physician to complete the below form and return it to the main office.
*NB This document has to be signed by your consultant, dated and imprinted with your hospital stamp. Alternatively, the hospital can retype this letter on to headed paper displaying the appropriate date. No forms will be accepted without the completion of the above details.