Cross Infection Guidelines

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. 

Background Principles

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, CFI International Walk, the One in 1,000 Campaign, Regional meetings and Information Evenings, Launches and 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 activities outside hospital 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 antibiotic 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.

Ways to guard against germs in everyday life:

  • Keep a Safe 6-Foot Distance
  • Wash Your Hands
  • Cover Your Cough
  • Clean and Disinfect Your Nebuliser
  • Avoid Frequent Contact with Dust and Dirt
  • Let Your School or Workplace Know
  • Get Vaccinated

Ways to guard against germs in a hospital setting:

  • Work With Your CF Team
  • Keep a Safe 6-Foot (2 metre) Distance
  • Wash Your Hands
  • Wear a Mask in common areas of the hospital
  • Cover Your Cough
  • Clean and Disinfect Your Nebulizer During Hospital Stays
  • Get Vaccinated

For more information regarding cross infection and the CFI guidelines please email info@cfireland.ie or call (01) 496 2433 

Community Cross Infection Guidelines Download
Respiratory Microbes Common in PWCF Download
School and Cystic Fibrosis Download