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Public Health and Wellbeing

A collaboration between professionals in Microbiology and Infection Control serving West Wales

Demonstrating sepsis detection in Hywel Dda

April 16, 2018 by Dr Mike Simmons 2 Comments

totalbcMedicine is a serious business and when you hear harrowing stories of sepsis, how do you respond?  Certainly, many of the accounts you will read, or perhaps you have witnessed through personal exposure to family or friends who have had some form of sepsis, can be very disturbing.  Survivor accounts can be as equally distressing to all those allied to the caring professions and for all of us beg the question, what more can we do to improve diagnosis?  In Wales, as in other parts of the UK early recognition and detection of sepsis is key to early interventions.  The … Read the rest

Filed Under: All, Complexity, Infection Tagged With: HCAI, healthcare associated infection, microbiology, sepsis

Catheter urine sampling

June 23, 2017 by Dr Mike Simmons 2 Comments

Urine labI had a call this morning from one of our very talented staff nurses who wanted to check out carefully her understanding of when it is appropriate to send a sample for urine in a catheterised patient.  She explained that she had an elderly patient and the patients daughter had suggested that the catheter urine should be sent to our laboratory on a weekly basis to check for infection.

The patient did not have any symptoms or signs to suggest urinary infection and had therefore advised that sampling was inappropriate but was facing a series of questions and could I … Read the rest

Filed Under: Complexity, Educational, Infection, Risks Tagged With: HCAI, healthcare associated infection, urinary tract infection, urine, UTI

Urine triggers

January 26, 2016 by Dr Mike Simmons Leave a Comment

Urine labOne of my lab scientists highlighted how a few years ago, when working in a smaller laboratory at a time when they were severely short staffed, they had to take the urgent decision to stop testing any urine sample that came into the laboratory without any clinical details.

There was a two fold effect: the absolute numbers of urine samples arriving in the laboratory, prior to any being rejected for lack of clinical information reduced and secondly, the clinical information on those samples arriving improved dramatically.

Some time later, the staffing situation improved and the lab felt able to stop … Read the rest

Filed Under: Complexity Tagged With: complexity, HCAI, infection, microbiology, urine

Care home conference

April 17, 2015 by Dr Mike Simmons Leave a Comment

I always welcome the opportunity to visit the National Botanic Garden of Wales so was delighted to be invited to discuss how the Hywel Dda’s paradigm shift in thinking about the management of healthcare associated will support our local care homes.

The conference, “Working together to promote health, wellbeing and quality of life” was opened by Sarah Rochira, Older People’s Commissioner for Wales where she discussed elements of her care home review, “A place to call home?”

I was struck by her messages around the wellbeing agenda for older people in our community and what “good” looked like in those … Read the rest

Filed Under: All, Infection Tagged With: HCAI, infection, urinary tract infection, UTI, wellbeing

Blood cultures: an important test

March 18, 2013 by Dr Mike Simmons Leave a Comment

One of the most important microbiological investigations we undertake is the blood culture.   This is because blood does not normally have bacteria swimming around in it and therefore unlike from non-sterile sites, we can view any organism from a blood culture as potentially serious.

That said, as with any test we undertake, the opportunity for a sample to become contaminated is ever present.  This is just as true for blood culture because the sample is taken from a vein and access to the vein is via a needle through the skin.  Skin is not sterile but is home to many … Read the rest

Filed Under: All, Educational, Infection Tagged With: culture, HCAI, healthcare associated infection, infection, specimens

Should I worry about Healthcare Associated Infections?

March 14, 2013 by Dr Mike Simmons 1 Comment

This is a healthy question for any potential patient to ask of their medical advisors, particularly if they are about to go into hospital for some form of healthcare intervention, be it surgery or some other form of therapy.  Every potential patient should be advised of all the risks they may face – that’s part of understanding and determining their decision to proceed with the advice of their physician.

The unhealthy question is much more the specific: “Should I be worried about MRSA or C diff?”  It’s understandable that people ask about specific organisms but it is rather a failure … Read the rest

Filed Under: All, General, Infection, Risks Tagged With: anaesthesia, HCAI, healthcare associated infection, infection, surgery

A brief introduction

Public Health and Wellbeing seeks to help individuals understand the way our health and well-being is influenced by internal personal factors and external environmental factors.

The principle focus is with infection but we will also delve into other areas. The site is available to professionals and public alike.

While the owner and other authors are public health professionsals, the site is aimed at our principle population in West Wales. Please see
About This Site for more information.

Articles by Title

  • COVID-19: still testing the wrong people March 14, 2021
  • COVID-19 testing: Wasting money on an industrial scale? December 5, 2020
  • COVID-19: All over by Christmas? November 11, 2020
  • COVID-19: The Missing Middle October 4, 2020
  • Rurality revisited May 31, 2020
  • COVID, complexity and face-masks May 17, 2020
  • COVID-19: Where next? April 26, 2020
  • Creating a new normal April 19, 2020
  • Risk assessment on the fly April 18, 2020
  • A Question of Scale April 10, 2020
  • Wales the wonderful April 11, 2019
  • Demonstrating sepsis detection in Hywel Dda April 16, 2018
  • Catheter urine sampling June 23, 2017
  • Antibiotic suppression reducing August 5, 2016
  • Little things August 1, 2016
  • Urine quality improves July 17, 2016
  • HCAI complexity rules January 27, 2016
  • Urine triggers January 26, 2016
  • Gamekeeper turned Poacher December 17, 2015
  • Following in the footsteps of Bevan? December 9, 2015
  • Who’s taking the urine? September 4, 2015
  • Care home conference April 17, 2015
  • All things must pass April 6, 2015
  • A paradigm shift in thinking September 15, 2014
  • When transparency is opaque July 12, 2013
  • Blood cultures: an important test March 18, 2013
  • Should I worry about Healthcare Associated Infections? March 14, 2013
  • Smile and the world smiles with you June 15, 2010
  • Understanding behavioural responses to infections June 13, 2010

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