NITCAR speakers and committee members at FIS 2017: L-R Leila White, Shadia Ahmed, Anne Melhuish, Jonathan Sandoe, Damian Mawer, Andrew Kirby, Jordan Skittrall, Ben Warne
NITCAR had a session at FIS 2017, thanks to BSAC for supporting the cost of the session and speakers. Thank you to all who attended and all who asked interesting questions during and after the presentations.

HOODINI: A multicentre point prevalence study of Hospital onset diarrhoea
(Dr Damian Mawer)

Damian Mawer presenting at FIS 2017

Abstract: Limited existing evidence indicates hospital-onset diarrhoea (HOD) is common and places a burden on patients and healthcare services. To better understand the problem guidelines for Clostridium difficile infection management from NHS England encourage hospitals to collect background data on HOD. The HOODINI study was a multicentre survey designed to investigate the prevalence, causes and management of HOD on medical, surgical and elderly care wards across the NHS. The presentation will discuss the results and their potential implications for both local and national guidelines for the investigation and management of diarrhoea in hospitals.

National HCV Audit: Follow up of serologically proven HCV infection
(Miss Leila White)

Leila White presenting at FIS 2017

Abstract: There has been a rapid expansion in the classes of antiviral drugs available for Hepatitis C Virus (HCV) treatment, leading to the possibility of cure in many viraemic patients. The aim of this study was to ascertain how many patients with a new serological diagnosis of HCV received polymerase chain reaction (PCR) testing to detect viraemia. A retrospective multi-site, observational audit was carried out via the National Infection Collaborative for Audit and Research (NITCAR). The data suggests many patients do not receive follow up testing by PCR, however the results support a coordinated HCV PCR strategy.

CABI: A multicentre study of complicated intra-abdominal infection management and outcomes
(Dr Shadia Ahmed)

Shadia Ahmed presenting at FIS 2017

Abstract: Complicated intra-abdominal infection (CABIs) are associated with significant morbidity and mortality. Despite this, the optimal strategy for their management is uncertain due to a lack of clinical evidence. CABIs are heterogeneous in their aetiology and clinical presentation. In order to better understand their characteristics, we undertook a multi-centre audit and service evaluation involving 28 centres encompassing over 400 patients across the United Kingdom. We assessed current practice against the Infectious Diseases Society of America (IDSA) national guidelines for the management of CABI, and we aim to describe the surgical and antibiotic management of CABI in the UK, alongside outcomes.

NITCAR: Planning for the future
(Dr Jordan Skittrall)

Jordan Skittrall presenting at FIS 2017

Abstract: Multi-centre collaborations are common and aim to provide robust answers to questions requiring more resources or data than a single centre can produce. Clinicians in training are often an under-utilised resource in such collaborations – reflective of the scope and timescale of many projects. Consideration of the training needs and abilities of these clinicians suggests an entire class of collaborative project that could be completed by clinicians in training, addressing clinically relevant unanswered questions. I shall review what makes for a good trainee-run project and how a national collaborative assists successful project completion.

And finally…

We also managed to find some time for a catch-up, where we were able to discuss projects, plans, and life!