The NHS Long Term Plan supports a 50% reduction in Gram-negative bloodstream infections (GNBSIs) by 2024/25.
To help NHS systems achieve this, we have developed the GNBSI reduction toolkit: a collection of guidance notes, actions and resources you can use to shape your approach to reducing GNBSI.
This toolkit is outlined across six areas, with a seventh laying out further next steps to follow. Click on the links below for more information:
Governance and leadership
Guidance on devising system structures and processes to allow integrated systems to tackle GNBSI – including examples of good practice.
Collecting and analysing data, and promoting system management.
Developing antimicrobial stewardship across integrated systems and working beyond individual organisations.
Urinary tract infection (UTI) and catheter-associated urinary tract infection (CAUTI)
Actions concerned specifically with reducing UTI and CAUTI – leading causes of GNBSI and E. coli.
Improving patient and population hydration, as a means of reducing infection.
Education and awareness
Recommended actions and examples of education work in systems across England.
Further actions to consider once the above processes have been undertaken.
- GNBSI toolkit planner – Planning document allowing responsibilities and timescales to be allocated to all actions across the toolkit areas
- Our GNBSI prevention resource – Online 11-part improvement resource for prevention and reduction of GNBSI, focusing primarily on E. coli (published 2017, updated 2019)
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