Infection Control Manual

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Page updated 7 October 2008

Background

Infection Control Services was formed in late 2000 by the consultant microbiologists at University College London Hospitals to provide advice about infection control to hospitals in the private sector.

These services had previously been provided by GR Micro Ltd.

Directors

Dr Geoffrey M Scott JP MD FRCP FRCPath DTM&H, Company Secretary

Geoff Scott qualified at the Royal Free Hospital in 1972 and did medical rotations including Chest Medicine, Geriatrics and Neurology and Gastroenterology, obtaining MRCP(UK) in 1974. He did further training in Infectious Diseases with David Tyrrell as MRC Research Fellow at Northwick Park Hospital, obtaining the Diploma in Tropical Medicine in Liverpool in 1979.

His main research interests were the clinical use of interferons and respiratory virus infections. He took up clinical microbiology at UCH in 1984. From the time of his house job in Infectious Diseases in 1973, he developed and has maintained an interest in the management of tuberculosis, doing clinics with Dr S G Spiro first at the Brompton Hospital and then at UCH. He has developed the current TB service at UCLH.

His other interests include control of resistant bacterial infections such as vancomycin-resistant enterococci, measuring the value of microbiology data on the outcome of blood stream infections and mathematical modelling of transmission of nosocomial pathogens. His areas of clinical responsibility include neurology/neurosurgery, leukaemia and renal units. He is editor of a unified infection control manual for UCLH, the West Middlesex Hospital and private sector institutions.

Dr A Peter R Wilson MA MD FRCP FRCPath (Director)

Peter Wilson obtained his preclinical training in Cambridge then did clinical training at UCH, qualifying MA (Nat Sci) Cambridge and MB BS (London) in 1981. He did postgraduate training at Northwick Park Hospital working in part with Geoff Scott on the Infectious Diseases and the Rheumatology Units and obtained MRCP (UK) in 1984.

He initially joined the laboratory at UCH as a Research Fellow and obtained his MD (London) on a study of antibiotic prophylaxis in cardiac surgery. He then completed training in medical microbiology and was made a consultant in 1990. He has continued to take a close interest in antibiotic prophylaxis in surgery, performing major clinical studies.

He is Infection Control Doctor for the Camden and Islington Community Trust. Locally his main commitment is to management of infections in Cardiology and Intensive Care.

Dr Nandini Shetty MD MRCPath DipHIC (Director)

Nandini Shetty qualified from St. John’s Medical College & Hospital, Bangalore, India in 1979 after a one-year compulsory rotating internship in the major medical and surgical specialties. After 3 years as an anaesthetist, she chose to specialise in Clinical Microbiology in 1983, obtaining an MD in 1987 and the MRCPath in 1994.

In 1999, she obtained the Diploma in Hospital Infection Control from London University, being the first candidate to be awarded the diploma by examination. Nandini has acquired extensive experience in the practice of clinical microbiology and infection control both in India and in the UK. In 1998, she was appointed consultant microbiologist working jointly for the NHS at UCLH and the Health Protection Agency (HPA).

She has been actively involved in the evaluation of laboratory tests for the accurate diagnosis of MRSA and application of molecular methods for the rapid diagnosis of tuberculosis. Currently her work involves the surveillance of infections both in hospital and in the community and in the rationalisation of antibiotic prescribing in the community. Locally, she works with the paediatricians and supervises the teaching of the undergraduate curriculum in Infectious Diseases.

Dr John Holton MB PhD MRCPath (Director)

John Holton qualified in Edinburgh in 1972 and did his internship there. He did post-graduate training in Kent and obtained his PhD in Microbial Genetics from the University of Kent as an MRC Research Fellow. He came to the Middlesex Hospital for training in Clinical Microbiology, becoming Senior Lecturer, Honorary Consultant in 1983 and Reader in 2000.

With the merger of UCH and the Middlesex Hospitals Microbiology Departments in 1984, he became a part of the larger team of consultants, playing an important role in coordinating microbiology education. He runs BSc and MSc courses and has supervised many postgraduate students.

His current clinical interest is the management of neurology/neurosurgery patients with infections. His research portfolio is formidable. He is a world expert on Helicobacter pylori, has interests in detecting DNA from uncultivable organisms and is examining the relationship between gut flora and diseases of the colon.

He is an expert on the testing of new methods of disinfection, particularly as applied to endoscopes.

Dr Vanya Gant PhD FRCP MRCPath (Director)

Vanya Gant qualified at the Middlesex Hospital in 1980. He is Consultant Microbiologist and Clinical Director for Infection at the Hospital for Tropical Diseases at UCL Hospitals Trust, which he joined in 1999.

He has over 20 years of clinical experience. The first 10 of these were spent in general hospital medicine dealing with patients at the bedside. He took a three year gap from clinical work to extend his interests in Cellular Immunology, from which he obtained a PhD. He returned to medicine via microbiology as the discipline most aligned to his academic interests in infection and immunity. He spent 5 years at Guy's and St Thomas' Hospitals Trust as Senior Lecturer in Microbiology, developing a bedside clinical infection service for the Intensive Care and HIV inpatient units.

Within six months of moving to UCLH Trust, he was appointed clinical director, from which position he consolidated several clinical departments into the Directorate of Infection.

He serves on several Government appointed national committees, has an active research programme, and has contributed both papers and edited a book in the fields of artificial Neural Networks and flow cytometry. He has also partly written and appeared in several TV programmes for both American Public Service network and Channel 4 on microbiological topics.

Mr Hilton Teren CA (Director)

Hilton Teren qualified as a Chartered Accountant (South Africa) in 1975 and in the following year immigrated to the United Kingdom with his wife and son of 10 months. Entering the world of professional accountancy rapidly provided an insight into local business practice and a sound knowledge of personal and corporation tax.

His exposure to a wide range of clients, including international communications, professions, manufacturers and traders, tempted Hilton to spread his wings. In the commercial world, Hilton has successfully held positions of responsibility and influence in a number of companies.

These include fund management and investment, a multiple chain of estate agents, international bureau de change - across 3 continents, new business start up and, more recently, medical microbiological services to the environmental and pharmaceutical industries. Hilton brings to Infection Control Services a wealth of experience and commerciality that will complement the superior level of service that we provide to our customers.

Mr Michael Shemko BASc(Eng) MSc (Director)

Michael Shemko graduated from the University of British Columbia (Vancouver, Canada) in 1998 with a Bachelor's Degree in Bioresource Engineering and immigrated shortly after to the United Kingdeom. He subsequently completed a Masters in Medical Molecular Biology at the University of Westminster (London, UK) in 2002, and has completed post graduate education in computing with a particular interest in web development, bioinformatics, infection surveillance and logistics.

His exposure to a wide range of activities include public health and epidemiology, molecular diagnostics, infection control and infectious disease surveillance. He has been involved in entrepreneurial activies in Canada and the United Kingdom and manages the technology and product development of the company including web services and electronic audit / inspection tool development.

Affiliates

Dr Geoff Ridgway (Past Director)

Qualified from the Royal Free Hospital in 1971 and trained in Microbiology at UCH, becoming a Consultant in 1977. He pursued research into Chlamydia trachomatis, for which he obtained his MD in 1977 and has an international reputation.

Through his long career at University College London Hospitals, he has been responsible for forging the relationships between microbiologists and their clinical counterparts to provide clinical microbiology and antibiotic advice and instituting regular liaison rounds. A major interest is infections in Intensive Care Units. Hospital Infection Control has always been a strong interest and he is currently serving as a member of the Medical Devices Committee at the Department of Health (currently Chairman of the Microbiology Advisory Committee to this Agency) and has been involved in planning for safe decontamination services in the light of anxieties about transmissable spongiform encephalopathies. He is a member of the Accreditation Board for Authorised Persons (Sterilisers).

He was involved in the development of the new rigorous Diploma in Hospital Infection Control and is now chairman of the examination board. He has strong links with the Royal College of Pathologists, currently serving on Council. He is Chairman of the Central Sterilizing Club.

Dr Mano Perinpanayagam MB FRCPath DPath

Mano Perinpanayagam qualified in 1959 in Columbo, Ceylon (now Sri Lanka). She immigrated to the UK in 1996 and studied microbiology at the Hammersmith Hospital and then at UCH. She obtained her consultant post at Queen Mary’s Hospital, Roehampton in 1974 and latterly moved with the acute services to Kingston Hospital. Her research interests were anaerobic infections and aspects of antibiotic resistant.

Now retired from the NHS she works principally as microbiologist to the Wellington Hospital.

Dr Caroline Pankhurst

Dr Caroline Pankhurst (Specialist in Oral Microbiology) is a dentist and was a Clinical Senior Lecturer, Oral Microbiology, King's College London Dental Institute. Now she is actively involved in postgraduate dental education and training.  She is a freelance infection control consultant to Southwark, Lambeth and Lewisham PCTs and Southern Health Board, Northern Ireland. She is a member of Decontamination in Primary Care committee at the Department of Health.

Her research interests span the following fields: microbial and occupational risks from contaminated dental unit waterlines, dental cross-infection control, management of burning mouth syndrome and xerostomia and musculo-skeletal & occupational health risks to dentists. Currently she is appointed to Editorial Boards of "Primary Dental Care" and BMC Oral Health.