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Page updated 30 April 2007

Laboratory-based Ward Liaison Surveillance (Alert Organisms)

Laboratory-based ward liaison surveillance is used in conjunction with Alert Condition surveillance. The system is managed by the Infection Control Team and details are reported back to the Infection Control Committee.

Positive microbiology reports are screened and may result in a case review, a search for other carriers or infected patients and ward visits by the Infection Control Nurses. Approximately 70% of infections and alert organisms are detected in this way. A patient may be placed in source isolation or discharged from hospital if considered to be a risk of infection to others.

Examples of Alert Organisms

BACTERIA VIRUSES
Methicillin-resistant Staphylococcus aureus (MRSA) Rotavirus
Other resistant Staphylococcus aureus Small round structured virus (Norovirus)
Streptococcus pyogenes  (Streptococcus Group A) Respiratory syncytial virus
Streptococcus agalactiae (Streptococcus Group B) Varicella zoster
Penicillin-resistant Streptococcus pneumoniae Influenzavirus
Haemophilus influenzae Rubella
Legionella spp. Parvovirus
Glycopeptide-resistant enterococci Measles
Neisseria spp.  
Clostridium spp.  
Salmonella or Shigella spp  
Escherichia coli O157  
Multi-resistant Gram negative bacilli  
Any unusual bacteria