PERFORMANCE: Failures in antibiotic prescribing have left Pennine Acute Trust struggling to hit targets for reducing C difficile infections, trust board papers show.

The latest report on healthcare associated infections shows the trust saw 34 cases of C difficile in the first quarter of this year from April to June - 14 more than expected for that period with a target of no more than 100 cases for the whole of 2012-13.

“Root cause analysis for C difficile cases has identified a continuing issue with compliance with the trust antibiotic policy,” says the report.

An action plan design to get the trust back on track includes an “antibotic chaperoning programme”, daily reviews of antibiotic prescribing for patients with C difficile and targeted ward reviews of antibiotic prescribing where there is a high incidence of C difficile.