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Exactly Bob! I remember when we had our first case of C.Diff, and the cause then was not only hand-washing but the over-prescribing of antibiotics. We addressed the hand-washing, and cleaning issue (why wards no longer have a designated domestic i'll never know) but the mass prescribing of antibiotics continued, and still does!! The out-sourcing of cleaning is a now a major factor in this. Reap what is sown?? Sadly gone are the days of having your own domestic as part of the team, and if there was a problem (which was very rare) you could simply go and say "Yvonne, can you just come and ....". What's the chances of that now?? Very sad, and this is only back in 1997. mmmm, what happened that year, oh yes, the NHS was saved, we've never had investment like it, we've never been so well off!! We should be so lucky!! I feel better now! Glenn ~~~~~~~~~~~~~~~ Please remove this footer before replying. OCC-HEALTH ARCHIVES: http://www.jiscmail.ac.uk/lists/occ-health.html FORTHCOMING CONFERENCES AND EDUCATIONAL EVENTS: http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH OCCUPATIONAL HEALTH JOBS http://OHJobs.drmaze.net OCCUPATIONAL HEALTH NURSING EDUCATION http://www.aohne.org.uk