Remedial work should be undertaken as a matter of urgency on the hospital's water distribution system, including the replacement of all damaged insulation on pipes, and the removal of rarely used showers.
- The water feature in the hospital concourse should be cleaned and monitored and treated periodically with a biocide in line with best practice.
- A comprehensive environmental management system should be developed in the hospital.
- Clear lines of communication should be established between the groups involved in infection control in the hospital.
- Conduct regular comprehensive environmental monitoring to search for and locate hazards before they become a problem
- Research should be carried out by the Department of Health on the links between cleanliness in hospitals and hospital-acquired infections.
- National standards be developed for cleanliness in hospitals
- Staff should be educated on the risks associated with environmental micro-organisms in hospitals
- A quality-controlled standardised system should be developed for cleaning nebulisers. They should be rinsed with sterile water and not tap water or distilled water and then thoroughly dried inside and out. After that they should be stored in a dust-proof container.