In the wake of a “superbug” that hit the National Institute of
Health’s (NIH) clinical center last year, NAHAM News is looking at what
prevention measures can be learned and passed on to other healthcare
facilities.
According to a story published by the New York Times, there are “some 99,000 U.S. deaths attributed to hospital-borne infections
annually.” The number of those deaths attributed to antibiotic-resistant
‘superbugs’ has been increasing since the Centers for Disease Control (CDC)
detected the bacteria in 2000. “Since then, we’ve seen it spread across the
country,” said Alexander Kallen of the CDC, “to 41
states.”
Here’s the skinny of these bugs - These bacteria usually live harmlessly in the intestinal tract and pose little or no threat to patients with healthy immune systems. But, as happened at NIH, in patients with compromised immune systems, the bacteria can turn dangerous, gaining an enzyme that defeats even the most powerful antibiotics.
Later this year, the CDC is launching
a program in 10 cities to watch for hospital-borne outbreaks of super-bugs. CDC
staff will review hospital records, Kallen said, and hospital labs will be
asked to report any antibiotic-resistant bacteria to the CDC.
When the bug hit the NIH, they built
a wall in the ICU and moved the infected patients into a new, six-bed unit.
Blood pressure cuffs and other reusable gear were tossed after one use. The
hospital hired monitors to ensure doctors and nurses were donning gowns, gloves
and masks and scrubbing their hands. Staff members took throat and rectal swabs
from every patient in the hospital, tested equipment and plumbing, and even
went so far as to rip out plumbing when the bug was found in the sink drain of
a patient’s room.
The resources and funding to take
these extreme precautions are typically not available, but the CDC still says
that hospitals and long term care facilities such as nursing homes must be ever
vigilant to slow the spread of these superbugs. Some basic methods of
prevention are still effective, including constant hand-scrubbing and isolation
of infected patients. Surveillance is also key to identifying effected
patients.
Read the full New York Times story here.
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