Infections grip U.S. hospitals
Advocate urges better prevention
Michael Schroeder
The Journal Gazette
Reducing risk
Following these tips and 10 others listed at
http://www.hospitalinfection.org:
•Ask that hospital staff clean their hands before treating you, and ask visitors to clean their hands too. If you’re worried about being too aggressive, just remember your life could be at stake.
•Before your doctor uses a stethoscope, ask that the diaphragm (the flat surface) be wiped with alcohol.
•If you need a “central line” catheter, ask your doctor about the benefits of one that is antibiotic-impregnated or coated with silver chlorhexidine to reduce infections.
•If you need surgery, choose a surgeon with a low infection rate. Surgeons know their rate of infection for various procedures. Don’t be afraid to ask for it.
•Beginning three to five days before surgery, shower or bathe daily with chlorhexidine soap.
A contaminated bed rail, a germy privacy curtain, your doctor's unwashed hands or lab coat – deadly bacteria lurk everywhere at the hospital.
At least 103,000 people die from hospital-acquired infections annually in the U.S., more than from AIDS, breast cancer and auto accidents combined, said Betsy McCaughey, chairwoman and founder of the Committee to Reduce Infection Deaths.McCaughey spoke emphatically about the need for hospitals to improve cleaning efforts – including floors and hands – and expand looking for infection, particularly screening for MRSA.
She was the keynote speaker Thursday at a conference on infectious disease at the Fort Wayne Marriott sponsored by Parkview Hospital and the Fort Wayne Medical Education Program.
The event was attended by about 100 physicians, nurses, pharmacists, medical residents and other health care professionals.
McGaughey, an outspoken advocate for infection prevention and former lieutenant governor of New York, said more than one in 10 patients will contract an infection when they're at the hospital.In response to nationally rising infection rates, local hospitals have bolstered efforts to track and prevent infections.
As of last spring, Parkview Hospital and Parkview North Hospital screen all inpatients on admission for MRSA, a type of bacteria that can cause dangerous, life-threatening invasive infections. Dupont Hospital will begin MRSA screening Feb. 1.
At other Lutheran Health Network and Parkview Health hospitals, patients considered at higher risk for contracting the drug-resistant staph infection are screened.
Patients found to be infected with MRSA or have the condition present are placed in a private room and treated if necessary. Also, precautions are taken to prevent its spread.
McCaughey said that nationwide fewer than one in five hospitals screen all admitted patients, though she considers screening integral to infection prevention. But, according to McCaughey, the "single most important step in preventing hospital infections" is also the simplest: cleaning.
Doctors' lab coats and nurses' uniforms routinely pick up bacteria when they lean over patients. But in a 2007 study, she said, 65 percent of doctors and other medical professionals admitted they had not washed their lab coat in at least a week.
Because most hospitals don't routinely screen, there are plenty of undetected bacteria to go around: 70 percent to 90 percent of patients who carry MRSA – which accounts for about 8 percent of all hospital-acquired infections – are never identified, she said.
McCaughey called hospitals' cleaning staff the "Navy SEALs of infection prevention." She urged medical staff to routinely wash their hands and make sure equipment is cleaned.
She said patients should also wash hands regularly and not be afraid to ask medical staff to do the same.
In addition to patient safety, McCaughey said mounting financial and legal pressures are also pressing hospitals to do more to prevent infections.
In October, Medicare stopped paying hospitals for extra care related to certain conditions and hospital-acquired infections, and the government agency is expanding the no-pay list.
What's more, with every breakthrough that boosts infection-prevention capabilities, hospitals are increasingly likely to be held legally liable when patients contract infections on site, McCaughey said.