Quebec hospitals fighting new battle against
antibiotic-resistant bacterium
MONTREAL –Radio-Canada
Canada is reporting that
methicillin-resistant staphylococcus (MRSA) infected at least 5,000
people last year.
Of those 5,000 cases, 800
led to serious infections, and somewhere between 25 and 50 per cent of
patients died from direct or indirect causes of those infections.
Quebec hospitals are
trying to find ways to combat this highly infectious bacterium. Five
years ago, only a handful of hospitals were fighting MRSA,
Radio-Canada reports. Now, according to government documents acquired
under the access to information laws, almost every hospital in the
province is fighting the superbug.
MRSA usually strikes the
elderly and the extremely sick. Infectious disease specialist Marie
Gourdeau says the situation with the superbug is very troubling, and
that if it is not contained, hospitals will be fighting superbugs
resistant to all antibiotics.
Testing
is the key
Some cases can be easily
prevented, Gourdeau says, but notes the more cases there are, the
harder it is to control. Health officials say increased testing among
patients is key to making sure the superbug does not spread through
hospitals.
Unlike C. difficile, the
superbug that came to the public’s attention over the past few years,
MRSA can only live for a couple of hours outside of the human body.
MRSA can be easily eliminated using common disinfectants. However, it
is easily transmitted, from person to person, or by infected medical
instruments. National problem Hospitals across the country are failing
to control superbug infections that kill 8,000 patients each year and
cost health-care systems at least $100 million annually, a CBC News
investigation has learned.
Yet infection control
budgets are the first to be cut when money gets tight, some doctors
say, despite the rising frequency of antibiotic-resistant infections
caused by bacteria such as C. difficile or MRSA.
Statistics
The incidence of
hospital-acquired MRSA has increased tenfold in less than a decade.
Since 2003, C. difficile has killed more than 600 people in Quebec
alone, most of them elderly or very sick patients. Add in necrotizing
fasciitis and the statistics show 250,000 Canadians are getting sick
from preventable infections every year. Such infections kill more
North Americans annually than breast cancer, traffic accidents and
AIDS combined. Many fatal infections preventable Despite the wake-up
call that SARS gave to the Toronto area in 2003, Niagara public health
officer Dr. Douglas Sidar says infection control still does not
receive enough attention in Canada’s hospitals. “People die from these
infections—which technically, almost certainly, in many instances can
be prevented,” said Sidar.
He thinks hospitals must
wake up to the need for proper infection control—including nurses who
know how to recognize the signs of an infection and enough cleaning
staff to keep commonly touched surfaces free of bacterial
contamination. Sidar also said more should be done to track down the
source of an infection when an outbreak occurs so that the hospital
doesn’t keep making people sick. A big part of the problem is the lack
of controls over infection surveillance in hospitals, says Dr. Michael
Rachlis, who studies and writes books about Canada’s health-care
system. “We have become complacent about infectious diseases,” he
said. “We certainly got reminded in the ‘80s, with AIDS, that the
plagues are always around and threaten us, but in general we are not
afraid of germs.” Infection control budgets are still treated like
low-hanging fruit, he said, with cleaning and nursing staff the first
items to be cut when hospitals experience a financial crunch.
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