Infecção Hospitalar
Recentemte, cinco doentes foram infectadas com uma bactéria no Hospital dos Covões, após cirurgia às cataratas.
No reino Unido um relatório da Healthcare Commission link conclui que erros no controlo de infecção hospitalar provocaram a morte de 90 doentes hospitalares infectados pela clostridium difficile link link
C. difficile is the most significant cause of pseudomembranous colitis, a severe infection of the colon, often after normal gut flora is eradicated by the use of antibiotics. Treatment is by stopping any antibiotics and commencing specific anticlostridial antibiotics.
Entre nós as infecções hospitalares mais frequentes são as respiratórias, seguidas das urinárias e cirúrgicas.
Um estudo do grupo do Programa Nacional de Controlo de Infecção (PNCI), concluiu que a taxa nacional de prevalência das Infecções nosocomiais é de 8,4%.
Vários estudos mostram que cerca de 25% das infecções hospitalares podem ser prevenidas através de gestos simples e eficazes, como a desinfecção das mãos. link
No reino Unido um relatório da Healthcare Commission link conclui que erros no controlo de infecção hospitalar provocaram a morte de 90 doentes hospitalares infectados pela clostridium difficile link link
C. difficile is the most significant cause of pseudomembranous colitis, a severe infection of the colon, often after normal gut flora is eradicated by the use of antibiotics. Treatment is by stopping any antibiotics and commencing specific anticlostridial antibiotics.
Entre nós as infecções hospitalares mais frequentes são as respiratórias, seguidas das urinárias e cirúrgicas.
Um estudo do grupo do Programa Nacional de Controlo de Infecção (PNCI), concluiu que a taxa nacional de prevalência das Infecções nosocomiais é de 8,4%.
Vários estudos mostram que cerca de 25% das infecções hospitalares podem ser prevenidas através de gestos simples e eficazes, como a desinfecção das mãos. link
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Government ministers were last night accused of aggravating the NHS superbug scandal by failing to take charge of the hospitals where 90 people died as soon as the scale of mismanagement became clear.
Andrew Lansley, the Conservative shadow health secretary, last night said the three hospitals of the Maidstone and Tunbridge Wells NHS trust should have been brought under direct departmental control.
In a report on Thursday, the Healthcare Commission said scores of patients died from infection by Clostridium difficile bacteria in Britain's worst outbreak of a hospital superbug. It blamed the trust board for a catalogue of safety lapses that caused the death toll between April 2004 and September 2006.
Mr Lansley said the government should have acted to suspend or sack the trust's board as soon as it received an advance copy of the commission's findings in the middle of last week.
Instead, it allowed directors to agree a package worth more than £250,000 for Rose Gibb, the chief executive, who quit her job on Friday last week without any announcement or public explanation.
Mr Lansley said: "This devastating report should have precipitated the immediate removal of those responsible on grounds of gross negligence. Normally employees are entitled to written warnings, but in circumstances of gross misconduct most contracts allow for summary dismissal. I do not know why that did not happen in this case."
The commission accused the trust of "significant failings in infection control". When inspectors went into its hospitals after the C difficile outbreaks were contained, they found patients being provided with bedpans that were visibly dirty with faeces. Bedding and equipment was left on the floor, fire doors were blocked and needle and sharp instrument disposal bins were overflowing on four wards. Staff washed cups in treatment room sinks and stored food in the clinical refrigerators.
Mr Lansley said: "The Department of Health could and should have removed the entire board and any directors with a contribution to make could have been appointed to a new one. The power exists when ministers have no confidence in a board. It is difficult to imagine what might be a graver offence than the one they perpetrated." Sacking the board would have forestalled any payoffs, he added.
After media criticism of the payoff on Thursday, the health secretary, Alan Johnson, instructed the trust to withhold the severance payment, pending legal advice. The department said yesterday its lawyers were still considering the matter.
A spokeswoman said the department had already asked the NHS strategic health authority for the south-east to review the leadership of the trust. The authority asked the NHS Appointments Commission to consider the position of James Lee, the trust's chairman, who was reappointed to a second four-year term in June. "The commission is keeping his position under review," she said.
Plans to spend £140m on combating C difficile infection over the three years to 2010-11 were included in the chancellor's spending review on Tuesday, but the department could not say how it would be spent or how its new target for reducing C difficile infections by 30% by 2011 would be achieved.
The Guardian learned yesterday that other NHS hospitals are not required to collect information about how many patients die from C difficile infection. University Hospitals of Leicester said 28 of its patients died between January and August last year "where C difficile was likely to have been the main cause". Another 21 died "with C difficile, but not of C difficile".
Its medical director, Allan Cole, said the trust cut the number of C difficile infections by 65% over the past year and was regarded as a model for tackling the superbug. But a spokeswoman said the trust had no information about C difficile deaths since August last year because "trusts are not required to collect data on deaths".
Norman Lamb, the Liberal Democrat health spokesman, said the scale of infection may have been underestimated because hospitals have not been given clear guidance about when C difficile should be entered on a death certificate.
"Hospitals should have an obligation to keep and publish data. We can only monitor this properly if we know the scale of the problem - in nursing homes as well as hospitals and in the private sector as well as the NHS," he said.
Ms Gibb was not available for comment yesterday.
guardian 13.10.07
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