OT: New Guidelines on Hospital Infections. Wash Hands.

Discussion in 'Fibromyalgia Main Forum' started by kjfms, Oct 19, 2006.

  1. kjfms

    kjfms Member

    I am posting this because I know many here have loved one in hospital and/or nursing home as do I.

    I you see anyone enter your loved one's room without washing their hand -- bring it to their attention and ask them to wash their hands if they refuse tell them to leave the room and report them.

    Don't forget to get their name :)

    The way I see any worker be it physician, nurse, or janitor can bloodly well wash their hands when they enter my mother's room -- there is a sink as soon as you enter. I alwasy do this and so can they.




    Original page:
    http://www.webmd.com/content/Article/128/117190.htm



    New Guidelines on Hospital Infections

    CDC Calls on Hospitals, Others to Work Harder to Stop Drug-Resistant Infections

    By Todd Zwillich

    WebMD Medical News

    Reviewed By Louise Chang, MD
    on Thursday, October 19, 2006

    Oct. 19, 2006 -- Federal officials today released new guidelines urging U.S. health care facilities to step up efforts to control drug-resistant infections.

    The recommendations come amid rising rates of in-hospital infections with bacteria resistant to standard antibiotics.

    Hospitals, nursing homes, and other facilities have known for years that health workers often spread the superbugs between patients on their hands and medical equipment.

    About 5% to 10% of patients admitted to hospitals acquire one or more infections during their stay.

    Experts warn that resistant bacteria force doctors to use stronger -- sometimes more toxic -- antibiotics to quell infections.

    Rates of resistance to the antibiotic methicillin rose from just 2% of common Staphylococcus aureus bacteria in 1972 to 63% in 2004, according to the CDC, which issued the guidelines.

    The guidelines urge hospitals and other facilities to prioritize control efforts and to do more to monitor infection rates among patients.

    "What we're asking today is simple but not easily achieved," says CDC official John Jernigan.

    Infectious disease experts blame overprescribing of antibiotics as the major cause of drug- resistant infections.

    Antibiotics are often given preventatively or when doctors suspect an infection.

    But the drugs are useless against viral illnesses like fluflu, and overuse breeds stronger and stronger generations of potentially dangerous bacteria.

    The CDC guidelines call on hospitals to educate doctors and nurses to use antibiotics conservatively.

    Other suggestions are surprisingly basic. Doctors, nurses, and orderlies should be trained to wash their hands every time they enter a patient's room to minimize the risk of transmitting pathogens from other patients, they state.

    But experts warn that modifying health practices and policies in thousands of U.S. health care facilities requires a cultural shift.




    Achieving the Basics

    Will Sawyer, MD, a family physician in Cincinnati says overworked hospitals and nursing homes have a hard time observing basic hand-washing protocols requiring them to scrub up every time they enter a patient's room.

    "It's too complicated; it's chaos," says Sawyer, a hand-washing advocate.

    He urges programs to make health workers are acutely aware of everyday behavior that can turn them into carriers and transmitters of drug-resistant bacteria.

    "Am I an eye-rubber, nose-picker, or thumb-licker?" he says.

    Groups setting hospital quality standards have begun to include basic infection control practices in their measurements.

    Some hospitals already report such results under a Medicare program tying the reporting to increased payment rates.

    But not all hospitals agree to institute standard practices or report on their rates of in-hospital infections.

    Charles Denham, MD, who is CEO of HCC Corp., a hospital consulting firm, says Medicare will move as early as 2008 to tie its payments to hospitals' success in controlling the spread of drug-resistant bacteria and other pathogens. " think the handwriting is on the wall," he says.

    More than 1,200 facilities have agreed to the standards.

    Jernigan said the new CDC guidelines are voluntary; the agency has no ability to enforce them.

    But Medicare, one of the world's largest health care financers, could heavily influence hospitals' behavior, says Raymond Wagner Jr., an infection control advocate whose son contracted a life-threatening infection while being treated for a broken arm in 2002.

    "When they feel the heat, they will see the light," he says.


    --------------------------------------------------------------------------------

    SOURCES: "Management of Multidrug-Resistant Organisms in Healthcare Settings, 2006": CDC, Oct. 19, 2006. John Jernigan, MD, chief, intervention and evaluation section, division of healthcare quality promotion, CDC. Will Sawyer, MD, family physician, Cincinnati. Charles Denham, MD, CEO of HCC Corp. Raymond Wagner Jr., infection control advocate. Burke, J. The New England Journal of Medicine, Feb. 13, 2003, vol 348: pp 651-656.

    Thanks for reading,

    Karen :)
  2. kjfms

    kjfms Member

  3. kjfms

    kjfms Member

    I agree they could wipe down things with anti-bacterial wipes and they could stop wearing ties...IMHO

    Hey do not be afraid to ask a physician to wash their hands -- they put their pants on one leg at a time just like we do.

    So if a physician come in to examine you and doesn't wash their hand ask them to -- if they don't -- ask them in a very calm voice -- "Surely I don't have to explain the process of spreading germs to you [of all people]?"

    I think your physician will wash their hands out of embarrassment if nothing else.

    Yeah -- I know I am awful but hey whatever it takes...


    Take care,

    Karen :)