Tuesday, February 17, 2009

Good news for germaphobes



With so many infections and viruses out there, parents are starting to worry about their children in schools, whether they are elementary school kids or college students in dorms. After reading an article about methicillin-resistant Staphylococcus aureus (MSRA), these people can put their fears to rest about a killer outbreak and their kids getting sick. MSRA is largely confined to hospital settings and not so much in community based settings. A 10 year study shows that the rate of these infections are decreasing within the common public.

MSRA is an antibiotic resistant strain of bacteria. It's no wonder we have so many higher occurrences of infections that deal with MSRA because antibiotics are being prescribed so often. Even if a doctor prescribes the right medication for the right infection, people often abuse the medication or don't take the full prescribed course. Working in a pharmacy I try to make it clear to customers getting azithromycin that they have to take the full amount in the right period of time. These days bacteria are mutating and resisting the medications. I also hate when doctors are prescribing for something that is viral because antibiotics do not work on those so it just gives the bacteria a chance to get used to the antibiotics.

From 1997-2007 the study showed that the infections among the ICU patients and has dropped 50%. Although it has decreased with ICU patients, the overall rate within the hospital has increased by 26%. Nearly 64% of staph infections of ICU patients can be traced to MSRA. So if a patient has a catheter and gets a bacterial infection, it will most likely involve MSRA. To keep the infections at bay the hospitals have come up with better techniques for inserting catheters and they have also cut down the leave-in time for catheters. The ICU patients need the most care when it comes to germs and I am glad to hear overall the rate of infections are decreasing.

-Katie Cyr (week 2)

Update:

Some more good news, severe MSRA is not common. It typically hits people with weak immune symptoms that visit the hospital setting often. You are more likely to catch other bugs more easily rather than MSRA. Like I said, most ICU patients get it because they are usually recovering from serious bodily trauma. There are more ways MSRA can enter their body because of all the tubes. This bacteria lives in your nose most of the time so it's unusual that you get seriously infected out of the blue. It needs to be transferred into an open wound to cause more damage.

I think the only thing that the hospitals can do is to keep up with regular hygiene. No matter what you do, you will get infected with something. We don't live in plastic bubbles and I don't think people will want to. Just remember, keep washing your hands, cover your wounds, don't share personal items like towels or razors, avoid hot tubs if you have an open sore, etc. Most of this stuff is common sense though so if you take care of yourself your chances of getting this is slim to none. So go enjoy yourself and don't worry about all the inevitable harmless bugs out there.

6 Comments:

At 4:12 PM, February 18, 2009, Anonymous Anonymous said...

I am happy to see the rates going down too. When I had my tonsils out 2 summers ago I ended up getting MRSA along with the whole left wing of the pediatric floor at Mass Eye and Ear. It was so annoying because I went through multiple medicine types, tried an IV treatment, and nothing worked. Eventually one treatment worked, but I wish they could just narrow it down and give you the right medicine in the first place. I hope that they figure out ways to narrow down the type of staph and figure out better treatments that after more effective for everyone.


Alyssa Terestre (3)

 
At 9:11 PM, February 18, 2009, Anonymous Anonymous said...

Last semster I was on exchange in P.R., and talking to a professor I learned about how he had found an antibiotic resistant bacteria, K. pneumoniae, in waste waters of a hospital. Like MRSA, it may also be confined to hospitals, but his new research involves finding other similar antibiotic resistant bacteria in other water samples and food products such as yogurts.

- Julio Rodriguez

 
At 9:40 PM, February 18, 2009, Blogger PWH said...

Katie,

This is a very interesting blog. I am especially intrigued by the fact that although the rate of infection among the ICU patients has dropped, the overall rate within the hospital has increased. Since “ICU patients need the most care when it comes to germs,” is it possible that ICU nurses enforce proper sanitary procedures more rigorously than the rest of the Health Care staff. This would account for the 50% drop in the rate of infection among ICU patients. Do you feel that the current healthcare system should reevaluate the sanitary procedures enforced in hospitals?

Saad Choudhry

 
At 10:24 PM, February 18, 2009, Anonymous Anonymous said...

Interesting article . That is good to hear. Im interested to hear that the overall rate has decreased. I follow sports and one sports show did a center piece on how pro, college, and high school locker rooms have had an increase in the MRSA and many professional athletes have been affected by it in recent years. These people make up a small percent of the population so it probably didn't affect the study much.
-Alex Pavidapha

 
At 10:57 PM, February 18, 2009, Anonymous Anonymous said...

This topic is very interesting and it is good to know that the rate of MRSA has decreased in the ICU. But it is still nerve-racking that it has increased throughout the hospital. This topic reminds me of a known situation. An older man was rushed to the hospital for pain and within 50 hours of staying in the ICU, it was reported he had died from a MRSA infection that he had caught while being in the hospital. I do not know much about MRSA, but how quickly after catching MRSA can it be deadly if not treated?

Shonneau L.(3)

 
At 11:05 PM, February 18, 2009, Anonymous Anonymous said...

Neat article, it sounds like the rest of the hospital should follow suit with that the people in the ICU are doing to sterilize things if it seems to be working so well.
I agree that people should be educated regarding the misuse and abuse of antibiotics though to prevent the spread of this in the first place.

(Nicholas Skvir)

 

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