David Rose
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Patients who are suffering from MRSA infections should be sent home to prevent the bug from spreading in hospitals, doctors have said.
Patients who are recovering from a bloodstream infection or an infected open wound are kept in hospital for an average of 11 days. But a report suggests that they pose no risk to healthy adults and nearly one in three of those infected by MRSA could return home after a few days of treatment, if patients were given antibiotics.
The NHS could save millions of pounds in excess hospital stays if people who were infected with the bacteria were treated away from wards.
The study, which was produced by seven experts and the campaign group, the National Concern for Healthcare Infections, suggests that treating people in the community is unlikely to spread illness because it generally only infects through open wounds or medical devices.
Mark Wilcox, a professor of medical microbiology at the University of Leeds and a member of the working group, said that the traditional method of treating an infection with intravenous antibiotics could be replicated easily at home, and that about 30 per cent of cases might be able to benefit in this way.
He said: “People with MRSA infection are not a danger to healthy people, and treating them at home offers multiple benefits in terms of infection control, and reducing NHS costs and resource use.”
The report was funded by Pfizer, the pharmaceutical company, which produces an antibiotic to treat MRSA.
A spokesman for the Department of Health said that home treatment may be appropriate for some, but not all, patients and that it would support the approach being made available.
The latest figures from the Health Protection Agency in November showed a 10 per cent drop in the number of reports of MRSA infections in England, to 1,303 cases from April to June last year.
— Patients being admitted to hospital will be interviewed to assess the risk of them carrying the virulent norovirus that has shut wards across the country.
The “60-second interviews” come as healthcare workers gave warning that the best way to stop the virus spreading was to wash hands thoroughly with soap and water rather than using alcohol hand gels.
Diane Wake, of the Royal Liverpool and Broadgreen Hospital, said: “We have developed a 60-second interview. This means that anyone with the virus can be moved immediately into an isolation bed.”
At least 98 wards in 44 hospitals have stopped admitting new patients and are urging people who have been ill not to visit.
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Perhaps we can look forward to good old 'table top' surgery as an additional way forward. Don't forget folks - you heard it here first!
Bill Q, Derby,
I am shocked that Professor Mark Wilcox who has been part of this working group has suggested patients being treated at home!!!!!!!! The Trust that Professor Wilcox covered reported about a 50%increase in Infections/MRSA and was placed under special measures by the DOH.I think the fact that this report was funded by Pfizet the pharmaceutial company who produces the antibiotic to treat MRSA says it all. Just how will these patients who contact MRSA be recorded?Will they be put on the RED RISK register?It is the patients who will be being put at risk by moving out of the hospital environment,if they die just who will be responsible?It would be better if more staff covered Infection Control /prevention.I know the Trust Professor Wilcox work for only had about 7 staff covering 5 hospitals!! and at least one of the senior members were moved to progress chase in accident and emergancy.I f this the only way this serious condition can be dealt with?I think we need to look at other options
Mary E Hoult, Leeds , Yorkshire
"But a report suggests that they pose no risk to healthy adults"
Which suggests that the underlying cause isn't the bacteria itself. I would guess that a common modern combo of a poorly functioning immune system with a sugar/carb rich diet to feed the bacteria might do the trick
In which case those things which affect the immune system need to be identified. There are a few well known factors : sun flower oil (a strong immuno-suppressor) and probably other vegetable oils (maybe not olive oil). As for feeding the bacteria: a low-carb diet for a few weeks might do it: and no fruit.
Greg Lorriman, Leatherhead, UK
I am a little confused by this report as you state that "treating people in the community is unlikely to spread illness because it generally only infects through open wounds or medical devices". If this is really true why are so many people catching this disease in hospitals and why is it the doctors and nurses cannot prevent infections.
This sounds like a great way to remove the burden from the NHS and transfer this to the local population.
In one clear sweep there would be no hospital acquired MRSA, of course people would still get sick but as this is at home it would not be included on the statistics. Brilliant thinking to achieve targets.
joe, Edinburgh, Scotland
As an experienced nurse for over 30 yrs, I do agree that the sooner the patients are sent home from Hospital the better it is for their recovery. But unfortunately, we are caught in a systems where the elderly are using up most of our NHS resources. Before any elderly (even if they are medically fit) can be discharged from the NHS there are a multiple teams of professional involved in their discharges which I personally think are over the top. The same applies for those patients who demanded more than those who are less demanding. I think each individual who contributes to the NI should be given a personal budget and if they do not exceed their allotted budget should be given a refund. Those who do not contribute any NI at all should be made to pay a small premium for their treatment. The Govt. is forever using the NHS as a "football" for their political gain, when they should be running it effectively and efficiently.
daisy, rochester, kent