INTENSIVE CARE UNITS AND INFECTIONS
Growing Concern to Health Care Role of Diagnostic Microbiology
Dr.T.V.Rao MD Every literate knows that the Intensive care units are fraught with threat to life with Infections, Many esquire what are my success to come out, and many esquire what are my chances to survive, Many are not willing to get admitted to ICU as their wish, I was always telling that ICU care and success is great boon to many hospitals for improving the reputation, However the Infections in ICU has a great beginning else were as patients enter from different areas when the matters become critical , While this infection is not introduced into the patient in the intensive care unit—and those infected during surgery do, of course, come into the ICU following the procedure. Once there, they enter the care of the ICU nurses and physician, Of course, more pertinent to the ICU clinician is the central-line associated bloodstream infections, or CLABSIs, which,, cost health care institutions. MICROBES CANNOT BE AVOIDED - Microbes are the oldest inhabitants to universe before the man so we cannot be avoided and we have to live with them and control their propagation and spread in the areas the where the critical patients live, This is a significant healthcare challenge, and so far not much has been offered in the way of guidance for dealing with the issue, Some of the hospital pathogens live both in the humans and in very expensive pieces of medical equipment that are hard to clean, Recently, the superbug CRE (carbapenem-resistant Enterobacteriaceae) has received considerable press coverage in healthcare and mainstream news outlets alike, as occurrences of these antibiotic-resistant bacteria have been found in several hospitals across the world and India, Great ripples are created when NDM was reported from patients treated in India, After linking the CRE outbreak in Chicago to ERCP scopes, the Centers for Disease Control and Prevention issued a warning about the risks of spreading infections among patients who undergo the procedure. The problem, investigators found, is that biological material can collect in the "elevator" mechanisms that control tiny devices that extend from the tip of the duodenoscope, .Most hospitals that do these procedures are not even looking for this problem, or they may not be aware, and that's got to change,
CARBAPENEM RESISTANCE - A GREAT CHALLENGE - The Carbapenem class of antibiotics are the most aggressive and potent treatment available, and are administered as a last resort for infections of this kind. Unfortunately, it has been discovered that Enterobacteriaceae produce Carbapenemase, an enzyme that destroys the Carbapenem molecule, rendering the antibiotic ineffective. The risk of this new ‘superbug’ reaching pandemic proportions, and of rapidly increasing cases of mortality, is significant, so it is no surprise that the issue of CPE remains high on the agenda for infection prevention and control professionals. Unfortunately, the nature and associated costs of antibiotic research and development means that a drug-based solution to CPE is unlikely any time soon, meaning that the best approach to preventing a CPE outbreak is to improve hygiene through more effective decontamination in healthcare settings, which can significantly reduce the chances of the infection spreading.
CHANGING ROLE OF DIAGNOSTIC MICROBIOLOGY We have a greater role to do in surveillance, documenting auditing and forecasting on the matters related to Intensive care units, It is time that all Hospitals maintain a register and document the growing problem with SUPERBUGS
Ref CDC Resources,
Dr.T.V.Rao MD
Growing Concern to Health Care Role of Diagnostic Microbiology
Dr.T.V.Rao MD Every literate knows that the Intensive care units are fraught with threat to life with Infections, Many esquire what are my success to come out, and many esquire what are my chances to survive, Many are not willing to get admitted to ICU as their wish, I was always telling that ICU care and success is great boon to many hospitals for improving the reputation, However the Infections in ICU has a great beginning else were as patients enter from different areas when the matters become critical , While this infection is not introduced into the patient in the intensive care unit—and those infected during surgery do, of course, come into the ICU following the procedure. Once there, they enter the care of the ICU nurses and physician, Of course, more pertinent to the ICU clinician is the central-line associated bloodstream infections, or CLABSIs, which,, cost health care institutions. MICROBES CANNOT BE AVOIDED - Microbes are the oldest inhabitants to universe before the man so we cannot be avoided and we have to live with them and control their propagation and spread in the areas the where the critical patients live, This is a significant healthcare challenge, and so far not much has been offered in the way of guidance for dealing with the issue, Some of the hospital pathogens live both in the humans and in very expensive pieces of medical equipment that are hard to clean, Recently, the superbug CRE (carbapenem-resistant Enterobacteriaceae) has received considerable press coverage in healthcare and mainstream news outlets alike, as occurrences of these antibiotic-resistant bacteria have been found in several hospitals across the world and India, Great ripples are created when NDM was reported from patients treated in India, After linking the CRE outbreak in Chicago to ERCP scopes, the Centers for Disease Control and Prevention issued a warning about the risks of spreading infections among patients who undergo the procedure. The problem, investigators found, is that biological material can collect in the "elevator" mechanisms that control tiny devices that extend from the tip of the duodenoscope, .Most hospitals that do these procedures are not even looking for this problem, or they may not be aware, and that's got to change,
CARBAPENEM RESISTANCE - A GREAT CHALLENGE - The Carbapenem class of antibiotics are the most aggressive and potent treatment available, and are administered as a last resort for infections of this kind. Unfortunately, it has been discovered that Enterobacteriaceae produce Carbapenemase, an enzyme that destroys the Carbapenem molecule, rendering the antibiotic ineffective. The risk of this new ‘superbug’ reaching pandemic proportions, and of rapidly increasing cases of mortality, is significant, so it is no surprise that the issue of CPE remains high on the agenda for infection prevention and control professionals. Unfortunately, the nature and associated costs of antibiotic research and development means that a drug-based solution to CPE is unlikely any time soon, meaning that the best approach to preventing a CPE outbreak is to improve hygiene through more effective decontamination in healthcare settings, which can significantly reduce the chances of the infection spreading.
CHANGING ROLE OF DIAGNOSTIC MICROBIOLOGY We have a greater role to do in surveillance, documenting auditing and forecasting on the matters related to Intensive care units, It is time that all Hospitals maintain a register and document the growing problem with SUPERBUGS
Ref CDC Resources,
Dr.T.V.Rao MD
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