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Monday, 22 November, 1999, 12:31 GMT
Superbugs in the firing line
National standards for hygiene in hospitals to halt the spread of antibiotic-resistant superbugs have been announced by the Department of Health (DoH).
Cases of the infection, which can be fatal, are now much more common in the NHS. The main points of the DoH guidance are:
"Elderly people, the very young and those who have had major operations can all find themselves seriously ill as a result of these bugs. "The idea that superbugs are unbeatable is rubbish. With good practice and careful hygiene they can be beaten." Other areas to be covered by the guidance include catering and food hygiene, medical equipment and waste management. The progress of hospitals in combating MRSA will be independently assessed locally by auditors and nationally by the Commission for Health Improvement and the Audit Commission. Epidemic warning Professor Brian Duerden, deputy director of the Public Health Laboratory Service (PHLS), warned earlier this month that levels of MRSA had reached "epidemic" levels in UK hospitals. He said incidents involving MRSA have risen 12-fold since 1991 and are responsible for 37% of all staphylococcus aureus infections, as opposed to only three per cent in 1991. Two particularly strong strains of the bug are thought to be behind the rise in cases. The PHLS has warned GPs to reduce prescription of antibiotics to avoid people developing resistance to them. In the United States, doctors estimate as many as 70% of the bacteria in infections people catch in hospital are now resistant to at least one antibiotic. Staphlococcus aureus is carried by a third of the population and is one of the most common bacteria, causing boils, skin problems and septicaemia. However, many people carry the bacteria without ever displaying symptoms - these generally only arise in certain patients whose health is vulnerable during serious illness or following surgery. Hospital patients and elderly people in nursing homes are particularly at risk of infection because they often have exposed wounds and a weakened immune system. Doctors at a Scottish hospital discovered two new strains of hospital superbug, VRSA - vancomycin resistant staphylococcus aureus. Vancomycin is regarded as one of the last antibiotics able to kill antibiotic-resistant bacteria |
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