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NHS meets C difficile target ahead of schedule

NHS staff have been praised for meeting the government’s target to reduce C difficile infections two years ahead of schedule.

Figures published by the Health Protection Agency show the number of C difficile infections has fallen by 36 per cent compared to the base level in 2007-8. Staff were asked to meet a targeted 30 per cent reduction by 2010-11.

The new health secretary Andy Burnham has congratulated NHS staff for their success in meeting the target two years ahead of schedule.

Despite the success, he said: “This remains a top priority for the government and the NHS. That is why I have asked the national quality board to help develop a new minimum standard.”

As well as reducing C difficile, the number of MRSA bloodstream infections have fallen by a further 29 per cent since the NHS met its target to halve them last year.

The risk of becoming infected with MRSA or C difficile is now at its lowest for five years, with the success put down to higher standards of clinical practice and cleanliness.

Nigel Ellis, head of national inspection and assessment at the Care Quality Commission, said: “This should provide reassurance to patients, but we will keep up the pressure and encourage the NHS to stay focused on improvements.”

http://www.hsj.co.uk/5003027.article

 

 

Patients at risk from short-term fight against superbugs, say doctors

Anna Davis, Health Reporter
09.06.09

  Doctors attacked ministers today over their "short-term" approach to ridding hospitals of superbugs.

The British Medical Association said current tactics would not wipe out hospital-acquired infections such as MRSA and Clostridium difficile.

In a report published today, the BMA said reducing overcrowding and understaffing in hospitals should be the priority.

Instead, the Government has concentrated on "short-term" measures such as "deep cleans", banning doctors from wearing white coats and encouraging the use of alcohol hand gel.

Dr Jonathan Fielden, chairman of the BMA's Consultants' Committee, said: "It's not enough for politicians to announce new initiatives that are just sound bites."

Research shows the higher a hospital's bed occupancy levels, the higher its MRSA rates.

But the number of hospital beds in the UK has dropped by more than 25,000 in seven years, while the number of patients being admitted has increased.

Dr Fielden said more needed to be done to relieve this pressure with a long-term strategy.

http://www.thisislondon.co.uk/standard/article-23705306-details/Patients+at+risk+from+short-term+fight+against+superbugs%2C+say+doctors/article.do

 

 

NHS wins in C.diff fight as superbug figures fall

The NHS has met its target to cut cases of the deadly hospital bug Clostridium Difficile two years early.

In 2007, ministers vowed to cut rates by 30% by 2010/11. But new figures show this has already been reached and exceeded - with cases dropping by 36% in 2008/09.

Health Secretary Andy Burnham said: "These figures show our strategy to cut healthcare-associated infections is working."

Health Protection Agency data also shows a 29% dip in MRSA infections.

http://www.mirror.co.uk/news/top-stories/2009/06/19/nhs-wins-in-c-diff-fight-115875-21453055/
 

 

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07 April 2009 - Health Minister announces Clostridium difficile leaflet

 

 

http://www.dailymail.co.uk/health/article-1082254/C-diff-deaths-care-homes-triple-years.html

C. diff deaths in care homes triple in two years

By Daniel Martin
Last updated at 12:24 AM on 01st November 2008

C. diff

The number of elderly people killed by the superbug C. diff in care homes has tripled in two years.

Last year, Clostridium difficile was mentioned on the death certificates of 438 care home residents - up from 144 in 2005.

However, the true toll is certain to be higher as superbug infections are not identified in many cases concerning older people.

Even if they are, many death certificates do not list superbugs as the cause of death, even when it is known to have been a factor.

Despite this, officially recorded figures have leapt since 2003, when the death toll was 57.

Experts said residential and nursing homes are breeding grounds for the bug, which mainly attacks the elderly, as so many people live in a small space.

The soaring toll of superbugs in care homes comes just days after ministers lauded dramatic falls in hospital infections, which are often spread by dirty hands.

The Liberal Democrats, who uncovered the figures in a Parliamentary question, said ministers were ignoring care homes in the war against superbugs.

Health spokesman Norman Lamb said: 'There has to be a zero-tolerance approach to superbugs across the board. An effective strategy must recognise that residents move in and out of hospital, taking any infections with them.'

The figures show that private homes have far more cases of C. diff - an infection which can lead to diarrhoea and severe bowel inflammation - than state-run ones.  The largest number of cases were in non-NHS nursing homes, up from 80 in 2005 to 232 last year.

Mark Enright, professor of molecular epidemiology at Imperial College, London, said: 'Care homes have dozens of people packed together so it is a breeding ground for outbreaks.

'A lot of cases will not be recorded as it is quite frequent for elderly people to get diarrhoea and C. diff can be the underlying cause of other fatal illnesses. It can, for example, cause dehydration which can tip a frail elderly person over the edge.

'Infections are not subject to mandatory reporting in care homes, as they are in hospitals, and many homes do not have medical staff trained in infection control.'

Gordon Lishman, director general of Age Concern, said: 'It is essential care homes prioritise cleanliness. Inspectors must take infection control as seriously as in hospitals.'

The Daily Mail has highlighted the filthy condition of many care homes as part of its Dignity for the Elderly campaign.

A Health Department spokesman said increased awareness was behind some of the rise in C.diff being mentioned on death certificates.
 

 

Copper door handles and taps kill 95% of superbugs in hospitals

By Fiona Macrae
Last updated at 1:34 AM on 29th October 2008

Copper fittings

Hope: Copper taps, toilet seats and push plates on doors all but eliminated common bugs, the study found

Making door handles, taps and light switches from copper could help the country beat superbugs, scientists say.

A study found that copper fittings rapidly killed bugs on hospital wards, succeeding where other infection control measures failed.

In the trial at Selly Oak hospital, in Birmingham, copper taps, toilet seats and push plates on doors all but eliminated common bugs.

It is thought the metal 'suffocates' germs, preventing them breathing. It may also stop them from feeding and destroy their DNA.

Lab tests show that the metal kills off the deadly MRSA and C difficile superbugs.

It also kills other dangerous germs, including the flu virus and the E coli food poisoning bug.

Although the number of cases of MRSA and C difficile is falling, the two bugs still claim thousands of lives a year.

During the ten-week trial on a medical ward, a set of taps, a lavatory seat and a push plate on an entrance door were replaced with copper versions. They were swabbed twice a day for bugs and the results compared with a traditional tap, lavatory seat and push plate elsewhere in the ward.

The copper items had up to 95 per cent fewer bugs on their surface whenever they were tested, a U.S. conference on antibiotics heard yesterday.

Professor Tom Elliott, the lead researcher and a consultant microbiologist at the hospital, said: 'The findings of 90 to 95 per cent killing of those organisms, even after a busy day on a medical ward with items being touched by numerous people, is remarkable.

'I have been a consultant microbiologist for several decades. This is the first time I have seen anything like copper in terms of the effect it will have in the environment.

'It may well offer us another mechanism for trying to defeat the spread of infection.'

Researcher Professor Peter Lambert, of Aston University, Birmingham, said: 'The numbers decreased always on copper but not on the steel surfaces.'

If further hospital-based trials prove as successful, the researchers would like copper fixtures and fittings installed in hospitals around the country.

Doorknobs, taps, light switches, toilet seats and handles and bathroom 'grab rails' could all be ripped out and replaced with copper versions.

C difficile

Making door handles, taps and light switches from copper could help the country beat superbugs, scientists say

Although it is usually thought to be an expensive metal, copper is actually a similar price to stainless steel, the researchers said. Nursing homes and even our houses could also benefit from the metal's ability to wipe out dangerous bugs.

The healing power of copper has been recognised for thousands of years.

More than 4,000 years ago, the Egyptians used it to sterilise wounds and drinking water and the Aztecs treated skin conditions with the metal.

The ancient Greeks also knew of its benefits. Hippocrates, sometimes called 'the father of medicine', noted that it could be used to treat leg ulcers.

Today, copper is a common constituent in medicines including antiseptic and antifungal creams. It is also believed to have anti-inflammatory properties. Many of those with arthritis wear copper bangles.

Although they provide relief to many, there is no scientific evidence that they work.

Copper is present in our diet in trace amounts and plays an important role in the formation of red blood cells and in keeping our blood vessels, nerves and bones healthy.

The research was funded by the copper industry.

http://www.dailymail.co.uk/health/article-1081359/Copper-door-handles-taps-kill-95-superbugs-hospitals.html