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Ten years ago, outbreaks
of methicillin-resistant staphylococcus aureus (MRSA) and Clostridium difficile (C. diff) infections in NHS hospitals
killed patients, made headline news and
had everybody worried about the rise of so- called superbugs.But the most common are respiratory infections such as pneumonia (22.8% of cases), urinary tract infections (17.2%) and surgical site infections, which account for 15.7% (NHS England, 2011).MRSA and C. diff were linked to as many as 9000 deaths in healthcare settings in England in 2007 (NAO, 2007) and infection control was stepped up and the number of cases has since fallen significantly (NHS England, 2011).The more common communicable infections, such as norovirus and influenza (see box overleaf), pose the biggest danger, though cases of E. coli are becoming more widespread.Schools and care homes in particular
are at risk from microbes because so many vulnerable people interact in a confined space, and good hygiene habits can be hard to enforce.The threat of healthcare-associated infections (HCAI) is ever-present.
Ten years ago, outbreaks
of methicillin-resistant staphylococcus aureus (MRSA) and Clostridium difficile (C. diff) infections in NHS hospitals
killed patients, made headline news and
had everybody worried about the rise of so- called superbugs. Except there was nothing new about these superbugs. Healthcare professionals have always been aware of the dangers of bacterial infections and they have always worked hard to prevent them..
The threat of healthcare-associated infections (HCAI) is ever-present. An estimated 300,000 NHS patients a year contract them. But the most common are respiratory infections such as pneumonia (22.8% of cases), urinary tract infections (17.2%) and surgical site infections, which account for 15.7% (NHS England, 2011). MRSA and C. diff were linked to as many as 9000 deaths in healthcare settings in England in 2007 (NAO, 2007) and infection control was stepped up and the number of cases has since fallen significantly (NHS England, 2011).
But infections are not just an issue in hospitals and other primary care settings. They are also a threat in schools, care homes, and people’s houses. Thankfully, MRSA and C. diff are rare in these settings. The more common communicable infections, such as norovirus and influenza (see box overleaf), pose the biggest danger, though cases of E. coli are becoming more widespread.
Schools and care homes in particular
are at risk from microbes because so many vulnerable people interact in a confined space, and good hygiene habits can be hard to enforce. According to Elaine Ross, infection control manager at NHS Dumfries and Galloway, and a board member of the Infection Prevention Society, the situation is complicated further when infected people return to the environment before they have fully recovered. ‘Outbreaks continue or reoccur because people send their children back to school or they go back to work too soon,’ she says. ‘They do this with the best intentions but they are often still infectious and so pose a high risk to everybody else.’
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