Quando a ciência ainda não entendia os germes, um médico húngaro descobriu e provou que lavar as mãos é essencial contra infecções – a história dele, porém, não teve final feliz.
Fonte: Ignaz Semmelweis, o médico colocado em manicômio por insistir na importância de se lavar as mãos
A beloved physician and researcher who fought the status quo to foster antibiotic stewardship, Levy dedicated his life to warning the world about the dangers of misuse.
Fonte: Dr Stuart Levy, ‘Father of Antibiotic Stewardship,’ Dies at 80
Fonte: Cortinas em hospitais são ninhos de bactérias – 12/04/2019 – UOL VivaBem
As cortinas que separam os leitos dos pacientes em muitos hospitais servem para proteger sua privacidade, mas podem ameaçar sua saúde: geralmente carregam bactérias resistentes que podem contaminar os doentes, de acordo com um estudo divulgado nesta sexta-feira (12).
The patients may have been exposed to blood-borne illnesses due to “lapses in infection control in sterilization,” according to the surgery center.
Fonte: More than 3,000 patients at New Jersey surgery center possibly exposed to HIV, hepatitis
Fonte: Effects of Decontamination Strategies on Drug-Resistant Bloodstream Infections in Ventilated
Artigo do JAMA sobre um assunto recorrente. Há ou não benefícios em descontaminação do trato gastrointestinal em pacientes submetidos à ventilação mecânica?
Original Article from The New England Journal of Medicine — A Candida auris Outbreak and Its Control in an Intensive Care Setting
Fonte: A Candida auris Outbreak and Its Control in an Intensive Care Setting | NEJM
Candida auris é o mais novo “enfant terrible” dos germes multirresistentes.
Apenas o resumo da publicação disponível para não assinantes.
Número sobe para 10% em países de renda média e baixa. Documento do Banco Mundial, OMS e OCDE traz panorama da assistência à saúde em todo o mundo: ‘práticas inadequadas ocorrem em países ricos e pobres’.
Fonte: 7% dos pacientes vão adquirir infecção hospitalar durante internação, aponta relatório
Background: Carbapenem-resistant Klebsiella pneumoniae infections are increasingly prevalent in North American hospitals. We describe an outbreak of carbapenem-resistant K. pneumoniae containing the blaOXA-232 gene transmitted by contaminated duodenoscopes during endoscopic retrograde cholangiopancreatography (ERCP) procedures. Methods: An outbreak investigation was performed when 9 patients with blaOXA-232 carbapenem-resistant K. pneumoniae infections were identified at a tertiary care hospital. The investigation included 2 case-control studies, review of duodenoscope reprocessing procedures, and culture of devices. Carbapenem-resistant Enterobacteriacieae (CRE) isolates were evaluated with polymerase chain reaction analysis for carbapenemase genes, and isolates with the blaOXA-232 gene were subjected to whole-genome sequencing and chromosome single-nucleotide polymorphism analysis. On recognition of ERCP as a key risk factor for infection, targeted patient notification and CRE screening cultures were performed. Results: Molecular testing ultimately identified 17 patients with blaOxa-232 carbapenem-resistant K. pneumoniae isolates, including 9 with infections, 7 asymptomatic carriers who had undergone ERCP, and 1 additional patient who had been hospitalized in India and was probably the initial carrier. Two case-control studies established a point-source outbreak associated with 2 specific duodenoscopes. A field investigation of the use, reprocessing, and storage of deuodenoscopes did not identify deviations from US Food and Drug Administration or manufacturer recommendations for reprocessing. Conclusions: This outbreak demonstrated the previously underappreciated potential for duodenoscopes to transmit disease, even after undergoing high-level disinfection according to manufacturers’ guidelines.
A Randomized Trial to Determine Whether Wearing Short-Sleeved White Coats Reduces the Risk for Pathogen Transmission – Volume 39 Issue 2 – Amrita R. John, Heba Alhmidi, Melany I. Gonzalez-Orta, Jennifer L. Cadnum, Curtis J. Donskey
A pediatrics professor at UCLA tested the use of a handshake-free zone to reduce the spread of germs.
Fonte: Handshake-Free Zone: Stopping the Spread of Germs in the Hospital
Certas idéias são tão óbivias, que a gente se pergunta por quê não pensou nisso antes
blog infectologia em geral 