A Maltese success story
Maximising hand hygiene protocols and introducing central line care bundles reduces nosocomial infections and mortality rates, Moira Mizza reports.
Infections
The Max Harry Weil Lecture at the ISICEM 2012
With his clinical and experimental research on the acute care of critically ill patients through round-the-clock monitoring of the vital functions Max Harry Weil revolutionised intensive care medicine and became known as its founding father. He died in 2011 in California, aged 84. Thus the first Max Harry Weil Lecture will be held in his honour at this ISICEM.
Better safe than sorry
Five recommendations to prevent central venous catheter-related infections. Catheter-related bloodstream infections are the third frequent infection in the intensive care unit (ICU) after pneumonia and peritonitis worldwide. The incidence of CVC infections lies between 1-4 for 1,000 catheterdays. This means for the USA, as an example, that more than five million patients annually need a central…
ISICEM 2012: So much to discuss…
When the ISICEM 2012 opens this March, Brussels will again experience a healthy influx of medical specialists intent on hearing the most recent, clinically relevant developments in research, therapy and management of the critically ill.
Hygiene problems in European hospitals
Worldwide, antibiotic resistance is one of the three major challenges for public health according to the European Society of Clinical Microbiology and Infectious Diseases (ESCMID). What needs to be done? Anja Behringer reports.
Trauma networks ensure effective cooperation
Improved cooperation, a database for artificial joints, antibiotics against pathogens – orthopaedic specialists and surgeons are banking on different ways of increasing patient safety. Report: Susanne Werner
Training against medical errors
Surgical simulations can save lives, Anja Behringer reports Medical errors occur more frequently than traffic accidents and clearly better systems are needed to improve patient safety. Thus the importance of medical training using human simulation models is increasingly emphasised in Germany.
The ‘sepsis team’
‘We are all aware of the importance of early diagnosis and rapid appropriate treatment of patients with severe sepsis. Yet, many patients still do not receive satisfactory early management and the application of recent guidelines for sepsis management is still inadequate,’ writes Jean-Louis Vincent MD PhD, from the Intensive Care Department, Erasme Hospital, Université Libre de Bruxelles,…
Battling the bugs
In terms of health politics, no hospital-related subject is more explosive than hygiene. However, although this reaction is common across Europe, approaches towards tackling nosocomial infections varies among our EU countries. Karoline Laarmann reports from Germany and Jane MacDougall from France…
Killing copper
In Europe, nosocomial infections cause about 25,000 deaths every year. Copper has strong antibiotic effects and may reduce hospital acquired infections.
Hemolung speeds COPD patient recovery
This March, Heinz-Dieter Hilgers arrived for his once-monthly check-up at Ruhrlandklinik in Essen. Last June, his situation was far less relaxed. Suffering chronic obstructive pulmonary disease (COPD) for almost two years, he had been listed for a lung transplant since April 2009. During his wait for an organ, his illness increased.
Blood glucose monitoring in the ICU
Although there is still disagreement as to ‘how’, when it comes to the question of whether the glucose level affects the prognosis for intensive care patients, the answer is a definite ‘yes’. ‘
The 31st ISICEM
Jean-Louis Vincent, Chairman of the Dept of Intensive Care, Erasme Hospital, Université Libre de Bruxelles, welcomes visitors to this year’s International Symposium on Intensive Care and Emergency Medicine.
Advancing POC diagnostics
Improvements in microfluidics and detection technologies are beginning to expand the range of point-of-care diagnostics beyond simple blood chemistry tests to sophisticated immuno-assays and molecular diagnostics. Though yet to see much adoption in European hospitals, these point-of-care (POC) diagnostics are coming into use in the USA, initially in emergency rooms and ICUs where fast results are…
The 3rd Annual General Meeting of the Austrian Society for Laboratory Medicine and Clinical Chemistry
Different tests bring different results, and results of the same types of test vary from laboratory to laboratory. "In the case of test procedures for autoimmune diseases there are incredible discrepancies," confirmed Professor Manfred Herold, head of the Laboratory for Rheumatism at the University Clinic for Internal Medicine One, Innsbruck. The reason: "There are no standards for…
Cardiac and sepsis markers
Prior to October’s 3rd Annual Congress of the Austrian Society for Laboratory Medicine and Clinical Chemistry in Salzburg, Austria, laboratory experts conveyed their opinions in an interview with Michael Krassnitzer from European Hospital.
Diabetes and Risk of Death in Cancer Patients
Does diabetes further increase the risk of death in patients diagnosed with cancer? A team at the Johns Hopkins School of Medicine in Baltimore, Maryland, has discovered something very sobering: Cancer patients are 51% to 85% more likely to die after surgical resection if they had pre-existing diabetes.
Article • MRSA
Effective screening can kill several birds with one stone
The MRSA problem has been ignored almost stoically in many European countries for the past 20 years. Thus the number of resistant Staphylococci cases exploded from 1% in 1990 around 25% in 2010. However, the recognition that an infection can result in additional hospital costs of up to €10,000 has led to a change in thinking. The Netherlands, for example, declared war on MRSA with ‘search and…
Treatment beyond anti-infectives
Professor Norbert Suttorp and his team at the Clinic for Infectology and Pneumonology, Charité University Hospital Berlin, have been working on the understanding of the basic mechanisms of inflammation and infection -- and utilising them. Professor Suttorp has been working for many years on questions relating to the subject Therapy in addition to antibiotics.
Germany legislates for MRSA reporting
The UK, Denmark, Ireland, Sweden and the Netherlands already have it - an official obligation to report MRSA cases to their health authorities. Since 1 July 2009 German law has also required notification. Professor Herbert Hof, Director of the Institute for Microbiology and Hygiene at the University Hospital Mannheim, Germany, explained why such notification became essential.
Dräger Award for Intensive Care Medicine 2009
At this year's Euroanaesthesia 2009, in Milan, the European Society of Anaesthesiology (ESA) presented for the third time the “Dräger Award for Intensive Care Medicine”. The 10,000 Euro prize went to the working group studying “Effects of ventilation with 100% oxygen during early hyperdynamic porcine fecal peritonitis” in the Department of Anesthesiology, University Hospital Ulm, Germany.
The Infector Detector
Urinary tract infections caused by catheterisation are a common and nasty affliction for the disabled, elderly and hospital patients.
New insights, algorithms and debates
For the first time in 33 years, wound healing was the focus of a dedicated session at the 33rd annual VEITHsymposium for vascular surgeons in New York (11/06). This underscores the fact that wound healing is heading increasingly towards a speciality that warrants the special attention of dedicated people willing to embrace an interdisciplinary approach to non-healing or complex wounds.
New quick test for MRSA delivers results in just 5 hours
The methicillin resistant staphylococcus aureus (MRSA) is one of the most common causes of life threatening infections among hospital patients. What makes the bacterium that dangerous is the fact, that due to unspecific symptoms and long lasting testing procedures its detection takes too long. A new test that delivers results in just five hours now offers the possibility of a MRSA screening for…
News • Nosocomial infections
Study finds stainless steel beats plastic in combating bacteria
Nosocomial infections are all too common in our hospitals. For example, in Germany alone (according to the German Company for Hospital Hygiene - Deutsche Gesellschaft für Krankenhaushygiene), each year 40,000 patients contract bacterial infections, some fatal.