‘Before each ward round my students and I wash our hands’ – so said Ignaz Philip Semmelweis in the mid-19th century, in his drive to reduce the hospital mortality rate. Today, the World Health Organisation states that ‘Clean care is safer care’ – and yet, particularly in recent times, the lack of hygiene in numerous hospitals has resulted in mortalities. Who is to blame? What can be…
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…
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.
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.
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
They are rarely noticed but nevertheless they carry a lot of weight in a hospital: intelligent mounting solutions for medical equipment and monitors. While the eyes of physicians, nurses and patients alike tend to be fixed on the device, hardly anybody ever looks at the way, the device is fixed to the wall or the ceiling. The engineers of CIM med, based in Munich, Germany, however did have a…
Professor Bill Keevil, Director of the Environmental Healthcare Unit at University of Southampton’s School of Biological Sciences, was among the first microbiological researchers to experiment on copper’s efficiency against pathogenic and nonpathogenic strains of E. coli bacteria and demonstrate the inherent anti-microbial property of the metal.
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…
In Europe, nosocomial infections cause about 25,000 deaths every year. Copper has strong antibiotic effects and may reduce hospital acquired infections.
Bacteria are highly flexible when it comes to choosing a vehicle to enter a human body. During orthopaedic surgery, they may well settle on a prosthetic joint and cause immediate or delayed infections.
The clinical informatics firm ICNet International Ltd, which develops case management and surveillance software, has produced a software package using the SSI (Surgical Site infection surveillance) Monitor to combine information about patient movements in a hospital with data held by the laboratory and theatre systems -- and to alert staff if a patient is either infected or at risk of contracting…
The UK -- Patients admitted to hospital with inflammatory bowel disease (IBD) face a six-fold greater risk of death if they become infected with Clostridium difficile, according to a new study carried out by researchers at Imperial College London and St George’s Healthcare NHS Trust (pub: Alimentary Pharmacology and Therapeutics).
The introduction of comprehensive risk management to a hospital is challenging. Although initiating quality and safety processes is often easy, the structural changes in a microcosmic hospital are harder to crack. However, successfully integrated risk management can represent a decisive, competitive advantage in the healthcare market. By Karoline Laarmann
The part of bacterial DNA that often carries antibiotic resistance is a master at moving between different types of bacteria and adapting to widely differing bacterial species, shows a study made by a research team at the University of Gothenburg in cooperation with Chalmers University of Technology. The results are published in an article in the scientific journal Nature Communications.
Smooth, flawlessly running reprocessing systems ensure regulatory hygiene standards as well as the constant availability of all endoscopes. To this end, along with the established Partnership and Complete Coverage Contracts for endoscopy, Olympus Deutschland GmbH has developed CDS Care and CDS Care+ Contracts and a Validation Service.
The strategies used to assess the environmental risks posed by pharmaceuticals are not enough to protect natural microbial communities, reveals a researcher from the University of Gothenburg, Sweden, who is calling for better environmental risk assessments.
The reprocessing of single use medical devices is well-established in Europe. However, questions about the risk for patients and users arise constantly. The European Commission presented recently a kind of risk survey. The report strikes German experts as basically accurate but unbalanced.
Eucomed, the European Medical Technology Industry association, welcomes the European Commission's (EC) report on the reprocessing of medical devices. While remaining typically neutral in terms of action at this stage of the debate, the EC report confirmed that even with all the evidence and scientific opinion available "...it is not possible to quantify the risk associated with the use of…
Avoiding and reducing waste in the clinical environment not only has highly scalable effects in economic terms, but also marks a key milestone on the path towards a ‘green hospital’. The latest innovation from the company MEIKO makes a major contribution towards reducing waste while simultaneously making nursing staff’s work both safer and easier.
The 3-year Translational Research On Combating Antimicrobial Resistance (TROCAR) project, a consortium of 14 European institutes, has completed its first year of molecular study of high-risk antibiotic-resistant bacteria. With expertise ranging from medical microbiology to computational analysis, this network of excellence is on track to identify and target the resistant and multi-resistant…
A few years ago, Dr Peder Bo Nielsen MD FRCPath, Consultant medical microbiologist at Northwick Park Hospital, London, UK, launched a research programme on airborne transmission of nosocomial infections. Until then, so called air-biology held no high priority in infection prevention and control. The prevailing perception was that colonisation and contamination mainly happens due to direct contact…
Despite some uncertainty about how it works, there is a growing consensus that Negative Pressure Wound Therapy (NPWT) – also known as Vacuum Assisted Closure (VAC) – is revolutionising wound care. Speaking at the 1st International Surgical Wound Forum, held recently in Amsterdam, surgeons from Europe and the USA predicted the growing use of this innovative technology across the spectrum of…
Quality in wound care no longer centres only on a successful healing process but is taking a more holistic, patient-orientated approach. Wounds cause pain, impair quality of life, and make treatment far more complex for medical teams. Approaches that facilitate a painless change of dressings and less wound trauma are therefore welcome – and advancing.
Post-operative wound infection occurs after an estimated 17% of surgical operations – sometimes with devastating consequences for the patient. The list of preventive measures is manifold and long. However, one strategy is increasingly moving into the spotlight: the use of antibacterial coated sutures. Ethicon Products is at the cutting edge in this field. Sandra Rasche, head of this Business…
The border between Germany and the Netherlands in the so-called EUREGIO region is of no particular importance in the daily life of the people who live there. Every day, thousands commute between towns and cities in both countries, to work, shop or even receive medical treatment. The latter, however, presents Dutch hospitals with a problem.