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Blood poisonings: Medical staff told 'wash your hands'

11 Aug, 2010 08:32 AM
THE blood poisoning deaths of 70 patients a year has prompted Hunter New England Health officials to remind staff in hospitals and clinics to wash their hands.

A survey of staff has found that only two-thirds of hunter New England Health staff had washed their hands at any given time.

Health staff are required to wash their hands or use alcohol hand-rubs before and after touching every patient, whether or not they wear gloves.

In February, managers audited 8500 opportunities where staff should have washed their hands, and found they did in 65per cent of cases.

Infection prevention and control director John Ferguson said he wanted to get the overall rate to 80per cent.

Statistics show that 350 people get blood poisoning each year in the region’s hospitals and clinics, with 70 dying.

Blood poisoning, also known as septicaemia, is a blood infection caused by either bacteria, fungi or other micro-organisms.

It can be prevented by good hygiene such as sterilising equipment, cleanliness when inserting drips and catheters, wound management and washing hands.

Dr Ferguson estimated about 35 of the 70 deaths each year were directly caused by septicaemia.

In the other half of cases, the direct cause of death was health issues such as terminal cancer or trauma that caused the infection.

The microbiologist and infectious diseases physician said they could save up to 14 of the 35 people directly infected annually by improving hygiene rates.

‘‘It’s quite a high standard, so it’s very difficult to get compliance,’’ he said.

‘‘We think we can prevent 40-50per cent if we made everything just right and really went to the n-th degree.

‘‘It’s all about behaviour.’’

Dr Ferguson emphasised septicaemia cases represented about 1per cent of all admissions.

About a third of all cases occurred outside the hospital walls, for example, in dialysis patients during regular treatment in clinics.

‘‘It’s also important to note that people don’t always die, it is a treatable condition,’’ he said.

There are about 12,000 cases of hospital-contracted septicaemia in Australia each year, and an equal number of community-contracted cases, including 500 in the Hunter New England area.

Dr Ferguson said there was discussion about publicly releasing septicaemia rates to improve compliance.

Causes of septicaemia out of hospital include meningitis, meningococcal, pneumonia, urinary tract infections and abdominal infections.

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And they call themselves 'health professionals' yet struggle to observe even basic hygiene standards
Posted by whatajoke, 11/08/2010 9:23:24 AM, on The Herald
Astounding, abominable and totally criminal. There should be a screening method that staff should walk through detecting uncleanliness similar to a scan. If only.
Posted by PK, 11/08/2010 9:35:41 AM, on The Herald
With this and the other article in the Herald concerning the inquest about a man's death at John Hunter hospital it should be Jim Arneman that should be running for cover about the health system because this is all done under Labor.
Posted by Paul, 11/08/2010 10:29:14 AM, on The Herald
It's a sign of the times.
Posted by jake 69, 11/08/2010 10:40:25 AM, on The Herald
My mother recently spent over 6 weeks in hospital due to septicaemia, she was very ill. The doctors told her that she was a very ill patient. Mum is now on the mend. However what needs looking into is what appears to be a culture of ambulance drivers trying to talk people out of using the ambulance saying that unless hou have broken bones or a heart attack you probably won't get admitted to hospital and will have to find your own way home. My mum was so ill and my father 83 year old had to insist thathe wanted her to go. She could have died. On a previous occasion when I was present the ambulance drivers again tried to talk us out of using the ambulance.
Posted by Kathy, 11/08/2010 11:20:57 AM, on The Herald
They consider 65% to be unacceptable, but 80% is acceptable, using the numbers provided that still leaves 1700 out of a sample of 8500 that do not wash their hands. Now multiply that by the actual number of employees working in areas where the washing of hands should be mandatory and done automatically and one is left with little confidence of not being subject to infection. What is needed is more attention to infection control within all of the HNE health facilities that can only be achieved by the employment of more staff dedicated to enforcement. Perhaps if every patient acked if their attending health worker had washed their hands before touching them it may assist in a change in culture towards the problem. The whole issue begs the question of what is the position on a whole of state basis - or is NSW Health not game to test the waters for fear of the results. Perhaps the root cause of the problem is the fact that non health trained employees are in some instances tasked with the responsibility for managing clinical areas.
Posted by Baxxa, 11/08/2010 11:36:29 AM, on The Herald
It's commonsense to wash hands when in such circumstances. However there's nothing common about commonsense! Even among professionals.
Posted by commonsense, 11/08/2010 11:39:48 AM, on The Herald
Paul what are you talking about?I don't think it is the responsibility of the Labor Party to wash the hands of health professionals.They work in an environment where it should be second nature.To try and get a free kick for Bob Baldwin out of this is bordering on the insane.
Posted by Watch out Young Liberal About, 11/08/2010 12:04:24 PM, on The Herald
Wow Paul, a candidate for a Federal seat is to blame for failure of Health Professionals to follow protocol? .How about we blame state Labor for their poor administration and the previous Howard gov't who reduced health care funding.
Posted by nicg, 11/08/2010 1:14:32 PM, on The Herald
Paul- you would do well to wash your hands of your right wing conservitive views. A good start to sanitizing your beloved Liberal Party would be to flush out the neocons. They haven't exactly shower money down upon our public health system. It would drag the true blue Liberals back toward the centre and give a once decent part- how should I put it- a clean start!
Posted by betterred, 11/08/2010 2:10:42 PM, on The Herald
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