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Dublin: 13 °C Monday 20 May, 2013

One in 20 patients has hospital acquired infection

5.2 per cent of patients get infection within two days of admission, after a medical device was inserted or after surgery.

Image: Rui Vieira/PA Archive/Press Association Images

ONE IN TWENTY patients in Irish hospitals has acquired an infection during their stay, according to a survey conducted by the Health Service Executive.

5.2 per cent of 9,030 patients in 50 Irish hospitals developed an infection more than two days after they were admitted to a hospital, after a medical device was inserted or within a defined time limit after an operation. A similar survey from Britain found that the prevalence of healthcare-associated infections was 6.4 per cent in England.

“The survey found that the patients who had a HAI (hospital acquired infection) were more likely to have some of the common ‘risk factors’ for developing a HAI, when compared with patients who did not have a HAI” said Dr Robert Cunney, a consultant microbiologist with the Health Protection Surveillance Centre.

Well-known risk factors for developing HAI can include: having had an operation, having a drip or a bladder catheter, being in an intensive care unit, being older or very young in age and receiving antibiotics.

The prevalence was highest in adult and pediatric intensive care units, high dependency units and surgical wards.

The most common types of infections were surgical site infections (would infections) pneumonia, urinary tract infections, bloodstream infections and gastrointestinal infections.

The survey also found that antibiotic prescribing in Irish hospitals was high, with one-in-three patients admitted to Irish hospitals in May 2012 given an antibiotic.

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Comments (10 Comments)

  • It always amazes me that we haven’t moved to a situation where every patient has a small, private ward.

    Surely it’s basically impossible to control infection in a general hospital where you’ve patients on multi bed wards next to each other?
    I’ve visited relatives in hospital where they were so close to the next bed it was almost ridiculous!

    It just seems daft that we continue with this 19th century approach to designing hospitals.

    Reply
    • I think most of these infections are bacterial, and transmitted by contact. maybe having private rooms is unfeasible because that way the surface area available to harbour infection is increased enormously, and cleaning would become much more difficult. anyway, five percent seems fairly low.

      Reply
    • Winter Vomiting Bug – which seems to close hospitals every year – is a virus. Very easy to spread, you can be infected by contaminated surfaces, food, water, indirect contact etc. Hand washing is the best protection to prevent spread by nursing/medical staff – it always comes back to having excellent hygiene practices, whether it’s bacteria or virus.

      The virus can also live on surfaces for days, but is easily killed by nothing more complicated than simple bleach. People don’t rate the cleaning staff in hospitals half enough and they are being cut back all the time. They are among the most important people in hospitals and little thanked for it.

      Reply
  • It’d only be much more difficult if the wards were really badly designed. It should be possible to basically spray down a ward when a patient leaves, if they were designed properly!

    Reply
    • You need to do more than spray down to ensure you get rid of microorganisms. Medical professionals going from one patient to another without washing hands is what spreads the infection.
      So even if your environs are totally sterile when you arrive, you may still end up with an acquired infection.

      Also there are alot of building standards when it comes to healthcare settings. So it would be incredibly expensive, increase cleaning etc hugely

      Reply
  • You have to consider the types of illnesses the Mater treats too – it had lots of complicated cancer cases so a lot of immune suppressed patients.

    The Mater also (until recently) had a lot of very old wards. I know I’ve visited relatives in there recently and the cancer ward looked like it was Florence Nightingale era architecture. High ceilings, fancy mouldings etc all of which is difficult to keep bug free.

    The new parts of the Mater are vastly improved.

    Reply
  • Wow. How awful.

    Reply
  • The mater hospital scrub down beds lockers everything even if a patient was only in for a few hrs on the other hand blanchardstown just change the bed linen I witnessed this in the 2 hospitals the last few weeks

    Reply
  • Mater has a higher incidence of infections than Blanchardstown. However it is the hand of healthcare workers and other patients that spreads vast majority of infections

    Reply
  • Dirty…

    Reply

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