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Jobst
On Sat, 02 Sep 2017 16:49:29 -0400, (PeteCresswell) wrote:
Per : High numbers of deaths from hospital acquired infections really only tells you that the general population is not very healthy. And in the USA that is primarily from a large illegal and legal immigrant population that has arrived from countries that do not have particularly good health. How about antibiotic-resistant strains of bacteria like MERSA? Most (but interestingly not all) antibiotic resistant bacteria evolved in countries with advanced health care that over-used antibiotics in humans and livestock. MRSA (pronounced "mersa" by some) is almost piffling compared to some of the baddies out there now. VRE and C. difficile seem to be increasing in my experience; ESBLs and CRE infections are much scarier as they can actively combat antibiotics many of the latest antibiotics- it's not a simple matter of resistance. I have had a small number of patients with ESBL urinary tract infections and thus far the mortality rate has been 50%. As is often the case, those most susceptible to infection are those already weakened by other health problems, typically chronic diseases they have had for years. I have not seen any cases of CRE yet in the settings I work in. As a psychologist I do not have any need for physical contact with my patients, but I am having to glove/gown/mask more often now than any time in the past 27 years. |
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