Deadly staph infections decline in hospital ICUs

February 18, 2009|Lindsey Tanner, Associated Press

CHICAGO - The rate of infections from a deadly strain of staph has dropped dramatically in hospital intensive-care units, a rare encouraging sign about a hard-to-treat "superbug," according to a government report.

The report involving nearly 600 hospitals is the largest to document a long-term decline in the level of IV tube-related infections caused by MRSA, a drug-resistant staph germ.

The rate of MRSA bloodstream infections connected with intravenous tubes fell almost 50 percent between 1997 and 2007. The decline occurred at most types of intensive care units that reported these infections to the federal Centers for Disease Control and Prevention.

"We may actually be starting to get a toehold on" these dangerous germs, said Dr. Buddy Creech, a Vanderbilt University infectious disease specialist who was not involved in the research. "That's encouraging."

In 1997, there were an estimated 43 MRSA infections for every 100,000 intensive-care patients who spent a day hooked up to IV tubes. By 2007, that number dropped to just 21.

The study authors say the results are probably a sign that doctors and nurses are working harder at prevention efforts. These include frequent hand-washing, instrument sterilization, and other measures.

The focus of the study were catheters that are typically threaded into an artery near the heart to deliver medicine or monitor vital signs. These tubes can increase the risks for infection from all kinds of bacteria.

Among the most dangerous are methicillin-resistant Staphylococcus aureus bacteria. The MRSA bacteria often live harmlessly on the skin or in the nose but can spread quickly and become deadly once they enter the bloodstream.

MRSA bacteria can't be treated with common antibiotics, and cause more than 90,000 serious infections and more than 18,000 deaths nationwide each year.

The research appears in today's Journal of the American Medical Association.

Some states have adopted or are considering laws requiring MRSA testing or other prevention steps in hospitals.

Advertisement
Advertisement
|
|
|
|