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Superbugs in Our Hospitals

Superbugs in Our Hospitals

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Published by doctorrao

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Published by: doctorrao on Jul 07, 2014
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Dr.T.V.Rao MD
Today our environment is getting gradually loaded with many bugs which were responding to the antibiotics in the past, and microbes have learnt the art of living in spite of all our good and bad actions, If we sit in front of Bacteriology reporting bench for reporting we find at least one or two strains, are totally resistant to many cephalosporins, and also the resistance to carbapenem is on raise, as we are entering the era of BUGS to
 In scientific terms the title "superbug"? Means Bacteria can carry genes that allow them to survive exposure to the antibiotics we currently have. The unprecedented abuse of antibiotics over the last several decades has created drug resistant bacteria, colloquially referred to as superbugs
As antibiotics-abuse-increases -the-creation-of-super-bugs. This means that infections caused by these bacteria are harder to treat, although they are not necessarily more severe or infectious. What is concerning is that the gene that carries antibiotic resistance can be passed between bacteria, allowing for the creation of bacteria that carry resistance genes to many different antibiotics, Never forget they are carried to other less serious patients, in turn our entire hospital will be loaded with superbugs, if hygienic practices are not implemented. In Canada Alberta patient who was diagnosed in the summer of 2010 with the infection of an NDM-1 strain superbug from an Indian hospital has attracted much media attention and alarm in the medical community. And a handful of cases have been reported worldwide, but experts fear that this strain of bacteria can threaten patients in hospitals globally. In 2010 we were shy to accept the NDM linked with India and created major responses from political and scientific communities, However we are losing the valuable time in putting the matters in order in spite of universal agreement many protocols are not followed by medical fraternity and many managements are least worried on the important factors on safe practices, that developed countries generate many drug resistant strains due to lack awareness on the use of antibiotic, Examples of Major Bacterial Superbugs, Carbapenem-resistant Enterobacteriaceae (CRE) Evades the strongest antibiotics, making infections almost untreatable. Has a fatality rate of up to 50%.The CDC reports that in the last 10 years, the percentage of Enterobacteriaceae that have become resistant to antibiotics has increased from 1% to 4%. One type of CRE actually increased its resistance seven fold in that time period. In the first half of 2012, about 18 percent of long-term acute-care hospitals and 4 percent of short-stay hospitals nationwide had at least one patient infected with CRE. I should bold to confess that majority of the hospitals have no policy to tackle the problem. But NDM-1 strain bacteria are not the first superbugs. In fact, MRSA, a strain of Staphylococcus bacteria that carries resistance to a number of antibiotics, has been a major problem in health care settings for years. MRSA bacteria are resistant to most of the antibiotics used to treat them, making common infections difficult to treat. In the past we are scared when we isolate a MRSA and much attentions paid and we are able to move many clinical practitioners to be aware on emerging MRSA infections. Methicillin-resistant Staphylococcus aureus (MRSA) we are aware a drug-resistant phenotype that has been circulating for over 45 years, almost as long as methicillin has been on the market. In 2007, 63% of all reported staph infections in the US were caused by MRSA In 1995, about 22% of all reported staph infections were MRSA, compared with only 2% in 1974. Instead of traditional antibiotics, physicians treat MRSA with "last-resort" intravenous vancomycin. Scientists estimate that about 19,000 people in the United States die every year from MRSA that's more than the number of U.S. residents and citizens that die from HIV/AIDS (about 17,000 every year). The powerful pharmaceutical industry impressed and dominated the scenarios with many advantages in profit making, and so many compounds are marketed in the market many other reason being so many formulation of Cephalosporins which save many and also confused many of us, what to select

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