Articles Posted in Infections

legionnaires-232x300Hospitals and nursing homes, by failing to properly maintain their water systems, may be putting older patients at high risk of an unusual form of pneumonia, with federal officials tracking 1 in 5 suspected or confirmed  cases of life-threatening Legionnaire’s Disease to health care facilities.

Anne Suchat, acting director of the Centers for Disease Control and Prevention, has urged caregivers to redouble their efforts to stamp out Legionella bacteria contamination in areas where poor maintenance may allow infections to flourish, including in water storage tanks, pipes, cooling systems, showers, sinks, and bathtubs. She said Legionnaire’s cases were too widespread, “deadly … and preventable.”

CDC researchers analyzed 2,809 of 6,079 Legionnaire’s cases nationwide in 2015 alone. They found 553 cases in 21 different and targeted jurisdictions, including Virginia, definitely or possibly occurring in a nursing home or hospital. The infections caused 66 deaths.

kid-belts-300x300Keeping kids safe is a constant challenge. Here are some new cautions from recent news reports:

Seat belts save lives—if used, and correctly

Although seat belts can be big lifesavers and a major way to protect passengers from injury, they don’t work if they’re not used—and correctly—especially with children. More than 4 in 10 youngsters killed in vehicular crashes between 2010 and 2014 were improperly restrained, particularly in vehicles’ front seat, or they weren’t buckled in at all, researchers found after studying National Highway Traffic Safety Administration data.

Blausen_0601_LaparoscopicGastricBanding-300x300They once got a ton of hype with radio, TV, and print ads, as well as billboard campaigns by proponents who later proved to be nothing less than sketchy. But the much-touted lap-band weight surgeries have fallen out of favor. The number of the procedures performed annually has nose-dived.

Researchers, based on a longer view, are finding that, among bariatric weight-loss options, lap-band surgeries offer some of the poorest results and result in frequent added procedures—at big costs, both economic and to disappointed, suffering patients.

Vox, the online news site, deserves credit for pulling together a painful review of what once was the most common way for overweight Americans, mostly women, to tackle one of the nation’s epidemic conditions: obesity.

hopkins-300x240It long has been a controversial bit of conventional wisdom. But big teaching hospitals may be a better place for older, sicker patients to go for care, a new study finds. They also may pay more for the treatment, as these institutions have become so large, bureaucratic, and revenue oriented.

Researchers at Harvard and hospitals in the Boston area published an observational study of 21 million Medicare hospitalizations, finding older, sicker patients had better 30- and 90-day mortality rates in 250 major teaching hospitals as compared with 894 institutions with minor teaching roles and 3,339 nonteaching hospitals.

When adjusting for factors that might affect results, the percentage of patients who died within 30 days of hospitalization—one quality measure— was 8.3 percent at major teaching hospitals, versus 9.2 percent at minor teaching hospitals and 9.5 percent at non-teaching hospitals, Stat, the online health information site has reported. That data means one fewer patient dies for every 83 the teaching hospitals treat.

measles-300x205
Call it the million-dollar lie: Minnesotans are finding how costly it can be to allow vaccination foes to spread counter-factual misinformation in vulnerable populations. Doing so has helped fuel one of the North Star state’s worst recent outbreaks of measles among international refugees in the Twin Cities area. The highly contagious infection has swept through the state’s sizable community of Somali immigrants, felling several dozen children, most younger than 10 and all but two un-immunized.

Public health officials blame the disease’s surge, which they say has not peaked yet and has resulted in kids sick enough to need hospitalization, on anti-vaxxers’ exploitation of immigrants’ uninformed fears about American medicine, particularly modern science’s inability to explain precisely what causes autism.

To be crystal clear, no evidence or science ties vaccines to autism. But almost a decade ago, shortly after the government, churches, and nonprofits helped many Somalis—who were fleeing famine and strife in their native African nation and resettling legally in Minnesota—a public health scare erupted. The newcomers feared then that disproportionate numbers of their children were showing signs they were autistic. Health officials investigated and found no higher incidence of the developmental disorder.

maternal-300x170new investigation of one of the great shames of American medical care raises big questions about why labor and delivery is more dangerous to new mothers in the U.S. than just about anywhere else in the civilized world.

To their considerable credit, National Public Radio and Pro Publica, a Pulitzer Prize-winning investigative news site, have joined forces to examine why 700 to 900 American women die each year from pregnancy related causes, and 65,000 nearly die.

The news organizations say Americans are “three times more likely to die in childbirth than women in Canada, and six times more likely than Scandinavian women.” And while U.S. maternal deaths are rising, their numbers were plunging in developed countries from England to South Korea.

nih_header-300x72Although its battles over health insurance have dominated the headlines, Congress also provided a glimmer of good news on funding for medical research. Lawmakers, at least for this fiscal year, shunned President Trump’s request to slash the budget of the National Institutes of Health. Instead of giving it the billion-dollar haircut the Administration sought, Congress boosted the NIH budget by $2 billion for the five months left in the current fiscal year.

The added fiscal support will be a boon for important research on: cancer, Alzheimer’s, precision medicine, the brain, and the battle against superbugs.

I’ve written how Congress earlier had, with much fanfare, decided to set aside partisan concerns to provide a steady increase in medical science research, which has been budget starved for some time. But the president had demanded cuts across the board, particularly so he could hike the appropriations for areas like the military and homeland security—notably his much promised border wall with Mexico.

sepsis-300x249Although public health officials have launched national campaigns against sepsis, it may be that new initiatives at the state and local levels will be more effective in battling the deadly scourge, particularly as it harms kids.

Sepsis, experts say, happens when the body is overwhelmed by infection and responds by shutting down key organs. It can lead to tissue damage, organ failure, and death. It’s difficult to predict, diagnose, and treat. As Stat, the online news service, reports:

Sepsis hospitalizes some 75,000 children and teens each year in the United States. Nearly 7,000 will die, according to one 2013 study. That’s more than three times as many annual deaths as are caused by pediatric cancers. And some of the children who survive sepsis may suffer long-term consequencesincluding organ damage and amputated limbs.

oregon-300x198For policy-makers and politicians who seek to offer robust, transparent information about the quality and safety of all too often troubled nursing homes, a newspaper investigation in Oregon underscores how poor execution guts good intentions.

The Oregonian deserves praise for discovering that a highly praised public health initiative in the Pacific Northwest foundered due to weak oversight and follow-up by regulators and others involved.

The project started with a great idea that many in health care discuss often: Taking public data about nursing homes and posting it online on a website targeted at families in desperate need for information to decide which care facilities are best for their ailing, infirm loved ones.

https://www.protectpatientsblog.com/wp-content/uploads/sites/69/2017/04/hpv-vaccine-uptake-infographic.__v100248120-216x300.jpgMore Americans ages 18 to 59 may be infected with the human papilloma virus (HPV) than previously had been known, with 1 in 4 men and 1 in 5 women carrying high-risk strains, federal experts say.

The new findings from the Centers for Disease Control and Prevention may become a key part of campaigns to get more parents to vaccinate youngsters against HPV infections. They have been found to cause cervical cancer and have been tied to cancers of the throat, anus, and male and female reproductive organs.

HPV-related cancers are on the rise, and it is concerning that the CDC found that almost half of Americans’ are infected. But public health leaders have confronted ignorance and adult prudery—by physicians, public officials, and parents—as they try to get boys and girls, ages 11 and 12, inoculated and protected against the virus.

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