Staff and bed shortages compound the ‘superbug’ threat to patients in hospital

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Staff and bed shortages compound the ‘superbug’ threat to patients in hospital
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The presence of superbugs in Irish hospitals has risen since Covid restrictions were lifted

The presence of Carbapenemase-producing Enterobacterales is also now higher than it was three years ago. In 2019 there were 661 patients detected as having the resistant organism. It dropped to 656 in 2020, but rose to 682 in 2021.

“There’s a lot of pressure on the system now as we speak, and staff shortages and the likes. Bed shortages obviously have all sorts of knock-on effects, including patients presenting later, with more complex, more at risk of infection than if they were presenting earlier in their illness. Bed shortages also means we put up additional beds in places where there isn’t enough space.”Between 10 and 20 years ago, MRSA would have been the biggest concern.

However, now that the impact of the Sars virus has largely subsided, CPE is rising its head once more. The reservoirs are the likes of sinks, drains and other structural bodies of water that can become infected with the organism, though the HSE has carried out some capital works to reduce the number. For example, according to figures obtained by The Irish Times under Freedom of Information laws, Cork University Hospital had 699 VRE detections in 2019. The HPSC figures for the hospital that year was 12.

A 2010 American paper, published in the international journal of pharmaceutical and healthcare marketing, said one day in hospital increased the risk of acquiring a healthcare associated infection by 1.37 per cent, with each HAI resulting in an additional 9.3 days to length of stay. A recent study published in the Lancet backed this belief, finding that drug-resistant superbugs were responsible for more than 370 deaths of Irish patients in 2019.

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