World Patient Safety Day, is an initiative by the World Health Organisation to raise awareness of the need to continuously improve patient safety, building on the foundations of a safer culture and safer systems.
World Patient Safety Day 2020 will bring together health workers, patients, families, caregivers, communities, health care leaders and policy-makers, all showing commitment to health worker safety and patient safety. Health workers include all people engaged in actions whose primary intent is to enhance health. The year 2020 has been designated as the International Year of the Nurse and Midwife
‘Safe health workers, Safe patients’
Members of the C Diff Foundation recognize the importance of this annual WHO “World Patient Safety Day” campaign and we ask fellow patients, health workers, health care leaders, patients, and healthcare professionals to actively participate and share this information with others.
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Thursday, September 17th is World Patient Safety Day. No one should be harmed in health care. And yet, every day, thousands of patients suffer avoidable harm while receiving care. The ongoing COVID-19 pandemic has exerted unprecedented pressure on health systems and health workers. An alarming number of health workers have also been harmed while responding to the COVID-19 pandemic. Safety of health workers has a significant impact on the safety of patients In view of this, the theme of World Patient Safety Day this year is Health Worker Safety: A Priority for Patient Safety. If you or a loved one are a patient, be actively involved in your own care. Enhance your knowledge about safety in health care and raise safety concerns with your health providers. Ask questions to be aware of your health condition and treatment. Speak up for the safety of your care as well as the safety of health workers!
the WHO has ranked world’s most deadly “Superbugs” in the world:
Three bacteria were listed as critical:
Acinetobacter baumannii bacteria that are resistant to important antibiotics called carbapenems. These are highly drug resistant bacteria that can cause a range of infections for hospitalized patients, including pneumonia, wound, or blood infections.
Pseudomonas aeruginosa, which are resistant to carbapenems. These bacteria can cause skin rashes and ear infectious in healthy people but also severe blood infections and pneumonia when contracted by sick people in the hospital.
Enterobacteriaceae that are resistant to both carbepenems and another class of antibiotics, cephalosporins. This family of bacteria live in the human gut and includes bugs such as E. coli and Salmonella.
The list, which was released February 27th, 2017 and enumerates 12 bacterial threats, grouping them into three categories: critical, high, and medium.
“Antibiotic resistance is growing and we are running out of treatment options. If we leave it to market forces alone, the new antibiotics we most urgently need are not going to be developed in time,” said Dr. Marie-Paule Kieny, the WHO’s assistant director-general for health systems and innovation.
The international team of experts who drew up the new list urged researchers and pharmaceutical companies to focus their efforts on a type of bacteria known as Gram negatives.
(The terminology relates to how the bacteria respond to a stain — developed by Hans Christian Gram — used to make them easier to see under a microscope.)
Dr. Nicola Magrini, a scientist with the WHO’s department of innovation, access and use of essential medicines, said pharmaceutical companies have recently spent more efforts trying to find antibiotics for Gram positive bacteria, perhaps because they are easier and less costly to develop.
Gram negative bacteria typically live in the human gut, which means when they cause illness it can be serious bloodstream infections or urinary tract infections.
Gram positive bacteria are generally found outside the body, on the skin or in the nostrils.
Kieny said the 12 bacteria featured on the priority list were chosen based on the level of drug resistance that already exists for each, the numbers of deaths they cause, the frequency with which people become infected with them outside of hospitals, and the burden these infections place on health care systems.
Paradoxically, though, she and colleagues from the WHO could not provide an estimate of the annual number of deaths attributable to antibiotic-resistant infections. The international disease code system does not currently include a code for antibiotic-resistant infections; it is being amended to include one.
Six (6) others were listed as high priority for new antibiotics. That grouping represents bacteria that cause a large number of infections in otherwise healthy people. Included there is the bacteria that causes gonorrhea, for which there are almost no remaining effective treatments.
Three (3) other bacteria were listed as being of medium priority, because they are becoming increasingly resistant to available drugs. This group includes Streptococcus pneumoniae that is not susceptible to penicillin. This bacterium causes pneumonia, ear and sinus infections, as well as meningitis and blood infections.
The creation of the list was applauded by others working to combat the rise of antibiotic resistance.
“This priority pathogens list, developed with input from across our community, is important to steer research in the race against drug resistant infection — one of the greatest threats to modern health,” said Tim Jinks, head of drug-resistant infections for the British medical charity Wellcome Trust.
“Within a generation, without new antibiotics, deaths from drug-resistant infection could reach 10 million a year. Without new medicines to treat deadly infection, lifesaving treatments like chemotherapy and organ transplant, and routine operations like caesareans and hip replacements, will be potentially fatal.”
A Nevada woman has died from an infection resistant to all available antibiotics in the United States, public health officials report.
According to the Centers for Disease Control and Prevention, the woman’s condition was deemed incurable after being tested against 26 different antibiotics.
Though this isn’t the first case of pan-resistant bacteria in the U.S., at this time it is still uncommon. Still, experts note that antibiotic resistance is a growing health concern globally and call the newly reported case “a wake up call.”
“This is the latest reminder that yes, antibiotic resistance is real,” Dr. James Johnson, a professor specializing in infectious diseases at the University of Minnesota Medical School, told CBS News. “This is not some future, fantasized armageddon threat that maybe will happen after our lifetime. This is now, it’s real, and it’s here.”
According to the report, the woman from Washoe County was in her 70s and had recently returned to America after an extended trip to India. She had been hospitalized there several times before being admitted to an acute care hospital in Nevada in mid-August.
Doctors discovered the woman was infected with carbapenem-resistant Enterobacteriaceae(CRE), which is a family of germs that CDC director Dr. Tom Frieden has called “nightmare bacteria” due to the danger it poses for spreading antibiotic resistance.
The woman had a specific type of CRE, called Klebsiella pneumoniae, which can lead to a number of illnesses, including pneumonia, blood stream infections, and meningitis. In early September, she developed septic shock and died.
The authors of the report say the case highlights the need for doctors and hospitals to ask incoming patients about recent travel and if they have been hospitalized elsewhere.
Other experts say it underscores the need for the medical community, the government and the public to take antibiotic resistance more seriously.
According to the CDC, at least two million people become infected with antibiotic resistant bacteria each year, and at least 23,000 die as a direct result of these infections.
The World Health Organization calls antibiotic resistance “one of the biggest threats to global health.”
A grim report released last year suggests that if bacteria keep evolving at the current rate, by 2050, superbugs will kill 10 million people a year.
While scientists are working to develop new antibiotics, that takes time, and experts encourage doctors and the public to focus on prevention efforts.
One of the most important ways to prevent antibiotic resistance is to only take antibiotics only when they’re necessary.
“Drug resistance like this [case] generally develops from too much exposure to antibiotics,” assistant professor of pediatrics at Johns Hopkins University School of Medicine and director of the Pediatric Antimicrobial Stewardship Program at The Johns Hopkins Hospital, told CBS News. “Every time you’re placed on an antibiotic it’s important to question if it’s absolutely necessary and what’s the shortest amount of time you can take this antibiotic for it to still be effective.”
Johnson notes that medical tourism – the practice of traveling to another country to obtain medical treatment, typically at lower cost – may no longer be worth the risk. “With this [antibiotic] resistance issue, the risk/benefit of this approach really changes and I think that people really need to be aware and seriously consider if it’s a good idea given the possibility of this kind of thing,” he said.
Frequent hand washing, particularly in healthcare settings, is also extremely important in preventing the spread of germs.
To read the article in its entirety please click on the link below to be redirected:
Scientists reveal how to wash your hands: Research shows six step process is most efficient at killing bacteria., It turns out that just lathering your hands with soap, rubbing them vigorously for 20 seconds and rinsing is not the most effective way to clean them. Experts now say the six-step hand-hygiene technique recommended by the World Health Organization is far more superior than a rival three step process.
During the randomized controlled trial in an urban, acute-care teaching hospital, researchers observed 42 physicians and 78 nurses completing hand-washing using an alcohol-based hand rub after delivering patient care. The six-step technique was determined to be microbiologically more effective for reducing the median bacterial count (3.28 to 2.58) compared to the three-step method (3.08 to 2.88). However, using the six-step method required 25 percent more time to complete (42.50 seconds vs. 35 seconds).
HOW TO PROPERLY WASH YOUR HANDS WITH THE SIX-STEP TECHNIQUE
1. To properly wash your hands using the superior six-step method begin by wetting hands with water and grab either a dollop of soap or hand rub.
2. Begin rubbing your palms together with your fingers closed, then together with fingers interlaced.
3. Move your right palm over left dorsum with interlaced fingers and vice versa – make sure to really rub in between your fingers.
4. Then interlock your fingers and rub the back of them by turning your wrist in a half circle motion.
5. Clasp your left thumb in your right palm and rub in in a rotational motion from the tip of your fingers to the end of the thumb, then switch hands.
6. And finally scrub the inside of your right hand with your left fingers closed and the other hand.
‘Only 65 percent of providers completed the entire hand hygiene process despite participants having instructions on the technique in front of them and having their technique observed.’
Through the “Get Smart” campaign and programs offered everyone can gain valuable knowledge about Antibiotics. The Centers For Disease Control and Prevention (CDC) provides the Get Smart: Know When Antibiotics Work educational programs for the general public, for farming, and healthcare.
Take a moment and review the CDC’s “Get Smart” information provided on their website and diligently advocate for the safety and the proper use of antibiotics worldwide.
(An excerpt from Dr. Stone’s article)
At last week’s C. diff Foundation conference, Dr. Hudson Garrett suggested that physicians employ a slightly different tactic. Rather than give in to demands for an unnecessary and harmful antibiotic prescription, he suggested that the patients receive a written prescription for specific symptomatic relief products, to provide this sense of validation and to boost satisfaction. It would be nice to see if this can be verified through studies.
Patients seem to have a love-hate relationship with antibiotics, both wanting them, and yet feeling they are a “harsh” and “necessary evil.” This in turn leads many to stop taking them early, not wanting their body to “grow immune”—and not understanding that it is the bacteria that become resistant to antibiotics. This was a widespread belief that appears difficult to overcome.
Additional information presenting the “Get Smart” Know When Antibiotics Work
Antibiotic Resistance Is Everybody’s Business