tag:blogger.com,1999:blog-6483019915352061873.post4025482016174481616..comments2023-03-31T02:53:06.437-05:00Comments on Superbug: Hospital gives patient MRSA. Should Medicare reimburse?Maryn McKennahttp://www.blogger.com/profile/16695106217486522993noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-6483019915352061873.post-13329863195318324372008-05-30T00:50:00.000-05:002008-05-30T00:50:00.000-05:00Silver socks?? How did I miss this?Silver <I>socks</I>?? How did I miss this?Maryn McKennahttps://www.blogger.com/profile/16695106217486522993noreply@blogger.comtag:blogger.com,1999:blog-6483019915352061873.post-53564515640901462292008-05-29T18:02:00.000-05:002008-05-29T18:02:00.000-05:00Not only "mis-use" but also "intended use" by inte...Not only "mis-use" but also "intended use" by intensive farming of cattle and other animals wherein antibiotics are administered to increase weight gain and to treat infections caused by crowding conditions. Antibiotics and their metabolites are then released into the water table. <BR/><BR/>See also silver embedded (titanium oxide) in socks released into the waste water. <BR/><BR/>Only laws against such practices will protect us from the unintentional evolution of resistant pathogenic microbes.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6483019915352061873.post-84474853801506666772008-05-28T19:27:00.000-05:002008-05-28T19:27:00.000-05:00Medicare cutbacks in reimburesements may worsen th...Medicare cutbacks in reimburesements may worsen the situation-this remains to be seen. I'd like to see real management deal with surgical groups who consistently have the highest wound infection rates-we nurses know who they are and direct our loved ones and ourselves elsewhere. Poor nutrition, lack of understanding/use of probiotics during use of antibiotics and failure to provide proper discharge teaching of homecare with a MRDO add to the problem.<BR/><BR/>What about Super Klebsiella, E. Coli, VRE and Pseudomonas? All of these bugs are fallout from the mis-use of antibiotics by both medical practioner AND patient. <BR/><BR/>How will we know if the patient or visitor brought the bug in with them-do surveillance cultures on everyone?<BR/><BR/>It's sad that the threat of monetary punishment is needed to drive home basic infection control procedures. But how about better pay, more reasonable work expectations for the cleaning people within our institutions? They should be at the core of infection control as well as transporters, and other ancillary staff. How often are stretchers cleaned between patients-never. <BR/><BR/>If only the people who do the work were asked to contribute to the thought processes needed to eliminate infections. Poor health care consumers-they are at the bottom of the medical 'food chain', not at the top where they belong.Anonymousnoreply@blogger.com