~~~~~~~~~~~~~~~ Please remove this footer before replying.----- Original Message -----From: [log in to unmask] href="mailto:[log in to unmask]">Chris PackhamTo: [log in to unmask] href="mailto:[log in to unmask]">[log in to unmask]Sent: Saturday, December 02, 2006 12:38 PMSubject: Re: [OCC-HEALTH] Coshh and mrsaJust to add to Diane's comments, surely it would have to be shown that the infection was the result of some negligence on the part of the NHS Trust and that this was not an infection due to some outside source.Just consider what you see in a hospital if you stand in a ward...A number of patientsA few nursesEven fewer doctors - and occasionally a consultantA significant number of ancillary staff, e.g. cleaners, porters etc.... and then the great "unwashed", i.e. visitors.Who is to say that the infection was not due to transmission of the organism from a visitor, or due to the visitor handling an object (e.g. that bunch of grapes, something on the bedside table, etc.) and contaminating this?If you read some of the publications and studies on healthcare acquired infection you will realise that there is still debate and differences of opinion as to how we classify an infection as nosocomial (i.e. having been acquired within the healthcare environment).However, having read the article in question carefully, I get the impression that it is not so much the actual infection that is under consideration, but how the Trust then handles the infection, i.e. detection, diagnosis and treatment.It will be interesting to see how this one develops. Hopefully, if there are test cases, then the Trust involved will ensure that they have the right people to provide evidence and guidance.Finally, from the information I have (such as The Journal of Hospital Infection) it seems that only about 8% of all healthcare acquired infections are MRSA. Are we concentrating our efforts on one small section of a problem? Are we tackling the problem as a whole? Are we looking at all possible routes of transmission of infective micro-organisms? (Just rhetorical questions, you understand!)Chris PackhamEnviroDerm Services~~~~~~~~~~~~~~~ Please remove this footer before replying.
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