Methicillin-resistant
Staphylococcus aureus (MRSA) and Health Care
Acquired Infections (HAI) are an ever increasing and dangerous
challenge to the citizens of the United States. On March
6th, 2008, S183 was presented in the Kentucky Senate Health &
Welfare Committee.
View SB 183
The bill was heard in the Senate and was given to the
Kentucky Legislative Research Commission for revision. The
revised bill was not finished in time for legislative
approval. Below is the preamble of the bill which
summarizes the necessity for action regarding health care
acquired infections:
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(1) Almost two million
(2,000,000) patients in the nation become infected after
entering health care facilities each year and about one hundred
thousand (100,000) die as a result of those infections;
(2) Methicillin-resistant staphylococcus aureus (MRSA) is a
common staphylococcal infection that is resistant to powerful
antimicrobial agents and is increasingly prevalent in health
care settings;
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(3) Because it can survive on cloth and plastic for up to ninety
(90) days, MRSA is frequently transmitted by contaminated hands,
clothes, and noninvasive instruments and the number of patients
who can become infected from one (1) carrier multiplies
dramatically;
(4) The federal Centers for Disease Control and Prevention
estimates that one (1) in twenty (20) patients entering a health
care facility carries MRSA and reports that MRSA accounts for
sixty percent (60%) of infections in American hospitals in 2004,
an increase from two percent (2%) in 1974;
(5) The nationwide cost to treat hospitalized patients infected
with MRSA is estimated to be almost five billion dollars
($5,000,000,000);
(6) Multidrug resistant infections are preventable, and recent
data support a multifaceted approach to successfully combat
infections, including routine screening, isolation of colonized
and infected patients, strict compliance with hygiene
guidelines, and a change in the institutional culture to ensure
that infection prevention and control is everyone's job and is a
natural component of care at each patient encounter each day;
(7) Virtually all published analyses that compare the cost of
screening patients upon admission and the adoption of effective
infection control practices with the cost of caring for infected
patients conclude that caring for infected patients is much more
expensive;
(8) Routine screening and isolation of all patients with MRSA in
hospitals in Denmark and Holland have reduced their MRSA
infection rate to ten percent (10%) of their bacterial
infections and, following a pilot program by the United States
Department of Veterans Affairs' Pittsburgh Healthcare System
that reduced MRSA infections in its surgical care unit by
seventy percent (70%), all Department of Veterans Affairs health
care facilities have been directed to develop and implement
similar procedures;
(9) The federal Centers for Disease Control and Prevention
reports that the number of cases of health facility-acquired
infections exceeds the number of cases of any other reportable
disease, and more deaths are associated with health
facility-acquired infection than several of the top ten (10)
leading causes of death reported in the United States; and
(10) It is a matter of public health and fiscal policy that
patients in Kentucky's health care facilities receive health
care that incorporates best practices in infection control, not
only to protect their health and their lives, but also to ensure
the economic viability of Kentucky's health care facilities.
Other References:
Health Watch USA policy
report on "Hospital Acquired Infections the Necessity for
Mandatory Reporting and Surveillance".
View Report
Consumer Union's (Consumer Reports) policy report
on "Hospitals Should Screen Patients for MRSA to Prevent
Infections".
View Report
Dr Phil, Nov1, 2008: Excellent show
with testimonials and input from the CDC.
View Show Information
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To view
the presentations
given at the Kentucky State Health and Welfare Committee meeting on
November 16, 2008 --
Go To Presentation Page. The videos are
unedited and the viewer should verify all statements and opinions made
on this website and in these presentations.