Specialist hospitals beating bugs30th July 2006
The postcode lottery seems to have filtered through to superbugs which are proving to be more prevalent in some hospitals than others.
The list of rates of Clostridium difficile (C. difficile), methicillin-resistant Staphylococcus aureus (MRSA) and glycopeptin-resistant Enterococci (GRE) across England’s 173 NHS acute trusts show wide variations in how hospitals are coping with the superbugs.
Single speciality hospitals are shown often to have lower rates whereas specialist centres, which often receive patients who have already been to another hospital, are more likely to have a higher MRSA rate.
The worst affected trust for rates of C. difficile from January 2005 to December 2005 was Kettering General, with Brighton and Sussex University Hospital showing the highest rates of MRSA from October 2005 to March 2006.
Surveillance of glycopeptide-resistant enterococcal bacteraemia from October 2004 to September 2005 showed 757 reports, compared with 628 the previous year. A total of 54 trusts had no cases and only 21 had more than 21 cases, two thirds of which were specialist trusts, concentrated in the London area.
Rates of C. difficile, Jan-Dec 2005
(Rates per 1,000 bed days for patients over 65/total number of cases)
Kettering General 5.24 (497)
George Eliot 4.93 (404)
Royal Devon & Exeter 4.88 (681)
West Hertfordshire 4.54 (736)
Frimley Park Hospital 4.53 (534)
University Hospital of Nth Staffordshire 4.37 (688)
Royal United Bath 4.33 (648)
Worcestershire Acute 4.29 (772)
Hereford 4.19 (182)
East Somerset 4.02 (252)
Gloucestershire 3.96 (1,073)
Rates of MRSA Oct 05-Mar 06
(Rates per 10,000 bed days for all patients/total number of cases)
Brighton & Sussex University 4.28 (72)
King’s College 4.05 (59)
St Mary’s Paddington 3.79 (39)
Royal Wolverhampton 3.55 (46)
Portsmouth 3.48 (57)
West Middlesex University 3.27 (17)
Cambridge University 3.23 (55)
Ealing Hospital 3.22 (22)
University Hospital Birmingham 3.21 (57)
Royal Free Hampstead 3.17 (42)
James Paget Healthcare 3.09 (27)
University Hospital North Staffordshire 3.08 (59)
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Title: Specialist hospitals beating bugs
Author: Sue Knights
Article Id: 589
Date Added: 30th Jul 2006