Posted on 05/24/2017 8:49:26 AM PDT by Kaslin
he deadliest superbug yet -- Candida auris -- is invading hospitals and nursing homes, killing a staggering 60 percent of patients it infects. Some exposed patients don't succumb to infection but silently carry the germ and infect others. So far, the lethal germ has sickened patients in New York, New Jersey, Michigan, Illinois and Massachusetts, with 122 cases reported so far this year, up from only six last year.
The germ -- a fungus -- lingers on bedrails and on the uniforms and hands of doctors and nurses, ready to attack the next patient. Once it gets inside a catheter or breathing device and invades a patient's body, it kills.
Candida auris is already in 15 hospitals in New York, including prestigious medical centers. Acting Center for Disease Control and Prevention Director Anne Schuchat calls it a "catastrophic threat." Strong words, but don't expect health authorities to do much. They're saying what they always say -- patients dying from these infections were already seriously ill. Well, duh. Who else goes to a hospital?
Health care infections -- from Candida auris and many other germs -- kill at least 75,000 hospital patients a year and five times that number in nursing homes. That's nearly half a million deaths a year. Politicians talk nonstop about insurance guaranteeing seriously ill people access to care. But the biggest risk to these patients isn't lack of insurance. It's infection.
Infections jeopardize vulnerable patients' access to organ transplants, cancer therapy and HIV/AIDS treatments, even if they have insurance.
New York City is ground zero, with three-quarters of the cases. But the state's health commissioner Howard Zucker claims Candida auris "poses no risk to the general public" because it "impacts patients who are already ill for other reasons." Why write them off?
Watching officials downplay Candida auris is deja vu all over again. In 1999, researchers revealed the existence of a killer germ CRE (short for carbapenem-resistant bacteria) at Downstate Medical Center in Brooklyn. But state health officials and the CDC failed to act. By 2008, the germ had reached 22 states, often carried by patients from New York.
In 2011, a woman with CRE transferred from a New York hospital to the National Institutes of Health in Maryland, which set off an outbreak that killed 11 patients there, including a 16-year-old boy.
Not until 2013 did health officials label carbapenem-resistant germs "nightmare bacteria" and call for "urgent and aggressive action." Tough words but no follow-up. Now CRE is in hospitals and nursing homes nationwide. Yet the CDC is dithering instead of insisting all hospitals screen patients likely to have the germ so precautions can be taken to stop its spread. And Medicare doesn't reimburse for screening, though it's a necessary tool.
CRE lodges in sink drains of infected patients' rooms, and nothing short of ripping out the plumbing gets rid of it. It adheres to medical devices, turning them deadly. In Seattle, Pittsburgh, Chicago and Los Angeles, patients with digestive problems died after being treated with scopes previously used on patients with CRE.
Compare this needless dying to Israel's resolve when CRE reached its borders in 2007. Health authorities launched a screen and clean campaign, reducing CRE by 70 percent in one year, and followed up with a four-year campaign to slash CRE's presence in nursing homes. In Israel patients -- even newborns -- are routinely screened to prevent the germ from spreading.
Meanwhile health officials in the U.S. cater to the hospital and nursing home industries and excuse shoddy infection control. Despite protests from members of Congress, the CDC sticks with outdated guidelines for how to clean patients' rooms, ignoring the potential of automatic room disinfection to save lives.
Similarly, Medicare officials turn a blind eye to hospitals filing false infection rate reports, a new Inspector General report says.
Until public health officials start fighting for patients, the superbugs will keep winning.
Is a germ or a fungus?
From Wiki.....
Candida auris is a species of ascomycetous fungus that grows as yeast.[1] It was first described in 2009.[1] It is one of the few species of the Candida genus that cause candidiasis in humans. Candidiasis is often acquired in hospitals by patients with weakened immune systems. Besides candidiasis, C. auris can cause invasive candidiasis in which the blood (fungemia), the central nervous system, kidneys, liver, bones, muscles, joints, spleen, or eyes are infected.[3] C. auris has recently attracted increased clinical attention because of its multidrug resistance.[4][5] Treatment is also complicated because C. auris is easily misidentified as other Candida species.[4][5] A brief outline of its clinical relevance as of 2016, understandable by general audiences, was published by the Center for Infectious Disease Research and Policy at the University of Minnesota.[6] The name Candida auris comes from the Latin word for ear, auris, under the genus Candida.[7] It was named a “catastrophic threat” by Dr. Anne Schuchat.[8]
Nasty.....fungus is incredibly difficult to control and has a long survival rate outside the body......
It’s among us.
Ummm, maybe folks who need a variety of testing, outpatient procedures done. Those flks can also be at risk for exposure. Jeez.
You're saying there is a fungus among us?!
I find it hard to believe that neither chlorine bleach nor ethanol will get rid of it.
I always read the readers replies. One readers reply to an other reader is: “Bottom line....don’t go to the hospital!!!!!”
Oh, Gus, the Gardener’s gone now.
And you went with him too.
The Fungus here reminds me of
The fun Gus is having with you.
-Benny Hill (My Garden of Love)
You’d have to be a sick person to go to a hospital.
LOL. I just can’t believe McCaughey wrote that.
keep it in perspective- there are millions upon millions of folks in homes- only a very few get these superbugs-
Also check out manuka honey to stop superbugs- the bugs do NOT build up a resistance to the honey- (this is m ore for open wounds that become infected)
Because your desire to not kill the host puts an innate cap on how strong you can make antibiotics. We’ve already got them strong enough to be pretty hazardous, ask anybody that’s multicoursed themselves to C.Diff. There’s just not much further we can go in the arms race.
I am wondering if hospitals use the autoclave anymore? It was known to kill anything.
Money quote : " So far, the lethal germ has sickened patients in New York, New Jersey, Michigan, Illinois and Massachusetts,
with 122 cases reported so far this year, up from only six last year. (Emphasis mine)
Good article pointing out political and medical issues vs. financial expenditures
in what "Acting Center for Disease Control and Prevention Director Anne Schuchat
calls it a "catastrophic threat ", with no follow through .
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