At the University hospital in Kiel, the number of deceased patients increased with multi-resistant germ on 12. The hospital denies the allegation, because of shortage of staff, will violate Hygiene rules. As a Carrier of the germ, a 74 is suspected-year-old.
In the University hospital Kiel (UKSH) has died, another with multi-resistant germ infected Patient. Thus, the number of dead rose to 12, said Hospital Director Jens Scholz on Monday at a press conference. All contributed to their sometimes severe disease, the bacterium Acinetobacter baumannii. In the case of 3 of the Deceased could not be excluded that the so-called MRGN-germ-for the death had been the cause. In 9 subjects who died, this was ruled out, according to the attending Doctors definitely.
“Better staffing as a Federal reference value”
Vehemently Scholz rejected allegations of trade Union Verdi, staff shortage is to blame for Hygiene violations, and thus possibly also for the propagation of Healthy and harmless, for the Sick, but the dangerous germ. “We have at the UKSH a better staff than the Federal reference value,” said Scholz. The hospital company does not have any instructions on hygiene errors or other shortcomings in this area.
Schleswig-Holstein’s Minister of health, Kristin Alheit (SPD), stressed that now is the elimination of the germ in the UKSH had to stand in the foreground. “Following a workup is in focus. This also includes the question of whether and how we can achieve in Germany, in the patient-Screening improvements.”
Tightening of the reporting obligations
Federal health Minister Hermann Gröhe (CDU), brought a tightening of the reporting obligations. Thus, such a resist is to be reported to duck pathogens not in the outbreak of the disease, but at the first detection of the pathogen. The regulation will enter in into force in the summer. There are procedures to be tested, with which the patient stays before Clinic, on dangerous germs examined.
Since mid-December, according to Scholz at a total of 31 patients – including the 12 who Died in the against nearly all of the antibiotic-resistant germ found. Currently 16 on the seed-test-positive patients are in the hospital.
The germ is detected only on or in the body
The Hygiene Doctor of the UKSH, Bärbel Christiansen said, only the least of the 31 patients had been infected with the germ. In the case of most of the germ has been demonstrated only on or in the body (“colonized”), without symptoms broke out. The numbers you mentioned.
As a Carrier of the germ, a 74 is suspected-year-old German, the treated after an accident, first in Turkey and then to the UKSH was moved. Christiansen said that the patient has a broad Screening was carried out on pathogens. But the result takes several days, and since it was an emergency, had been taken by the man. He came in a three-bed room because a single room was available, as Scholz explained.
With the help of specialist scientists from Frankfurt am Main, the hospital wants to eliminate the germ-infested now, as quickly as possible. The experts are certified after inspection, the hospital have carried out isolation and Hygiene measures in the best possible way – as far as the construction of the UKSH let. For the outdated UKSH is a comprehensive, several Hundred million euros more expensive master plan for renovations and new buildings.
Smear-Regime tightened
On the advice of the experts, the so-called smear is exacerbated in Kiel-Regime. So the contact persons should be tested now, a total of three times instead of twice the germination at intervals of seven days. Only contact people would be fired. However, the experts stressed that people who were once tested positive, would your whole life to other hospitals as a positive is reported. Because despite all the “decolonisation measures” were not all pathogens from the colon. These people were nevertheless healthy and without complaints.
Among the experts is Prof. Volkhard Kempf, the Director of the Institute for Medical Microbiology and hospital hygiene, and lecturer in Christian Brand, head of the Department of hospital hygiene, University hospital of Frankfurt. Both work in a project of the German research society on the Acinetobacter baumannii. Kempf stressed that this bacterium was only for 15 years and an international Problem. In the USA, there have been 7500 infections and 500 deaths. “Many know to be insufficient with the germ,” said Kempf.
Uncertainty among patients and relatives
Hospital Director Jens Scholz reported great uncertainty among patients and relatives. In addition, there are now hospitals that admitted patients from the UKSH.
A Hygiene action plan of the Federal government and the länder, the German Foundation for patient protection called for. “It is not acceptable that we complain every year 40 000 Deaths due to hospital-acquired infections,” said Chairman of the Foundation, Eugen Brysch. You must act quickly.
