MRSA

One old drinking buddy of mine can explain this story of how MRSA is spread:

Patients’ notes, pens and computer keyboards may be helping to spread the MRSA super bug in hospitals, new research has shown.

The
study in an intensive care unit found evidence of MRSA contamination on
a wide range of surfaces including hands and aprons, with notes and
charts raising a particular problem because they are difficult to clean.

A bloke down the pub (who was also a Professor in the local teaching hospital…quite a poncy little pub really) explained that at least part of the problem came from doctor’s pens.

Wash hands, examine patient, take pen out of pocket, write notes, pen back in pocket, wash hands, examine next patient. And so on. The pen is the carrier of whatever bugs are around.

A small but simple change in actions. Wash hands, examine patient, wash hands, take pen, make notes. Even though he had noted it himself, tried his hardest to act this way, he knew that he didn’t do it every time. Sounds simple but changing the habits of 10 or 20 years can be tough. And of course it isn’t just MRSA that can be spread this way.

5 responses

  1. Is this MRSA a big problem? Since I’ve not heard of much trouble with it here… Some guy was diagnozed with it after his trip to Holland, but after he almost drank himself to death they couldn’t find it anymore. Alcohol poisoning might have wiped it out, that would explain why it never got this far north.

  2. Katie Bartleby Avatar
    Katie Bartleby

    OR: disposable pens, like with gloves.
    Even better: IKEA pencil buckets and writing the notes up later in pen.

  3. Why not use a headset and tape record the round notes?
    An ipod could hold a weeks rounds.
    There would be nothing to spread infection with (as long as the doctor washed between patients).

  4. Remittance Man Avatar
    Remittance Man

    From reports I’ve read the answer is a little more simple. Basic hygene. Doctors have, after all, been making notes with pens since forever.
    Make nurses wash their hands between patients. According to the report I read on the CPS website this basic measure is surprisingly uncommon. Modern labour law also makes it virtually impossible to discipline nurses who fail to comply.
    Proper cleaning of the wards was a second recomendation along with allowing a bed to be cleaned between occupants.
    RM

  5. The solution is much simpler.
    If I know people who have got food poisoning from food from a food shop, I don’t swat up on the food hygiene measures that the shop needs to take to avoid it happening again and then advise the shop accordingly whilst continuing to give them my patronage regardless. No, I expect them to do this themselves.
    What I do is to go to another shop in future unless and until I am convinced that they have sorted out the problem. If they don’t, they lose custom and go bust. Other providers step in.
    So the solution is to make hospitals subject to the same market disciplines. If their pay and jobs and investors money depended on not giving their customers MRSA, then they would make damn sure that they didn’t (or they would go out of business). It is only because in the NHS they get paid regardless and their customers have no choice that they haven’t. This is why MRSA is prevalent in the NHS and much much less common in the private sector and in other countries where the funding follows patient choice

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