The non conformer's Canadian Weblog

June 20, 2013

What you should know about C. diff, the shit disease

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MY MOTHER RECENTLY WENT TO THE HOSPITAL FOR ONE PROBLEM  AND CAME HOME WITH THE SHIT DISEASE FROM THE MONTREAL ST LUC HOSPITAL..
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Too many Canadian professionals, workers next  become too lax when they do think they have attained some kind of job security and fail to do their duties fully too, towards all others.   http://thenonconformer.wordpress.com/2009/12/11/hospital-deaths-account-for-half-of-deaths-annually/
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IMAGINE THIS TOO MANY PEOPLE ARE STILL DYING FROM THIS DECADES OLD  C. diff, the shit disease  where  contracting the superbug C. difficile in the hospital often is fatal or at least increases a patient’s stay by an average of six days, putting serious financial strain on Canada’s health-care system. A study by Quebec’s public health research institute (INSPQ) shows deaths related to clostridium difficile infections in 2010-2011 were the highest they’ve been since 2004. A total of 619 Quebecers died from C. difficile over the course of 2010 and 2011. And one death is always still one too many here too.. C. difficile is most often acquired in hospital, and  the disease is highly contagious.
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We do not live in the dark ages for shit Disease is caused by poor cleanliness, poor hygiene, poor sanitation at the Hospital, who have been hiring NOT ONLY LAZY BAD employees but they have FOR AN UNACCEPTABLE DECADE NOW TOO   MANY THEY been cutting back on their MAINTENANCE COSTS and this has been unacceptable CLEARLY LEADING TO their criminal murderous acts OF THE CITIZENS.
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Do take ALL OF THE HEALTH MINISTERS KNOW BEFORE A FIRING SQUAD AND SHOOT THEM, for THAT WOULD BE A RIGHT START TOO. http://thenonconformer.wordpress.com/2012/09/01/shit-disease-c-difficile-or-what-ever/
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Seniors and Children are more seriously affected, an ounce of prevention is worth a pound of cure 
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AND FOR DECADES EVEN IN QUEBEC, CANADA, AND NO ONE IS JAILED FOR IT.. NOT EVEN THE HEALTH MINISTERS.
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Like most C. diff patients symptoms began with severe diarrhea as the  intestines were shutting down and the colon becomes swollen that it pushed pressure up to the lungs, making it difficult to breathe.  In serious cases a  fecal transplant can often be used successfully here..   
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“ A USA TODAY investigation shows that is far more prevalent than federal reports suggest. The bacteria is linked in hospital records to more than 30,000 deaths a year in the United States— about twice federal estimates and rivaling the 32,000 killed in traffic accidents.  It strikes about a half-million Americans a year. Yet despite a decade of rising C. diff rates, health care providers and the government agencies that oversee them have been slow to adopt proven strategies to reduce the infections, resulting in tens of thousands of deaths and illnesses that could have been prevented, the investigation shows. Far more could be done to stop the deadly bacteria C. diff .  “I wish doctors were more forthcoming. … You don’t learn about it until after it’s too late.” The big challenge in curbing C. diff is getting everyone  to work together — from health care administrators and the government regulators  to doctors and nurses and the housekeeping staffs . “
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“Hospital billing data collected by the US federal Agency for Healthcare Research and Quality shows that more than 9% of C. diff-related hospitalizations end in death — nearly five times the rate for other hospital stays.   Hundreds of Thousands more of unnumbered patients are treated in nursing homes, clinics and doctors’ offices.”  http://usatoday30.usatoday.com/news/health/story/2012-08-16/deadly-bacteria-hospital-infections/57079514/1
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C. diff is “a big concern. And  C. diff infection can also now strike individuals at any age. The use of certain antibiotics can further  allow C. diff to thrive  Most medical staff and even citizens do not yet know,m realize how serious the diseases, prblme is cause they have not even been told about any of it.  Too many People are thus now dying needlessly. Deaths and illnesses are much higher than those disclosed also  since the bad doctors on their death certificates,  often don’t list the infection when patients die from complications, C. diff ,   kidney failure. It’s unacceptable and outrageous that C. diff hovers at all-time highs and the barrier is often cover ups and hospital costs plus  unacceptable medical practices. The news media and studies show that emergency rooms, patients’ rooms, washrooms, operating rooms too still often aren’t cleaned sufficiently.
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 In 2009, the U.S. Department of Health and Human Services launched an “action plan” to reduce six high-priority Hopsital, seniors, old age homes infections, including C. diff. Infection rates for five of those have dropped significantly, including methicillin-resistant Staphylococcus aureus, or MRSA but not  C. diff infections
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In 2003 the  US Environmental Protection Agency, which regulates hospital disinfectants, learned that none of its approved products actually killed C. diff spores — though many claimed on their labels that they were effective against the bacteria so  the agency ordered manufacturers to remove the claims and began to identify new disinfectants that work.
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Steps have already been taken in Canada in major hospitals to try to reduce C. Diff infections. Much more needs still to be done ti insure better quality medical care and patient safety. Nurses, doctors,  pharmacists , therapists that provide hands-on treatment, cleaning technicians  still all do  need to be out there and do much more to keep all rooms clean and  hospital infection rates down  The government should require all hospitals to mandatorily and not optional  report all C. diff cases.
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They must also meet targets for reducing C. diff.. in hospitals, nursing homes and other care settings, 30% reduction per year, and there must  be a real penalty under Medicare and Medicaid for facilities that have allowed high C. diff rates. All nursing homes  hospitals must publically publicly report their rates of infections, qne include C. diff.
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Standing in the way to reduce C. Diff infections still  are the false Hospital, old age homes concerns about the costs, staffing and the complexity of creating and implementing new procedures that require interdisciplinary teams to work together as even many homes,  Hospitals have cut housekeeping budgets in recent years, so many hospitals spend too little minutes cleaning all the rooms room. 
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As hospitals and nursing homes struggle with tight budgets and limited staffing, patient advocates say its critical that the public become more engaged in minimizing infection risks. Not all Hospitals don’t want to tell others,  patients the hospital  might be contaminated,” or to tell  the patients too the steps patients can take to minimize infection risks. Old age homes, Healthcare facilities  often lie, do not disclose the truth cause the “care about their reputation.”
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Most hospitals still are slow to admit that they have infection related problems because admitting those problems, opens them up to lawsuits, and is admitting guilt prior to going to trial. It’s all about insurance (money) and lawyers. Things which should have nothing to do with keeping us healthy.
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There is also limited tracking of antibiotics usages. In 2010, about 42% of infection control specialists nationwide said their facility had no antibiotic stewardship program, based on a survey by the Association for Professionals in Infection Control and Epidemiology. Such programs typically track the use of antibiotics to ensure proper use, which can reduce opportunities for infection.
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The challenge of reducing C. Diff is also now still needed in nursing homes, where antibiotics are prolific, staffing often is too  thin and it’s tougher to isolate patients.
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“How to attack the problem.There’s no mystery to cutting C. diff rates. The spore-forming bacteria exists throughout the environment: water, soil, human and animal feces. It typically sickens people taking certain stomach medicines or antibiotics, which diminish healthy bacteria in the gut as they attack infections. When levels of healthy bacteria get low, C. diff can take over, producing toxins that cause intense diarrhea, often with grave complications.The germ thrives in settings where antibiotics are in wide use, and its proliferation has accelerated as a new, hyper-virulent strain has emerged over the past decade. C. diff spores spread through fecal contamination: They get on people’s hands, often from bathroom fixtures, and move to other surfaces by touch, from light switches to bed rails to tables and trays. The tough-to-kill spores resist many disinfectants and can survive for months. Once they’re on patients’ hands, it’s a short trip to their mouths — and their intestines.”
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The challenge is twofold:
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Control the use of antibiotics that allow C. diff to flourish,
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and prevent the bacteria’s spread from infected patients via dirty hands, dirty rooms or dirty equipment.”
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The British experience “has shown that substantial C. diff reductions are possible,” including changes in room-cleaning procedures, antibiotic controls and testing protocols for patients showing C. diff symptoms. 
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Many other health care infections have been stemmed by ensuring that certain medical procedures are done properly. That the Catheter-related infections were eliminated by getting doctors to change protocols for installing the devices. Infections linked to surgical incisions and ventilators can be reduced by getting doctors and nurses to alter practices and  more staff are  needed.
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Many US hospitals also  have confronted those challenges head-on:
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“•In Cincinnati, The Jewish Hospital-Mercy Health slashed its high C. diff rate by half in less than a year by adopting stricter antibiotic controls and new room-cleaning protocols. The program costs the 209-bed hospital about $10,000 a year.
•In Pittsburgh, the 792-bed UPMC Presbyterian cut C. diff 71% from 2000 to 2006 with new cleaning protocols, better identification and isolation of infected patients, and antibiotic controls.
•In Oak Lawn, Ill., the 695-bed Advocate Christ Medical Center reduced C. diff cases 55% by retraining housekeepers, coordinating care with infection prevention specialists, and adopting new disinfection standards for high-touch areas.”
But if you’re having one case of any health care infections a year, that’s still a problem and all unacceptable.
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SEE ALSO

http://thenonconformer.wordpress.com/2011/12/07/c-difficile-the-shit-disease/

http://thenonconformer.wordpress.com/2011/10/08/still-not-one-person-responsible-for-the-deaths-were-even-prosecuted/

http://postedat.wordpress.com/2008/11/08/report-card-failed-canadas-hospitals-and-health-ministers/

http://thenonconformer.wordpress.com/2012/08/02/the-conservatives-are-realy-now-no-better-over-the-liberals-in-canada/

http://thenonconformer.wordpress.com/2011/10/03/positive-changes-need-to-start-at-the-top/

http://thenonconformer.wordpress.com/2011/07/05/did-you-ever-notice-how-the-ostrich-health-ministers-refuse-to-basically-address-the-perverse-pretentious-medicare/

http://thenonconformer.wordpress.com/2012/01/24/this-has-been-going-on-wrongfully-for-ages-unchecked-still/

http://thenonconformer.wordpress.com/2011/10/24/as-to-how-bad-the-nurses-are-in-quebec-presently-and-in-the-past/

http://thenonconformer.wordpress.com/2011/10/12/it-is-a-very-low-proportion-of-medical-personnel-that-are-disciplined/;

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