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All invasive procedures, operations, plastic surgery, transplant surgery, hip or
knee replacement, open heart surgery, bypass and minor surgical
procedures will come to a grinding halt. This is the year we learn that
the very technology we’ve created to help us live more comfortable and,
yes, often healthier lives will turn around and
bite us-hard.
World Health Organization doesn't mince words: some diseases, it says,
"we will have no effective therapies within the next ten years." Indeed,
more than 70% of the bacteria that cause hospital-acquired infections
are resistant to at least one of the antibiotics commonly used to treat
them, and it's only going to get worse. These
bacteria is also educating other bacteria by donating their gene,
transfer (plasmid) technology and helping other harmless bacteria to
develop resistance to antibiotics.
Patients at Risk From Hospital Tubes
91% of patients had an IV cannula inserted during their hospital stay.
They are often used for patients who are vomiting, fasting or who are
unconscious. Pharmacy researchers from Robert Gordon University,
Aberdeen also showed that in 71% of patient records there was no
documentation of cannula insertion and in 57%, no documentation of
cannula removal.
Intra-Vascular Device
Since 1989, we have been warring about this impending threat to major
corporations, politicians and publishing articles in medical journals.
We feel the main contributor to this rapid change in bacteria has been
Intra-venous Cannula (small plastic tube placed in the vein)
Our hypothesis was proved by
Winchester and Eastleigh Healthcare NHS Trust, UK for eliminating
bacteraemia by taking meticulous care of insertion and monitoring IV
Cannula. Since the introduction last November there have been no new
cases of MRSA infections.
This figure covers all forms of MRSA, including bloodstream
infections (also known as bacteraemia) and wound infections. This
compares to 2007/08 when there was 11 reported bloodstream infections.
Cannula manufacturers are still talking about "Needle-stick Injuries"
as a major problem encountered in hospitals. The are aggressively
marketing their so called "Safety cannula" despite
published data prove the risk of contracting infection due to needle
stick injury is considerably low. Between 1996-2004, 997 healthcare care
workers (HCV) in England, Wales & Northern Ireland exposed to Hepatitis
(9 HIV contracted Hep C), 551 to HIV (1 HIV was infected) & 181 to
Hep-B. Safety cannula has no additional benefit to patient care but
increase cost of providing health care and does not reduce introduction
of bacterial infections to patients.
Intra venous Cannula (IVC) – as well as word ‘venfon’
– is hated by all, especially patients and house officers. The former
dislike it because it is painful, whereas the latter are repulsed more
by the fact that inserting cannulae on regular basis is such a
sub-cortical job
(GMC Today).
Of all vascular access devices,
peripheral venous cannula is the most frequently used in healthcare.
The number of staphylococcal infection has rapidly increased since 1960s
and this trend parallels the increased use of intravenous cannula. This is
the only device that can "Save Life", but must be inserted into blood
vessels with care and meticulously monitored.
Germicidal Wipes used to clean skin is also said to spread
infections,
Doctors and nurses claim the bad veins, dodgy veins, thrombosed vein and
so the cannula manufacturers claim doctors and nurses find it hard to
locate a vein, but we have found this claim is not true. The number of
attempts taken to be successful is 2-3 attempts. Blood was noticed in
the blood collecting chamber in every discarded cannula needle.
The bacteria is commonly carried on the skin around 30% of the healthy
people (adults and children). Multiple puncture will disturb the
biofilm and will allow CA-MRSA to be introduced into the vein resulting
in phlebitis and septicaemia. This bacteria is now immune to
all known antibiotics and antiseptics, so its sad if you get local
infection but lethal if they enter your bloodstream. This bacteria kills
in 12-24 Hours, we have not seen any like this before. This bacteria
will wipe out medical profession and most of us.
MRSA was an antibiotic-resistant type of Staphylococcus Aureus, a common
bacteria present on the skin and in the nostrils of many healthy people.
Colonizes hospital patients to no ill effect but, if present
in a surgical wound or
carried to the bloodstream by an intravenous catheter, it can cause
serious infection and possibly the death of the patient," 10% Higher risk
of you getting infection in A&E / ER, How are you going to protect your
family and you from this life threatening infection ?
white blood cells
We must work hard to bring in changes to reduce contaminated
hospital waste in hospitals and establishing a clinic
to reduce children visiting hospitals.
New research on the threat of community-acquired MRSA (CA-MRSA) in
primary care (UK) shows that as many as
one in five patients who contract MRSA in the community are dead within
a year.
This is a not a
virus and you cannot fight this infection like a common cold or flu.
Bacteria is a living cell with nucleus, genes and other structures
similar to our body cells. Virus only has genes and is not said to be a
living organism. There is a new bacteria which is smaller than virus is
now known as Nanobacta.
The bacteria has various toxin (similar to rattle snake poison) which can destroys infection-fighting
white blood cells (immunity), produce shock, DIC, Bleeding disorder and
enter brain, liquefy tissue. This bacteria kills fit, young, healthy
people - including children and babies - MRSA uses complex mechanisms
to avoid destruction by neutrophils, (human
white blood cells that ingest and destroy bacteria).
MRSA senses danger when it is exposed to the killer chemicals released
by neutrophils-such as
hydrogen peroxide, hypochlorous acid (the active component of
household bleach) or antimicrobial proteins. The bacterium escapes
harm and turns the tables on the white blood cells, destroying them.
Panton-Valentine Leukocidin, or PVL - produced by the CA-MRSA, which
also destroys white blood cells and thus the body's immune system in
five minutes. Healthy person can die within 24 hours of spread to the
lungs due to a form of pneumonia in which the flesh is rapidly eaten
away by enzymes - the Fifty per cent of victims with necrotising
pneumonia die within the first 12-24 hours
New strains have been reported, Flu-MRSA which is likely to spread this
winter and USA300 has also been isolated from spinal fluid similar to
Meningitis.
Interesting Publications
Ethical Dilemma: “To Treat or Not to
Treat”.
By treating patient who are carrier we (doctors) could dangerously harm
that patient by introducing systemic infection (when performing
practical procedures) and death. Not treating these patients, we may
leave this agonized sick patient to suffer pain and discomfort in
isolation.
We hope the healthcare providers & insurance companies, pharmaceuticals
companies and medical device manufacturers will make alternative
arrangements to address this issue and provide adequate care and support
to both staff and MRSA positive patients.
This is complex, as your life may depend on it, and we don't want to
lose you or see our children suffer in isolation.
Reference
We are now ready to challenge major corporation and proud to present the "First
Safe Cannula".
Our mission is to help reduce introduction of infection, trauma to patients, stress to doctors and reduce needle stick injury to staff.
By reducing the cost of manufacture we hope this device will be help
reduce cost of providing best healthcare and reduce hospital stay of
patients.
Bacteria has rapidly developed resistance to antiseptic &
antibacterial skin and hand cleaning solutions. Health care providers
are advising doctors and patients not to take antibiotics for coughs and
cold but this is unlikely to make any difference. Antibiotic Resistant
Bacteria have developed resistance since 1960s, they are getting
stronger and here to stay.
We passionately believe
in reducing the number of people getting infected due to practical
procedures performed in hospitals and reducing contaminated hospital
waste. We could help some people getting infected. By reducing the
number of attempts taken to introduce cannula into a
vein must be drastically reduced to reduce hospital infections. Blaming
and shaming health care providers, prosecuting administrators will not
help us reduce this threat.
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