This is the largest nationally representative study to date of the toll taken by sepsis and pneumonia, two conditions often caused by deadly microbes, including the antibiotic-resistant bacteria MRSA. Such infections can lead to longer hospital stays, serious complications and even death.
"In many cases, these conditions could have been avoided with better infection control in hospitals," said Ramanan Laxminarayan, Ph.D., principal investigator for Extending the Cure, a project examining antibiotic resistance based at the Washington, D.C. think-tank Resources for the Future.
"Infections that are acquired during the course of a hospital stay cost the United States a staggering amount in terms of lives lost and health care costs," he said. "Hospitals and other health care providers must act now to protect patients from this growing menace."
Laxminarayan and his colleagues analyzed 69 million discharge records from hospitals in 40 states and identified two conditions caused by health care-associated infections: sepsis, a potentially lethal systemic response to infection and pneumonia, an infection of the lungs and respiratory tract.
The researchers looked at infections that developed after hospitalization. They zeroed in on infections that are often preventable, like a serious bloodstream infection that occurs because of a lapse in sterile technique during surgery, and discovered that the cost of such infections can be quite high: For example, people who developed sepsis after surgery stayed in the hospital 11 days longer and the infections cost an extra $33,000 to treat per person.
Even worse, the team found that nearly 20 percent of people who developed sepsis after surgery died as a result of the infection. "That's the tragedy of such cases," said Anup Malani, a study co-author, investigator at Extending the Cure, and professor at the University of Chicago. "In some cases, relatively healthy people check into the hospital for routine surgery. They develop sepsis because of a lapse in infection control—and they can die."
The team also looked at pneumonia, an infection that can set in if a disease-causing microbe gets into the lungs—in some cases when a dirty ventilator tube is used. They found that people who developed pneumonia after surgery, which is also thought to be preventable, stayed in the hospital an extra 14 days. Such cases cost an extra $46,000 per person to treat. In 11 percent of the cases, the patient died as a result of the pneumonia infection.
thinkahol * on 24 Apr 11Afghanistan may be the graveyard of empires, but Iraq is home to a graveyard sense of humor. Iraqis wonder aloud whether the U.S. and Britain would have invaded Iraq if its main export had been cabbages instead of oil. However obvious the answer, a remarkable array of American pundits and pseudo-savants have resisted giving the oil factor any pride of place among the motives behind the U.S./U.K. decision to invade Iraq in 2003. To this day, the Fawning Corporate Media (FCM) continues to play its accustomed role as government accomplice suppressing unwelcome news. So, if you don't tune in to Amy Goodman's Democracy Now or read the British press, you would have missed the latest documentary evidence showing that Great Britain's Lords and Ladies lied about how big oil companies, like BP, lusted after Iraqi oil in the months leading up to the attack on Iraq. Oil researcher Greg Muttitt's new book Fuel on Fire: Oil and Politics in Occupied Iraq presents that evidence, since Muttitt had better luck than his American counterparts in getting responses to his Freedom of Information requests. After a five-year struggle, he obtained more than 1,000 official documents which - how to say this - do not reflect well on the peerage, the captains of the oil industry, and the government of Tony Blair.
