Saturday, April 26, 2008

NHS fight against MRSA going nowhere

The government's drive to combat MRSA superbug infections in NHS hospitals faltered in the final quarter of last year, figures from the Health Protection Agency revealed yesterday. The number of infections in England had fallen sharply for three years, but increased slightly from 1,080 cases between July and September to 1,087 between October and December. John Reid, the former health secretary, promised in 2004 to halve the number of MRSA infections by the end of March 2008. When Gordon Brown became prime minister in June, he made hygiene a priority for the NHS. In September, he said every ward should be deep-cleaned by the end of March.

The agency said: "Over the last year cases of MRSA bloodstream infection have been steadily falling. We would obviously like to have seen the trend continued in this quarter." To achieve Reid's target, the NHS would have to reduce the number of cases from 642 a month in 2004 to 321 a month between April and June this year. In the final quarter of last year, there were 362 a month.

Ann Keen, the health minister, said: "The MRSA target remains within reach. However, one case of avoidable infection is one too many and I am challenging the NHS to make full use of the resources at their disposal to eradicate avoidable infections."

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Australian cancer patient at death's door as a result of gross public hospital negligence

A dying woman has won a settlement from the Melbourne hospital she says misdiagnosed the cancer that will soon claim her life. The 52-year-old has been told she will die in the coming weeks from pancreatic cancer, which she claims grew unchecked for a year after Western Hospital doctors noticed a lump but failed to investigate further. The woman won an undisclosed sum from Western Health, which she sued for robbing her of a chance to overcome the disease.

She is in hospital and too sick to be interviewed, and asked not to be named. But she asked that her story be publicised, so hospitals would be forced to be more accountable and other patients would not suffer through misdiagnosis. A statement of claim lodged with the Supreme Court this month alleged that the woman had gone to the Footscray hospital in August 2006 suffering abdominal pain, and that a CT scan revealed a 1cm lump in her pancreas. She claimed that despite recommendations for further tests, informal reports advising doctors to perform a biopsy and a surgeon later suggesting the mass may need to be cut out, the lump was not investigated; instead, she was diagnosed as having mild gastritis and duodenitis, and referred back to her doctor.

A year later, she went back to the hospital in crippling pain and the lump was found to have grown to 11cm. She claimed that on Christmas Eve, doctors revealed they believed that the mass was cancer, and was spreading. By January, it was confirmed as a metastatic adenocarcinoma with widespread tumours in her liver, and complications to her portal vein and spleen. Chemotherapy could not overcome the cancer.

Arnold Thomas and Becker solicitor Larry Dent said his client had made a determined stand for other patients. "It is important that the issue of patients being lost in the system and lost to follow-up is dealt with," he said. "The root cause of this problem is that this lady was lost to follow-up. "If anyone thinks there is something wrong, they should first seek medical advice, and then legal advice if they think they are not getting anywhere. And they should not let it go."

A spokeswoman for Western Health, which did not admit liability, said the hospital could not comment on the case or the confidential settlement of it. "We are extremely sensitive to what she is going through at the moment in terms of her cancer and the impact it is having on her and her family," Anne Learmonth said. "However, we can't say much more than that."

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