Argentina: They investigate whether bacteria killed four patients in Pineiro Hospital - Klebsiella suspected

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Hat-tip ironorehopper.

http://www.clarin.com/diario/2010/05/11/um/m-02194105.htm

Investigating whether bacteria caused the deaths of four patients in the Hospital Pi?eiro
10:52 | El Ministerio de Salud porte?o confirm? que se est?n realizando estudios epidemiol?gicos a ra?z de una supuesta infecci?n intrahospitalaria. 10:52 | Buenos Aires Health Ministry confirmed that epidemiological studies are under way following a suspected nosocomial infection. El director del hospital confirm? que "hay dos pacientes aislados", pero aclar? que todos los quir?fanos "est?n funcionando". The hospital director confirmed that "there are two isolated patients," but clarified that all operating rooms "are working." El Ministerio de Salud porte?o confirm? esta ma?ana que "se est? investigando y esperando los informes correspondientes" de estudios epidemiol?gicos ante la muerte de cuatro personas por una presunta infecci?n intrahospitalaria en el hospital Pi?ero. Buenos Aires Health Ministry confirmed this morning that "is being investigated and awaiting the reports" of epidemiological studies at the death of four people for an alleged hospital infection in the hospital Pi?ero.
En tanto, el director del hospital, Ricardo Capresi, confirm? hoy la existencia "de una bacteria" intrahospitalaria, denominada Klebsiella, y dijo que por ahora "no" hay antibi?ticos para combatirla, aunque aclar? que "no se puede decir" que ese germen "sea el responsable" de las cuatro muertes que se registraron en los ?ltimos d?as en ese centro asistencial. Meanwhile, the hospital director, Ricardo Capresi, confirmed the existence "of a bacterium hospital, known as Klebsiella, and said that for now" no "no antibiotics to fight it, though he said he" can not say "that germ "being responsible" from the four deaths that occurred in recent days in this hospital.

En una conferencia de prensa, Capresi sostuvo que el "movimiento del hospital es normal", pero "hay una vigilancia epidemiol?gica permanente y se han suspendido las operaciones programadas para evitar cualquier contagio". In a press conference Capresi said the "movement of the hospital's normal," but "there is a permanent surveillance and scheduled operations have been suspended to avoid any contagion."

"Hay una bacteria, pero no tenemos antibi?ticos para enfrentarla", prcecis? el director del hospital del barrio porte?o de Flores. "There is a bacteria, but [we don't have antibiotic that fight it]," hospital director prcecis? the neighborhood of Flores.

(Fuente: DyN) (Source: DyN)

 

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Re: Argentina: They investigate whether bacteria killed four patients in Pineiro Hospital - Klebsiella suspected

http://www.telam.com.ar/vernota.php?tipo=N&idPub=186340&id=355734&dis=1&sec=1

14:02 - SOCIETY

Autoridades del Hospital Pi?ero investigan si varios pacientes murieron por una bacteria Pi?ero Hospital authorities are investigating whether several patients died from bacteria


Cuatro pacientes que estaban internados en el Hospital Pi?ero, del Bajo Flores, murieron aparentemente por la acci?n de una bacteria intrahospitalaria, lo que es investigado por las autoridades sanitarias. Four patients who were admitted to the Hospital Pi?ero, the Bajo Flores, killed apparently by the action of a hospital bacteria, which is being investigated by health authorities.


Las autoridades del hospital se?alaron que los pacientes ten?an una edad promedio de 75 a?os e investigan si la causa principal de su muerte fue la acci?n de la bacteria klebsiella, que suele atacar los tejidos blandos. Hospital officials said patients had a mean age of 75 years and investigated if the leading cause of death was the action of the klebsiella bacteria that usually attacks the soft tissues.

Ricardo Caprese, director m?dico del Pi?ero, sostuvo que "est? controlada la situaci?n" y aclar? que la bacteria que habr?a causado los decesos "no se dio por falta de limpieza". Ricardo Caprese, medical director of Pi?ero, said "the situation is under control" and clarified that the bacteria that have caused the deaths "was not for lack of cleanliness."

En igual sentido, Oscar Garc?a Messina, jefe de Infectolog?a, explic? a la prensa que "la bacteria klebsiella tiene la particularidad de que es resistente a m?ltiples antibi?ticos y produce una encima que destruye a un n?mero importantes de antibi?ticos". Likewise, Oscar Garc?a Messina, chief of Infectious Diseases, told reporters that "the klebsiella bacteria is unique in that is resistant to multiple antibiotics and produces an enzyme that destroys a significant number of antibiotics."

Explic? que "esa bacteria se da en pacientes que est?n con enfermedades prolongadas e inmunosuprimidos y es de acci?n prolongada". He explained that "the bacterium occurs in patients who are immunosuppressed and prolonged illness and is long acting."

Admiti? que uno de los cuatro fallecidos "que ten?a esa bacteria sufr?a de un tumor de p?ncreas". He admitted that one of the four deaths "that the bacteria had suffered from a tumor of the pancreas."

En tanto, destac? que la bacteria "se puede detectar tanto en pacientes que se someten a una cirug?a como en los de cl?nica m?dica". Meanwhile, he stressed that the bacterium can be detected in patients who undergo surgery and the medical clinic. "

Se?al? que el promedio de edad de los fallecidos "es de 75 a?os" y destac? que en el hospital se realiza "un control intenso", ante la proliferaci?n a nivel mundial de bacterias que "resisten a los antibi?ticos" y est?n presente en los hospitales. He noted that the average age of these patients is 75 years "and noted that the hospital is conducted" intensive monitoring "to the global proliferation of bacteria" resistant to antibiotics and are present in hospitals .

 

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Re: Argentina: They investigate whether bacteria killed four patients in Pineiro Hospital - Klebsiella suspected

http://www.laprensa.com.ar/359405-P...-las-cirugias-en-el-Hospital-Pinero.note.aspx

Investigating the deaths of four people
Por una bacteria, suspenden las cirug?as en el Hospital Pi?ero By bacteria, suspended surgeries in Pi?ero Hospital
11.05.2010 | El director del hospital, Ricardo Capresi, confirm? hoy la existencia "de una bacteria" intrahospitalaria y dijo que por ahora "no" hay antibi?ticos para combatirla, aunque aclar? que "no se puede decir" que ese germen "sea el responsable" de las cuatro muertes que se registraron en los ?ltimos d?as en ese centro asistencial. 11/05/2010 | The hospital's director, Ricardo Capresi, confirmed the existence "of a bacterium in the hospital and said that for now" no "no antibiotics to fight it, though he said he" can not say "that germ" is the responsible "for the four deaths that occurred in recent days in this hospital.
El Ministerio de Salud porte?o, por su parte, indic? "se est? investigando y esperando los informes correspondientes" de estudios epidemiol?gicos para determinar los motivos de la muerte de estas cuatro personas, dijeron a fuentes del organismo. The Ministry of Health of Buenos Aires, for his part, said "is being investigated and awaiting the reports" of epidemiological studies to determine the reasons for the deaths of these four people, said sources in the body.

Capresi dijo a la prensa que el "movimiento del hospital es normal", pero "hay una vigilancia epidemiol?gica permanente y se han suspendido las operaciones programadas para evitar cualquier contagio" de la bacteria denominado Klebsiella. Capresi told reporters that the "movement of the hospital is normal," but "there is a permanent surveillance and scheduled operations have been suspended to prevent any spillover of the bacteria called Klebsiella.

"A trav?s de los estudios de cultivo correspondientes hemos llegado a la conclusi?n y aislado una bacteria que en estos momentos est? siendo resistente, esto significa que no tenemos antibi?ticos adecuados para poder combatirla", explic? el director del hospital del barrio porte?o de Flores. "Over the corresponding culture studies have concluded and isolated a bacterium that is currently being tough, this means that we have no appropriate antibiotics to combat it," said hospital director of Buenos Aires neighborhood of Flores.

Capresi a?adi?: "Estamos tomando todos los medios necesarios. Est? es una propagaci?n que est? fundamentada en el aislamiento de dos pacientes y las medidas necesarias est?n siendo tomadas con un comit? de vigilancia epidemiol?gica". Capresi added: "We are taking all necessary means. This is a spread that is based on the isolation of two patients and the necessary measures are being taken with a surveillance committee."

"No podemos decir que esta bacteria es la causal del fallecimiento de las personas", expres? Capresi, quien detall? que "hay dos pacientes aislados (un hombre y una mujer) con cultivo positivo". "We can not say that this bacteria is causing the death of people," said Capresi, who explained that "there are two isolated patients (one man and one woman) with positive culture."
La autoridad m?dica inform? que los fallecimientos de las cuatro personas ocurrieron el 15, 23 y 24 de abril ?ltimo, y el promedio de edad era de 75 a?os. The health authority said the deaths of four persons occurred on 15, 23 and 24 April last, and the average age was 75 years.

Capresi aclar? que las operaciones de "urgencia" en el hospital se realizan y "ning?n quir?fano est? clausurado" como trascendi?, ya que lo ?nico que se hizo fue cerrar uno de ellos "para hacer la limpieza correspondiente". Capresi clarified that the operations of "urgency" in the hospital are made and "no surgery is closed" as it transpired, because all we did was to close one of them "to make the disposal authority."
El directivo del hospital Pi?ero remarc? que "el hecho es buscar justo el antibi?tico adecuado" para combatir la bacteria, y por "ello se est?n haciendo cultivos permanentes". The hospital management Pi?ero remarked that "the fact is search just the right antibiotic" to fight the bacteria, and "it is being made permanent crops."

Por su parte, el jefe de Infectolog?a del hospital, Oscar Garc?a Messina, indic? que la bacteria Klebsiella "tiene una caracter?stica que es resistente a m?ltiples antibi?ticos y fundamentalmente produce una enzima que destruye un grupo importante de antibi?ticos que son los carbapen?micos, que son muy ?tiles en la aparici?n de cuadros de infecci?n hospitalaria". For its part, the chief of Infectious Diseases Hospital, Oscar Garc?a Messina, said the bacteria Klebsiella "has a feature that is resistant to multiple antibiotics and mainly produces an enzyme that destroys a large group of antibiotics are the carbapenems, which are very useful in the appearance of pictures of hospital infections. "

Garc?a Messina a?adi? que "uno de los pacientes que falleci? y que ten?a est? bacteria, padec?a de un tumor de p?ncreas, que es una patolog?a sumamente grave". Garc?a Messina added that "one of the patients had died and that is bacteria, suffered from a pancreatic tumor, which is a very serious disease."

"El hospital est? con medidas de extrema vigilancia, por lo cual hemos aconsejado la restricci?n de las cirug?as programadas", puntualiz? el m?dico. "The hospital is with vigilance measures, for which we have recommended the restriction of scheduled surgeries," the doctor.

 

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Re: Argentina: They investigate whether bacteria killed four patients in Pineiro Hospital - Klebsiella suspected

http://www.clarin.com/diario/2010/05/12/sociedad/s-02194337.htm

Hospital Pi?ero: reopen the theater this weekend
Una bacteria provoc? la muerte de cuatro pacientes. Bacteria killed four patients. Hay otras dos personas contagiadas y aisladas. Two other infected people and isolated. El director del hospital de Flores dijo que detectaron la bacteria hace un mes. The hospital director said Flores found the bacteria last month. Y que los fallecidos, tres mujeres y un hombre, eran pacientes de riesgo. And the dead, three women and one man, were patients at risk. Con cuatro pacientes graves fallecidos y dos enfermos todav?a aislados en una sala de internaciones, todos infectados por una bacteria intrahospitalaria, las autoridades del Hospital Pi?ero, del barrio porte?o de Flores, confirmaron que desde hace un mes vienen luchando contra la bacteria Klebsiella pneumoniae. With four dead and two critically ill patients still isolated in a room admissions, all infected with bacteria, hospital, authorities Pi?ero Hospital, Buenos Aires neighborhood of Flores, confirmed that a month ago have been fighting against the bacterium Klebsiella pneumoniae. Su director, Ricardo Capresi, le adelant? ayer a Clar?n que el fin de semana volver?an a abrir uno de los quir?fanos, cerrado desde que los casos alertaron a los m?dicos del centro de salud, a principios de abril. His director, Ricardo Capresi him Clarin reported yesterday that the weekend return to open one of the operating room, closed the cases physicians alerted the health center, in early April. Y tambi?n la sala de internaciones donde por ahora siguen recluidos exclusivamente los dos pacientes contagiados. And also the room where admissions are now held exclusively by the two infected patients. "La situaci?n se normalizar? de acuerdo a la evoluci?n (de los pacientes). Tratamos de aislarlos lo mejor posible, nos va a llevar cuatro o cinco d?as m?s", arriesg? Capresi. "The situation will be normalized according to the evolution (of patients). We try to isolate their best, we will take four or five more days," risked Capresi.

La epidemia se hizo p?blica el lunes por la noche y reci?n ayer las autoridades del Ministerio de Salud porte?o, responsables del Hospital Pi?ero, reconocieron el brote oficialmente. The epidemic became public on Monday night and just yesterday the authorities of the Buenos Aires Ministry of Health, responsible for Pi?ero Hospital, officially recognized the outbreak. Pero lo sab?an desde principios de abril, cuando uno de los cuatro pacientes fallecidos present? los s?ntomas. But they knew from early April, when one of the four deceased patients developed symptoms. A partir de ese momento, en el Pi?ero empezaron con las tareas de desinfecci?n, cerraron moment?neamente una de las salas de cirug?a y suspendieron todas las intervenciones programadas all?. From that moment, in the Pi?ero began with the work of disinfection, a temporarily closed operating rooms and suspended all scheduled operations there.

"La situaci?n est? toda controlada. Fue un brote de una bacteria, algo bastante com?n en hospitales p?blicos y privados, pero no fue causa de los fallecimientos. Desde el 12 de abril ten?amos un diagn?stico preciso", remarc? a este diario Capresi quien, no sin contradicciones, sostuvo que no hubo errores en la higiene del hospital que dirige e insinu? que la bacteria "vino de afuera. No hubo fallas. Pero ahora apuntamos a reforzar haciendo mejor capacitaci?n al recurso profesional como para que se laven bien las manos. Hay que tener en cuenta que atendemos 500 pacientes por d?a s?lo en consultorios externos y se hacen 20 operaciones diarias", aclar?. "The situation is all under control. It was an outbreak of a bacterium, not uncommon in public and private hospitals, but it was cause of death. Since April 12 we had an accurate diagnosis," he said to this newspaper Capresi who, not without contradiction, stated that there were no errors in hospital hygiene and suggested that directs the bacterium came from outside. There were no failures. But now we aim to strengthen the resource by better professional training to wash their hands. There be borne in mind that we serve 500 patients per day only on outpatient and makes 20 daily operations, "he said.
Las autoridades sanitarias porte?as ?y tambi?n Capresi? se ocuparon de aclarar que los cuatro muertos eran enfermos graves, todos mayores. Health authorities in Buenos Aires-and-Capresi also addressed to clarify that the four dead were seriously ill, all older. "Estaban en estado cr?tico", remarc? Capresi. "They were in critical condition," he said Capresi. Fallecieron el 15, el 23 y el 24 de abril. Died 15, 23 and 24 April. Eran tres mujeres y un hombre: hab?a dos casos de c?ncer, una fractura en una mujer muy mayor y tambi?n una persona obesa, diab?tica, hipertensa y esquizofr?nica. There were three women and one man had two cases of cancer, a broken woman and also more obese, diabetic, hypertensive and schizophrenic.

Seg?n explican los expertos, la bacteria act?a fatalmente en personas inmunodeficientes. According to experts explain, the bacteria acts fatally in immunosuppressed individuals. El m?dico infect?logo Marcelo Blumenfeld explic? a Clar?n que la Klebsiella pneumoniae "no tiene alguna caracter?stica en especial: provoca infecciones dentro y fuera de los hospitales. Suele infectar tractos respiratorios y de orina". Infectious diseases physician Marcelo Blumenfeld told Clar?n that Klebsiella pneumoniae "has a special feature: it causes infections in and outside hospitals. Usually infect respiratory and urinary tracts."

Los m?dicos coinciden al afirmar que, eso s?, la caracter?stica de las infecciones intrahospitalarias es que tienen un patr?n de resistencia muy distinto que afuera del hospital: suelen ser mucho m?s fuertes frente a los antibi?ticos. Doctors agree in saying that, yes, the feature of nosocomial infections is that they have a very different pattern of resistance to outside the hospital: they tend to be much stronger against the antibiotic. "La internaci?n prolongada hace que la posibilidad de una infecci?n sea mayor, por eso tratamos de no hacerla", dijo Capresi. "The prolonged hospitalization makes the possibility of infection is greater, so try not to do it," said Capresi.
Ayer, en el Pi?ero el clima era como el de cualquier d?a. Yesterday, the weather Pi?ero was like any day. Sin embargo, m?dicos y enfermeros consultados por este cronista confesaron que las autoridades no les permit?an hablar. But doctors and nurses polled by this reporter admitted that the authorities are not allowed to speak. El personal de seguridad controlaba amable pero estrictamente la entrada de personas al lugar, y la mayor?a de quienes llegaban o sal?an no conoc?a el problema. Security staff friendly but strictly controlled the entry of persons to the place, and most of those who arrived or left unaware of the problem.
Blumenfeld considera que el de las infecciones intrahospitalarias "es un problema de todos los d?as, no es una rareza". Blumenfeld believes that of nosocomial infections is a problem every day, is not a rarity. " Sin embargo, considera que la situaci?n en el Pi?ero es grave: "Siempre que hay muertes y brote lo es". However, it considers that the situation in Pinero is serious: "Whenever there are deaths and outbreak is."

 

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Re: Argentina: Four patients die of Klebsiella infection

Re: Argentina: Four patients die of Klebsiella infection

Perhaps this thread should be renamed and moved to the "drug resistant bacteria" forum...

http://www.pagina12.com.ar/diario/sociedad/3-145530-2010-05-12.html

El Hospital Piñero aumentó los controles y la vigilancia sobre los pacientes debido a un brote de una bacteria intrahospitalaria, la klebsiella, detectada en cuatro personas que murieron dentro del hospital en las últimas semanas. Piñero Hospital controls and increased surveillance of patients due to an outbreak of nosocomial bacteria, klebsiella, detected in four people who died in the hospital in recent weeks. El jefe de Infectología del hospital, Oscar Messina, indicó a Página/12 que se están tomando “las medidas necesarias para reducir la cantidad de personas expuestas y para cortar el brote”, y aclaró que “en ninguno de los casos relevados puede determinarse que el cuadro infeccioso por la klebsiella haya provocado la muerte”. The hospital's chief of Infectious Diseases, Oscar Messina, told Página/12 being taken "the necessary measures to reduce the number of people exposed and cut the outbreak," and clarified that "in no case can be determined that relieved the infection by klebsiella caused the death. " Por su parte, el director del hospital, Ricardo Capresi, explicó que además de formarse un Comité de Vigilancia Epidemiológica, por prevención “se suspendieron todas las cirugías programadas” y señaló que “se aislaron dos pacientes que tienen la bacteria, detectada a través de un estudio de cultivo”. For its part, the hospital's director, Ricardo Capresi, said that besides forming a committee of epidemiological surveillance, prevention, "the suspension of all scheduled surgeries" and noted that "patients who have isolated two bacteria, detected by A study of culture. "

Los pacientes afectados por la klebsiella murieron sucesivamente los días 15, 23 y 24 de abril y pusieron en alerta los controles del hospital. Patients affected by the klebsiella died successively on 15, 23 and 24 April and put on alert hospital controls. Las autoridades indicaron que la edad de los pacientes estaba entre los 60 y 80 años e ingresaron, en la mayoría de los casos, con enfermedades de base graves. The authorities indicated that the age of the patients were between 60 and 80 years and entered, in most cases, with serious underlying disease. En ese sentido, Messina indicó que “en ninguno de los casos relevados puede determinarse que el cuadro infeccioso por la klebsiella haya provocado la muerte”. In that sense, Messina said that "none of the cases surveyed can be determined that the infection by klebsiella caused the death."

Sobre el brote de klebsiella, el jefe de Infectología apuntó que la problemática está en las “propiedades para diseminarse rápidamente” del germen y “la resistencia a los antibióticos”. Upon the outbreak of klebsiella, Chief of Infectious Diseases said that the problem is in the "properties to spread quickly," the germ and "resistance to antibiotics." Consultado por Página/12, el infectólogo y jefe de Terapia Intensiva del Hospital Muñiz, Jorge San Juan, reconoció que las bacterias intrahospitalarias son “un dolor de cabeza común en todo el mundo. Página/12 consulted the infectious diseases and Chief of Intensive Care Hospital Muñiz, Jorge San Juan, recognized that nosocomial bacteria are "a common headache worldwide. Todos los días hay muertos por gérmenes de este tipo, ya que las personas que se encuentran en un hospital tienen posibilidades de contraer una infección propia del lugar y las intervenciones que sufren son la puerta de entrada”. Every day is killed by germs such as those found in a hospital have the potential for infection of the place and the interventions that suffer are the front door. "

El infectólogo del Piñero precisó que estos gérmenes “se dan en pacientes que están con enfermedades prolongadas e inmunosuprimidos”. The infectious diseases of Piñero said that these germs "occur in patients with prolonged illness and immunosuppressed." Por su lado, San Juan resaltó que la aparición del brote “no necesariamente tiene que ver con una baja de cuidados sino con que las bacterias se hacen resistentes según el régimen de antibióticos de cada lugar”. For its part, San Juan stressed that the outbreak "does not necessarily has to do with low care but that the bacteria become resistant to antibiotics according to the regime in place."

A partir del brote detectado en el Piñero, Capresi señaló que se “suspendieron todas las cirugías programadas” y que se están realizando “estudios de cultivo” a través de los cuales se “aisló la bacteria que en estos momentos está siendo resistente a los antibióticos que hay para combatirla”. Since the outbreak in Piñero, Capresi noted that "suspended all scheduled surgeries and being made" culture studies "through which" isolated the bacteria which is currently being resistant to antibiotics there to fight. " Además, se creó una Comité de Vigilancia Epidemiológica. It also created a Committee for Epidemiological Surveillance.

Hasta ayer, en el Piñero dos personas habían sido aisladas luego de que se les detectara la bacteria mediante estudios de cultivo y se realizaron hisopados sobre los pacientes que convivieron con los infectados para detectar si alguna otra persona en el hospital es portadora de la bacteria. Until yesterday, Piñero two people had been isolated after the bacteria were detected by culture studies swabs were performed on patients who lived with those infected to detect if someone else in the hospital is carrying the bacteria.

Messina insistió en que “la aparición de klebsiella no es un problema específico del Bajo Flores o de Argentina”, sino que es un problema mundial “por la multirresistencia de los gérmenes a partir del fortalecimiento contra los antibióticos”. Messina insisted that "the emergence of Klebsiella is not a problem specific to the Bajo Flores or Argentina", but a global problem "by the multidrug resistance of germs from strengthening against the antibiotics." Las medidas especiales que se están tomando por estos días, según el jefe de Infectología, se relacionan con que “en el caso de otra bacteria en pocos días tendría que desaparecer, pero ésta persiste” y puede filtrarse por medidas tan simples como la falta de higienización en las manos de los médicos. Special measures are being taken these days, according to the chief of Infectious Diseases, relate that "in the case of other bacteria in a few days would have to go, but it persists and can be filtered by measures as simple as lack of sanitation in the hands of doctors.

“Trabajamos en el día a día, esperamos que las medidas preventivas nos reditúen con la ausencia de casos. "We work from day to day, we hope that preventive measures pays off us with no cases. Por el momento, reducimos las personas expuestas”, apuntó Messina. For now, we reduce the exposed persons, "said Messina