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Hamilton ON: Outbreak at St. Joseph's Hospital

Shiloh

Shiloh

Editor, Senior Moderator
Source: http://www.thespec.com/news/local/article/273879--four-new-cases-in-st-joe-s-c-difficile-outbreak

Four new cases in St. Joe?s C. difficile outbreak

Four new C. difficile cases at St. Joseph?s hospital surfaced Thursday night and Friday morning, bringing the total patients in the outbreak up to 22.

There are 21 in-hospital C. diff patients, St. Joseph?s hospital president Dr. David Higgins said Friday. Eighteen of those cases are associated with the Charlton Campus hospital and three have contracted the infection outside the facility, he added...
 
Re: Hamilton ON: Outbreak at St. Joseph's Hospital

Source: http://www.thespec.com/news/local/a...ing-how-st-joe-s-handles-c-difficile-outbreak

Province reviewing how St. Joe?s handles C. difficile outbreak

A special team from the province is reviewing the way St. Joseph?s Hospital has handled its latest C. difficile outbreak.

An infection control resource team is looking into the hospital?s current practices surrounding the outbreak ? which is linked to the death of four patients ? and will make recommendations to end it.

The hospital announced the arrival of the team late Wednesday afternoon when it also announced it has six new cases of the deadly infection. It presently has 26 patients with C. difficile at the Charlton Avenue East hospital. The outbreak spans seven wards...
 
Re: Hamilton ON: Outbreak at St. Joseph's Hospital

Source: http://www.thespec.com/news/local/a...stewardship-program-over-c-difficile-outbreak


St. Joe?s expands antibody stewardship program over C. difficile outbreak
* Daniel Nolan , and Joan Walters
* 39 minutes ago

St. Joseph?s Hospital has expanded its antibiotic stewardship program to all antibodies prescribed to patients in the wake of a second serious C. difficile outbreak that is linked to the death of four elderly patients.

The hospital had only looked at the use of high-risk antibodies believed to cause C. diff after a 2009 outbreak that killed seven elderly patients, but has decided to look at all antibody prescriptions and has appointed a pharmacist to solely handle the stewardship program...
 
Re: Hamilton ON: Outbreak at St. Joseph's Hospital

Source: http://www.thespec.com/news/local/article/276326--c-diff-outbreak-continues-at-st-joe-s


C. diff outbreak continues at St. Joe?s
* Carmela Fragomeni
* Tue Nov 16 2010

The C. difficile outbreak at St. Joseph?s Healthcare has grown by another case, bringing to 27 the number of patients contracting the painful and insidious infection since the beginning of October.

?I will not be happy until we?re back to our baseline rate (of four to five cases a month),? said St. Joseph?s hospital president Dr. David Higgins Monday. Four patients with C. diff have died...
 
Re: Hamilton ON: Outbreak at St. Joseph's Hospital

Source: http://www.thespec.com/news/local/a...icile-cases-one-death-at-st-joseph-s-hospital




Four new C. difficile cases, one death at St. Joseph?s hospital
* Carmela Fragomeni
* Tue Nov 16 2010

The C. difficile outbreak at St. Joseph?s Healthcare remains stubbornly active despite new measures to bring it under control.

Four new cases have surfaced, putting the number of infections at 31 since the beginning of October.

One more patient has died, bringing the number of people with C. diff who have died during the outbreak to five.
 
Re: Hamilton ON: Outbreak at St. Joseph's Hospital

Source: http://www.thespec.com/news/local/a...uld-lead-to-more-identified-cases-at-st-joe-s



New C. diff test could lead to more identified cases at St. Joe?s
* Carmela Fragomeni
* Wed Nov 17 2010

A better lab test now being used to detect C. difficile infections in patients at St. Joseph?s Healthcare is expected to identify additional cases in an already serious outbreak...

...The new test, instituted Monday at St. Joseph?s hospital, is DNA-based and is 95 per cent accurate, compared to the 50 per cent accuracy of the old test which resulted in significant false negatives and sometimes led to repeated tests before C. diff was confirmed...

...The hospital has had 40 cases of C. difficile since the beginning of October ? 33 of the patients acquired the infection in hospital and seven came into hospital already with it. Five of the patients who had C. diff have died, with only one so far being attributed directly to C. diff...
 
Re: Hamilton ON: Outbreak at St. Joseph's Hospital

Source: http://www.thespec.com/news/local/a...one-related-death-in-st-joe-s-c-diff-outbreak


Three new cases, one related death in St. Joe?s C. diff outbreak
* Carmela Fragomeni
* Fri Nov 19 2010

A provincial inspection team is optimistic a C. difficile outbreak at St. Joseph?s Healthcare can be brought under control soon, despite another related death and three new cases.

The outbreak has resulted in 43 cases and six related deaths since the beginning of October.

The team?s visit to St. Joe?s hospital Friday produced one key recommendation, according to infectious disease control expert and team leader Dr. Michael Gardam...
 
Re: Hamilton ON: Outbreak at St. Joseph's Hospital

Source: http://www.thespec.com/news/local/article/277818--seven-new-c-diff-cases-at-st-joe-s


Seven new C. diff cases at St. Joe?s
* Danielle Wong
* Sat Nov 20 2010

Seven new C. difficile patients have been reported at St. Joseph?s Healthcare Saturday, bumping up the total number of cases since the onset of the outbreak to 49.

There have been 38 hospital-associated cases and 11 non-hospital-associated cases of C. diff since the beginning of October. Six patients have died in that time...

All the C. diff patients had pre-existing ?significant medical problems, St. Joe?s hospital president Dr. David Higgins said Saturday night. ..
 
Re: Hamilton ON: Outbreak at St. Joseph's Hospital

Source: http://www.thespec.com/news/local/article/277818--new-test-brings-c-diff-tally-to-51


New test brings C. diff tally to 51
* Danielle Wong
* Mon Nov 22 2010

Eight new C. difficile cases were discovered at St. Joseph's Healthcare over the weekend, bringing the total number to 51.

The infection was acquired in the hospital in 38 of the cases, while 12 cases are nonhospital associated. There is also one patient whose infection has not been attributed to a source.

Six patients have died since the outbreak started in October, with one attributed to C. diff, one not attributed to the infection and four cases still under review.

There were 25 C. diff patients in hospital as of Sunday...
 
Re: Hamilton ON: Outbreak at St. Joseph's Hospital

Source: http://www.thespec.com/news/local/article/279599--one-new-c-diff-case-at-st-joe-s-on-weekend



* Mon Nov 29 2010


One new C. diff case at St. Joe's on weekend

One new C. difficile case was discovered at St. Joseph's Healthcare over the weekend.

The hospital identified one new hospital-associated C. diff patient Sunday, bringing the total number of cases since the onset of the outbreak in October to 57. ..
 
Re: Hamilton ON: Outbreak at St. Joseph's Hospital

Source: http://www.thespec.com/news/local/article/281348--one-new-case-of-c-diff-at-st-joe-s


One new case of C. diff at St. Joe?s
* Danielle Wong
* Sat Dec 04 2010
Another C. difficile case has been discovered at St. Joseph?s Healthcare.

The new patient, who contracted the infection outside of the health care facility, brings the total number of cases since the beginning of the C. diff outbreak in October to 62...
 
Re: Hamilton ON: Outbreak at St. Joseph's Hospital

Source: http://www.thespec.com/news/local/article/281612--total-c-diff-cases-at-st-joe-s-up-to-63



Sun Dec 05 2010

Total C. diff cases at St. Joe?s up to 63

Two new cases of C. difficile were reported at St. Joseph?s Healthcare over the weekend, bringing the total number of cases since the beginning of the outbreak to 63.

One patient who contracted the infection while in the facility was reported Sunday and one patient who had contracted C. diff outside of St. Joe?s was discovered Saturday...
 
Re: Hamilton ON: Outbreak at St. Joseph's Hospital

Source: http://www.thespec.com/news/local/article/302019--st-joe-s-c-diff-cases-decline


St. Joe?s C. diff cases decline
* Carmela Fragomeni
* Thu Dec 16 2010

St. Joe's C. difficile outbreak continues, but fewer new cases are emerging daily according to hospital officials.

The improvement is likely due to new hospital measures, they say.

Although the count since the outbreak started Oct. 1 is up to 75 cases ? 26 of them already infected before coming to hospital ? new cases seem to be on the decline. So far this month, the hospital has had eight new cases ? ? one of them on Wednesday.

Nine people with C. difficile have now died, including one on Wednesday. C. diff caused one death, was ruled out in another, and is being investigated in the other seven...
 
Re: Hamilton ON: Outbreak at St. Joseph's Hospital

Source: http://www.thespec.com/news/local/a...working-hard-to-control-outbreak-one-new-case


St. Joe?s working hard to control outbreak, one new case
* Carmela Fragomeni
* Thu Dec 16 2010

St. Joseph?s hospital is using cutting edge measures to bring its C. difficile outbreak under control, according to infectious disease control expert Dr. Michael Gardam.

Gardam said the new lab test St. Joe?s instituted during the outbreak is the gold standard, but is rarely used in Ontario hospitals because it is costly and requires certain expertise to perform. He predicts all hospitals will have it in 20 years, but right now ?it?s still pretty cutting edge.?

The hospital is also at the forefront in instituting a full-time oversight of antibiotics prescribed in St. Joe?s, he said.

?We know there?s a lot of overuse of antibiotics and antibiotics are one of the major reasons people develop C. difficile.?

Having better stewardship of antibiotic prescriptions is a major area where hospitals can improve, he said. Studies have shown that over 50 per cent of the antibiotics prescribed don?t need to be used, he added.

Since the start of the outbreak Oct. 1, St. Joe?s has had 76 cases of C. difficile, including a new one identified on Thursday...
 
Re: Hamilton ON: Outbreak at St. Joseph's Hospital

Source: http://www.thespec.com/news/local/article/303635--st-joseph-s-releases-c-difficile-report


St. Joseph?s releases C. difficile report
* Carmela Fragomeni

St. Joseph?s Healthcare today publicly released the report of the provincial infection control team on the hospital?s C. difficile outbreak...

?...This is the first time, to our knowledge this report has been released publicly,? he said. ?This will absolutely benefit the other hospitals. I would expect that hospitals and the province would like to look at it...

...To see the report, visit www.stjoes.ca/oubreakupdate
 
Re: Hamilton ON: Outbreak at St. Joseph's Hospital

Source: http://www.thespec.com/news/local/a...s-death-at-st-joe-s-linked-to-c-diff-outbreak

Elderly woman?s death at St. Joe?s linked to C. diff outbreak

A 91-year-old woman has died of C. difficile complications at St. Joseph?s Hospital.

Hedwig Knox?s death at the Charlton Avenue East facility comes as an outbreak of the infection appeared to be easing in the last few weeks.

Knox died Thursday after what her family said was a lengthy struggle with C. difficile. Her death brings to 11 the number of people who have now died since the outbreak began in October.

The total number of C. difficile cases has risen to 83 ? 51 who are suspected of getting the infection at the hospital and 32 who got it from a non-hospital circumstance.

While 11 people with C. difficile have died, one death has been found to be caused by other factors and eight remain under investigation.

Since Dec. 24, there had been only two new cases, bringing the total to 10 for December. A medical facility can normally expect five cases per month...
 
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