Medical Alarm Panama by bacteria causing hospital deaths- Klebsiella pneumoniae, 57 fatalities confirmed

[Tonka]

http://www.prensa-latina.cu/index.php?option=com_content&task=view&id=310391&Itemid=1
Spanish - detected to English translation


Medical Alarm Panama by bacteria causing hospital deaths

Panama, July 28 (PL) Medical Hospital of the Social Security Fund (CSS) in Panama warned today of a nosocomial bacteria that may have killed 51 patients between June and July, according to the doctor Julio Osorio.

The doctor said that since June 1, warned of the presence of bacteria, while his colleague Domingo Moreno said the situation has reached a crisis in the operating rooms and intensive care. Coincident with these warnings, hospital sources show that June 1 Dr. Alfredo Matos, Intensive Care, issued an unusual warning in which he admitted a poor control of nosocomial infections and the presence of a new multi-resistant germs.

But only almost two months later, the institution issued a statement to explain an increase in the number of patients with acquired infections within the hospital area, better known as nosocomial bacteria.

However, the authorities of the CSS, do not talk about number of people killed by the bacteria. Osorio, head of the National Negotiating Medical Commission (Comenenal), located at 51 and other sources 16.

The release of the CSS issued less than 24 hours supports the analysis of the cases led to evidence that were caused by the emergence of a new bacterial strain, not previously registered in Panama.

According to the text, the latest report shows a decline in the incidence of new cases, so that to the authorities, there is control of the outbreak.

He adds that soon will be restructuring the intensive care wards and operating rooms with special modular implementation of systems to better control these infections.

 

[alert]

Re: Medical Alarm Panama by bacteria causing hospital deaths

Re: Medical Alarm Panama by bacteria causing hospital deaths

http://www.promedmail.org/pls/apex/..._BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1060,89538

Spanish to English translation
Archive Number 20110729.2277
Posted 29-JUL-2011
Title PRO / ESP> KPC, rash, infections in the ICU - Panam? ?? ? ?? (City Panam? ?? ? ??)

KPC OUTBREAK infections in ICU - PANAMA (PANAMA CITY)
************************************************** ****
A ProMED-mail news
<http://www.promedmail.org>
ProMED-mail is a program
International Society for Infectious Diseases
<http://www.isid.org>

Date: July 28, 2011
Source: PAdigital.com.pa
http://www.panamaamerica.com.pa/periodico/edicion-anterior/nacion-interna.php?story_id=1075180
[Edited by Jaime Torres and Jorge Gonzalez]

For two months, 50 patients in Intensive Care Box
Social Security (CSS) have been infected by a [strain _Klebsiella
pneumoniae_] resistant to antibiotics, has died
30% said Dr. Richard Lizka, Deputy National
Health Facilities.

? We know that for two months came to Panama and the peak
incidence is declining? and presented in patients Care
Intensive Hospital Metropolitano, because that is where
come the most complicated and serious cases, very sensitive
said.

The bacteria could have brought one or several patients who came
sick and spread abroad, he said.

We have hundreds of cases, they reach 50, and those who died were
complicated by other bacteria with multiple organ failure, as they are
patients undergoing multiple therapies.

The bacterium produces Carbatenemasa pneumoniae_ _Klebsiella (KPC)
attacks in patients with mechanical ventilation for airway infects
internal organs and in some cases death occurs mainly
sensitive to the condition, he said.

On the possibility that a patient with good health
undergone surgery to become infected, Richard said
body can fight it and also the CSS buys the antibiotic
tigecycline, although not within the official form.


He denied that the hemodialysis room there affected by this bacteria,
but these patients any germs that are in the skin of
affects and causes disease because their immune system is
depressed. He said the presence of this bacteria is a phenomenon
non-exclusive world of Panama. Its mutation is due to misuse
antibiotics, which has led to increasingly resistant strains.


Reported by: Jaime R. Torres <torresjaime@cantv.net>

- ProMED-ESP


[Comment:

Again, a bacterium becomes a multidrug
lethal agent. It seems that the warnings on the rational use
of antibiotics fall on deaf ears. There are prescribed
antibiotics in a judicious manner, self-medication pervades
certain locations, and other counterfeit drugs and almost
no quality control or no help with this situation.
Urgent, therefore, the health ministries of the countries most affected
these problems before take urgent action to continue to rise
such occurrences and fatalities. Moderator Jorge Gonz?lez]

-----

ProMED-mail

 

[Ronan Kelly]

Re: Medical Alarm Panama by bacteria causing hospital deaths - Klebsiella pneumoniae

Re: Medical Alarm Panama by bacteria causing hospital deaths - Klebsiella pneumoniae

machine translated

Confirm that the dead are 24 bacteria in Panama
Written by Luis Manuel Arce Isaac

August 13, 2011, 09:07 Panama, Aug 13 (Prensa Latina) killed by the bacterium Klebsiella pneumoniae carbapenemase (KPC) is 24 according to the Public Prosecutions whose fiscal Third Higher Sofanor Espinoza said they had not taken account of two deaths recorded before testing positive.

In terms of new deaths, revealed today that the last died of the bacteria was Gayz Reinaldo, who died Wednesday.

He said he met with experts at the Laboratory of Microbiology of the Social Security Fund (CSS) to analyze the cases.

He said that 15 people were presented at the Attorney General requesting an investigation into the deaths of their relatives. Espinoza said that these cases are taken into account in research because they have been deaths recorded since August 2010.

Some people said that they have doubts about the deaths of their relatives and are fully entitled to proceed.

As for the records revealed that there collected 34 case histories of 71 in the complaint, but lacks the eight confirmed cases of the bacteria.

Javier Diaz, director of Medical Services Complex, said that until yesterday reported 13 cases of patients admitted with positive KPC, one of which was discharged.

He added that the remainder will be evaluated and given antibiotics to counter the bacteria.

He also admitted two people are reported with the bacteria Acinetobacter.

"This is another type of nosocomial bacteria. Both people are isolated and tested in the operating room on the seventh floor," he said.

http://www.prensa-latina.cu/index.php?option=com_content&task=view&id=314763&Itemid=1

 

[Ronan Kelly]

Re: Medical Alarm Panama by bacteria causing hospital deaths - Klebsiella pneumoniae

Re: Medical Alarm Panama by bacteria causing hospital deaths - Klebsiella pneumoniae

Six more deaths from the bacteria
JOS? ARCI
jarcia@laestrella.com.pa
CSS Authorities confirmed six new victims for the KPC. Survey reveals that the population is poor management of nosocomial crisis
6 hours 24 min ago PANAMA. Officials of the Social Security Fund (CSS) confirmed yesterday the death of six people with the KPC bacteria, which increases to 30 the death toll for this infection.

...
http://laestrella.com.pa/online/impreso/2011/08/17/seis_muertes_mas_por_la_bacteria.asp

 

[Ronan Kelly]

Re: Medical Alarm Panama by bacteria causing hospital deaths - Klebsiella pneumoniae, 30 fatalities confirmed

Re: Medical Alarm Panama by bacteria causing hospital deaths - Klebsiella pneumoniae, 30 fatalities confirmed

:tiphat: Crof @ H5N1

Increase to 46 the dead bacteria in Panamanian hospital

August 19, 2011, 20:19 Panama, Aug 19 (Prensa Latina) killed by infection of the bacterium Klebsiella pneumoniae carbapenems (KPC) reached 46 today confirmed Javier Diaz, director of Medical Services of the Social Security Fund (CSS) .

Speaking to the national press, the official said, moreover, also increased to 86 the number of patients carrying the microbe.

Yesterday the fiscal third higher Sofanor Espinosa, who is investigating the crisis by the Attorney General announced that the deaths were 44, so the newly confirmed are two.

...
lac / lma
http://www.prensa-latina.cu/index.php?option=com_content&task=view&id=316408&Itemid=1

 

[Tonka]

Re: Medical Alarm Panama by bacteria causing hospital deaths - Klebsiella pneumoniae, 46 fatalities confirmed

Re: Medical Alarm Panama by bacteria causing hospital deaths - Klebsiella pneumoniae, 46 fatalities confirmed

http://www.prensa-latina.cu/index.php?option=com_content&task=view&id=317039&Itemid=1
Spanish to English translation

Increase to 50 hospital deaths caused by bacteria in Panama

Panama, Aug 22 (Prensa Latina) A fifty arrived dead by nosocomial bacteria Klebsiella pneumoniae carbapenemase (KPC) in the Metropolitan Hospital authorities confirmed today the Social Security Fund (CSS). Thus joined this purpose four deaths week to the 46 that were announced on Friday. At a press conference, Javier Diaz, director of Medical Benefits of CSS, said the first cut (71 patients) have killed 40 people. However, he explained, "has not been able to determine if it is infected by the bacteria" . In the second cut (15 patients) was made ​​after August 4, 10 people have died. Joaqu?n Molina, representative of the Pan American Health Organization, spoke of the art containment as one of the measures that have been used in other countries such as Uruguay, to stop outbreaks of this nature. N?stor Sosa, the Gorgas Institute, said that taken all necessary measures to try to lower the passing of the bacteria from one patient to another. But to talk about their control have to wait a little longer and tabulate all cases to see if they are below the threshold based on the size of the hospital, patients and many other parameters. The director of the entity, Guillermo S?ez-Llorens, two criminal complaints the prosecution in this case, said that daily take place in outpatient or four thousand 200 people in that hospital. However it is known that the influx of patients to outpatient hospital complex has decreased by 600 people on average since issued the presence of bacteria KPC. 's attorney filed a lawsuit against Victor Martinez this afternoon the director of the CSS for the death of Epaminondas Castillo KPC bacteria. This is the third lawsuit in the prosecution of these cases filed against S?ez-Llorens. rmh / lma

 

[Tonka]

Re: Medical Alarm Panama by bacteria causing hospital deaths - Klebsiella pneumoniae, 50 fatalities confirmed

Re: Medical Alarm Panama by bacteria causing hospital deaths - Klebsiella pneumoniae, 50 fatalities confirmed

http://www.prensa-latina.cu/index.php?option=com_content&task=view&id=321184&Itemid=1
Spanish to English translation


Another baby is positive with bacteria Panamanian KPC

Panama, Sep 6 (Prensa Latina) Panamanian Another baby tested positive for the bacteria resistant Klebsiella pneumoniae carbapenemase (KPC) in the nursery of the Hospital Complex Arnulfo Arias Madrid, today officially confirmed. Javier Diaz, director of the Medical Benefits Fund Social Security, reported that two infants positive for KPC remain under medical observation and care. For its part, the director of the Institute of Legal Medicine and Forensic Sciences, Humberto Mas, asked the morgue a full report on the necropsy patients who died with KPC. The report should be delivered this week and contain the final results of how many autopsies were completed and if the deaths were due to KPC. To date 57 patients have been reported dead with KPC, of which 39 cases are under investigation for Forensic Medicine. mgt / lma

 

[Tonka]

Re: Medical Alarm Panama by bacteria causing hospital deaths- Klebsiella pneumoniae, 57 fatalities confirmed

http://www.prensa-latina.cu/index.php?option=com_content&task=view&id=320226&Itemid=1
Spanish to English translation

Another four patients infected with bacteria in Panama KPC

Panama, Sep 2 (Prensa Latina) Social Security Fund (CSS) today reported the confirmation of four positive cases of the bacterium Klebsiella pneumoniae carbapenemase (KCP). These patients, according to a press release, were in the Emergency Unit of the Arnulfo Arias Madrid Hospital, where so far had been isolated for 91 patients, of whom 57 died. The CSS says that once detected these cases proceeded to the isolation of the affected area enabled the positive attention of the microbe . Also ordered other tests to patients detained in the area to rule out new cases. Among the health measures implemented in this unit are to reduce the time of visits to 15 minutes and provide gowns and disinfectants to relatives visiting patients. The important in these four cases is that these patients were in the critical area of the emergency department of the hospital complex, theoretically, was free of bacteria which had been limited to the ICU. mgt / lma

 

[Tonka]

Re: Medical Alarm Panama by bacteria causing hospital deaths- Klebsiella pneumoniae, 57 fatalities confirmed

http://www.prensa-latina.cu/index.php?option=com_content&task=view&id=324381&Itemid=1
Spanish to English translation

FRENADESO: two more cases of KPC bacteria in Panama

Panama, Sep 16 (Prensa Latina) The National Front for the Defense of Economic and Social Rights (FRENADESO) said he was able to report today confirmed two new cases of the bacteria KPC, this time in the Day Hospital is, cleared, a former emergency room specialized Metropolitan Complex Social Security Fund (CSS) where patients admitted to short stay, supposedly one of the most safe and secure in that hospital. FRENADESO CSS indicates that the pressure on the health personnel for this information not be disclosed, thereby trying to hide from the people the truth of what happens on the bacteria that has officially killed more than 60 Panamanians and that has spread to the province of Chiriqui. Until when there has been a denial of Social Security Fund. lac / lma