38% of superbug-infected ICU patients die in 14 days: Study India News – Times of India

MUMBAI: The results of the first, year-long surveillance of hospital-acquired infections (HAIs) in 120 ICUs across the country reveal a grim picture of the superbug’s scoring on drugs.
According to the newly formed, superbugs or drug-resistant microbes were found in 3,080 blood samples and another 792 urine samples. Health care Associated Infection Surveillance-India. The presence of superbugs is an indicator of resistance to older antibiotics and last resort antibiotics such as carbapenems and colistin that are expensive and require IV infusions. Such antibiotic or antimicrobial resistance was recently flagged by World Health Organization as a mega public health threat.

HAI-Surveillance India All India Institute of Medical Sciences (AIIMS-Delhi), Indian Council of Medical Research (ICMR) and the US Centers for Disease Control. Hi Have an infection that is caused by a patient staying in the hospital for a long time – eg, a patient with an invasive ventilator or urinary catheter.
Most doctors know ICU Patients who stay longer in India become infected with Gram-negative microbes, which are more difficult to treat than those found in ICUs in the Western world.
“The findings confirm the extent of these Gram-negative infections,” said Dr Purva Mathur, head of the AIIMS microbiology department. The survey found that Gram negative bacteria were widespread, accounting for 73.3% of all blood infection cases and 53.1% of UTI cases in Indian ICUs.
In addition, it was found that 38.1% of patients with bloodstream infections and 27.9% of patients with urinary tract infections died within a 14-day period (however, the study noted that HAI in these cases was probably the only associated complication). who did not contribute directly to death).
“ICUs are hotbeds for healthcare-acquired infections. The results underscore that we need to establish better hospital infection control practices and adopt management practices that will reduce the irrational use of antibiotics,” said ICMR scientist Dr Kamini Walia, who heads the Composite Antimicrobial Resistance Study in India. is in charge.
Unlike the overall ICMR report, the HAIS report looked at ICU only; Dr Wali said it found not only widespread antibiotic resistance, but also evidence of drug-resistant fungal infections.
To investigate the emergence of new superbugs, doctors such as Dr. Lancelot Pinto Hinduja Hospital Said: “We can do an audit on high antibiotic use in hospitals which will reveal how many hospitals follow the rules”. Most importantly, HAI surveillance provides a benchmark for hospitals. “If we say that the rate of HAI in a hospital is 4 per 1,000, then one will know how it compares to other hospitals,” Mathur said.