Plagues, Pestilences and Diseases
The gruesome toll of epidemic hospital infections
A column in yesterday’s New York Times by Maureen Dowd about how
her brother died after acquiring infections in the hospital
certainly struck a nerve – it was No. 1 on the paper’s website for
much of the day.
No wonder, considering the number of people who die of infections
as her brother did.
“The simplest way to say this is that about 100,000 people die
each year from infections we give them in the hospital,” says Dr.
Peter Pronovost, director of the Quality and Safety Research Group
at Johns Hopkins University. “That’s enormous.”The math, he says,
is pretty gruesome. Take the two most deadly types of infections
hospitals give their patients: infections from ventilators and
infections from catheters. Together, those kill 65,000 people a
year. There are about 5,000 hospitals in the United States, so
statistically, each hospital in the United States gives these
deadly infections to one patient every month.
In her column, Dowd described how her brother went into the
hospital with pneumonia and quickly contracted four other
infections in the intensive care unit. When she asked a doctor why
this was happening, he told her, “It could be anything.’”
This is exactly the kind of attitude that’s killing patients,
Pronovost says.
“What really struck me most in Maureen’s column was the
physician’s lack of accountability,” he explains. “He didn’t see
this as his problem. It was like, ‘Well, this stuff happens.’”
Pronovost says the doctor viewed hospital-acquired infections as
being in the “inevitable bucket” when really they’re in the
“preventable bucket.” He says when hospitals have taken simple
steps they’ve managed to reduce pneumonia infections associated
with ventilators by 70%.
He says there are two particularly important things families can
do when a loved one is in the hospital. One, they should ask
everyone who comes in contact with the patient to wash his or her
hands. Two, if the patient is on a catheter or a ventilator, they
should ask every day if it can come out, since these pieces of
equipment are ripe locations for infections.