Reducing healthcare associated infections in hospitals in England
著者
書誌事項
Reducing healthcare associated infections in hospitals in England
（Report by the Comptroller and Auditor General / Comptroller and Auditor General）（HC, 560 . Session 2008-2009）
Stationery Office, c2009
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注記
"Ordered by the House of Commons to be printed on 11 June 2009"
"12 June 2009"
内容説明・目次
内容説明
The Department of Health (the Department) introduced a target to reduce MRSA (methicillin-resistant Staphylococcus aureus) across all NHS trusts by 50 per cent by 2008 and C. difficile by 30 per cent by 2010-11. By the end of March 2008, MRSA had been reduced by 57 per cent and C. difficile by 41 per cent. While a quarter of trusts have reduced MRSA by more than 80 per cent, there has been an increase in MRSA infections in 12 per cent of trusts. C. difficile has been reduced by more than 50 per cent in 29 per cent of trusts, but the numbers of C. difficile infections have increased in 19 per cent of hospital trusts. Since the introduction of the targets, the Department has spent some GBP 120 million tackling healthcare associated infections. There have also been unquantifiable administrative costs and local expenditure on the drive to reduce infection rates. These initiatives have led to savings on treatment of between GBP 141 million and GBP 263 million, as well as reducing discomfort, disability and, for some, death that might have been caused by these avoidable infections. There has also been a perceptible change in trust leadership on tackling infections.
The impact has not, however, been the same in all trusts or for other infections. Following the Department's intervention to improve recording on death certificates where MRSA or C. difficile was the underlying cause or a contributory factor, around 9,000 people were reported as having died in such circumstances in 2007. There is still no national information on deaths from other healthcare associated infections - such as urinary tract infections and pneumonia - and blood stream infections due to other causes may be increasing.
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