VA Hospitals Lead the Charge in Cutting Dangerous Infections

Hospital patients long have been plagued by dangerous and even deadly infections they pick up while being treated, but anti-infection procedures can protect against the threat.

As The New York Times reports, a study published in The New England Journal of Medicine offers a more complete picture of the impact of anti-infection efforts in 153 hospitals operated by the Department of Veteran Affairs.

It showed a 62 percent decline over 32 months in the frequency of infections caused by methicillin-resistant Staphylococcus aureus, or MRSA, in VA intensive care units, following the adoption of new anti-infection measures. Other areas of the VA medical centers witnessed a 45 percent drop in MRSA, one of the most common of the serious antibiotic-resistant infections that patients pick up in hospitals.

The counter-measures encompass a range of tactics, most relatively simple: hospitals test incoming and outgoing patients with nasal swabs, separate those who test positive, and require greater protection for staff who treat patients testing positive for MRSA. Previous studies have shown that a major factor in infections spreading in hospitals is staff members not rigorously complying with cleanliness and hygiene requirements.

However, a second study, published in the same journal Wednesday, questions whether testing every patient upon admission and discharge, as is the policy at the VA hospitals, is necessary or cost-efficient. At for-profit, cost-conscious hospitals, such a sweeping practice may be problematic.

The studies challenge the casual attitude about infections at some civilian hospitals, including those that seem to consider the problem largely unavoidable at medical facilities.

“I think our study has shown that it is possible to make this large-scale change, even in a large system,” Dr. Rajiv Jain, an official with the Veterans Health Administration and lead author of the first study, told the Times. “If other hospitals were to follow our lead, I think it is possible to decrease these infections.”

The studies were released a day after President Obama announced a new program aimed at reducing infections and other preventable conditions in hospitals by 40 percent in three years.

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