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Hygiene and your hospital

Filed under: Work Life, Places To Go, Health & Safety: Babies

The online edition of the London Times reported this week on television's queens of clean, Aggie McKenzie and Kim Woodburn, visited Ealing Hospital, in West London, a unit that had the third worst rate of infection in the UK in 2003. Given that one patient in ten catches an infection in hospital, and that hospital-acquired infections kill about 5,000 people in England every year, the tone of this one-hour special is a little more serious than their usual romps. Though the program over covers only one hospital, what it found was both reassuring and shocking. Microbiologists could not find a trace of the MRSA that blighted Ealing's reputation. Preventive measures introduced since 2003, such as a wash-your- hands campaign and executive team walkabouts, have clearly worked.

However, that didn't mean the hospital was clean. Aggie and Kim found toilet brushes encrusted with feces , containers of bloody dressings left exposed on corridors for hours , and a doctors' lounge that brought a new meaning to mess- room ("It's like a student flat"). One microbiologist found high levels of the bacteria Staphyloccus aureus all over the place, particularly on the bed tables that patients ate from, their lockers and telephones. This bacteria is one of the most common sources of infections in hospitals, and when it enters under the skin it can cause anything from a pimple to potentially fatal blood poisoning or pneumonia. These are the bugs that, when they become resistant to antibiotics, become MRSA. What was genuinely shocking in the program the apparent reluctance of some of the doctors and nurses to address the issue of cleanliness.

Microbiologists believe that by simply using an antimicrobial alcohol hand gel when people enter and leave a ward could cut infection rates by 50% at a stroke. Yet secret cameras placed in the hospital over one weekend revealed that 65 per cent of visitors, 55% of nurses and 93 per cent of doctors did not use the gel. In fact, the main message from the program is the one that health education experts have been pressing for years, but which clearly still hasn't sunk in. It's the really simple things, such as washing your hands, that can help to reduce hospital infection rates.

Do you think similar findings would be found in the U.S.? I don't: a recent study looked at who was most apt to wash their hands in the hospital. You guessed it: physicians were at the bottom of the list. This could be because many use rubber gloves, but it is still not too reassuring if the leader of medical teams don't set an example. What do you think?

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AdviceMama Says:
Start by teaching him that it is safe to do so.