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Stricter hygiene measures at the Leipzig University Hospital
Since 2010, numerous patients at the Leipzig University Hospital have been infected with multi-resistant pathogens. Almost half of the infected patients have died in the meantime, but it is still unclear whether the cause of death was the multi-resistant CCP germs.
The way in which the multi-resistant germs from the Klebsiella pneumoniae genus spread in the Leipzig University Hospital remains a mystery. Therefore, experts from the Robert Koch Institute (RKI) are now to help with the clarification, according to today's announcement by the Saxon Minister of Health Christine Clauß (CDU). In addition, the hygiene measures to "contain the multi-resistant KPC germ" were expanded, the clinic explained. Accordingly, "from now on, all patients admitted to the intensive care units and via the central emergency department from other hospitals should already be examined and tested for KPC when admitted". The question remains, why has this not happened so far with the conspicuous accumulation of KPC infections.
More than 60 patients infected with multi-resistant germs Like the medical board of the University Hospital Leipzig, Prof. Dr. Wolfgang E. Fleig, who explained in a press release yesterday, has "thoroughly processed all data from the past two years." The result: 63 patients have been infected with the multi-resistant KPC germs since 2010, 30 patients, in which KPC has been proven, have since died. It is still unclear how the germs resistant to numerous antibiotics could spread in the hospital. They were first detected in July 2010 in a patient who was transferred from a Greek hospital to the university hospital. "In order to clarify the transmission chain and for further containment, the University Hospital Leipzig works closely with the state authorities and the Robert Koch Institute commissioned by the state authorities", according to the current information from the clinic. Professor Fleig explained that it was hoped that "a coordinated joint approach would provide further support in dealing with this germ in a difficult way."
Relationship between patient death and CCP germs? Whether the KPC germs are related to the death of the infected patients is also to be checked again as part of the ongoing investigations. However, "due to the complex disease process in these continuously seriously ill patients, it is medically extremely difficult to make a statement about a causal relationship in individual cases," according to the Leipzig University Hospital. For this reason, the four "renowned experts from the fields of hospital hygiene, infectiology, surgery and intensive care medicine" should critically review the course of the disease of the deceased, reports the clinic. What the result will look like can only be guessed at so far. However, the university clinic had already stated in an earlier announcement that it was known that "the course of the disease of inpatients treated by inpatients is negatively influenced by colonization or infection with multiresistant bacteria", and that "this also applies to those colonized with KPC at the university clinic in Leipzig "infected patients" apply. It is reasonable to assume that at least some of the deceased patients have a connection between their death and the CCP germs. (fp)
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Image: Gerd Altmann / pixelio.de