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S.I. hospitals treat antibiotic resistant infections; deaths in the US are increasing



STATUS, New York – On the same day, the Centers for Disease Control (CDC) and Prevention launched a study that found that more people in the United States die of antibiotic-resistant infections than previously estimated in New York became the first state to release a list of healthcare facilities that treat patients with candida auris, a fungus resistant to basic medicines.

The three Staten Island hospitals appeared on the list published in the New York Times, along with five long-term care and hospices. In total, the list includes 64 hospitals and 1

03 nursing homes, mainly centralized in Brooklyn, Queens and Manhattan.

C. auris, according to the New York Department of Health (NYSDOH), is an emerging multidrug-resistant yeast. It has been reported in several countries and is known to cause serious illness in hospitalized patients.

The fungus does not respond to commonly used antifungal drugs, according to NYSDOH, which complicates treatment. In addition, C. auris can be transmitted to surfaces in health media and spread to the skin of patients. The CDC has released specific measures that health care providers must take to limit the spread of the mushroom.

The 2019 CDC report refers to a multitude of antibiotic-resistant infections of very high concern, C. auris became particularly prevalent in New York City, where 388 cases were confirmed as of October 29, 2019.

The fungus, which often appears in patients when they are already feeling unwell, can enter the bloodstream of the individual, causing severe illness. When in the blood, the fungus can begin to multiply and cause infections in the organs, doctors say.

The three State Island hospitals are listed as facilities treating patients with C. auris, listed on the New York State List.

Dr. Mark Jarrett, chief health officer at Northwelll Health, which operates the Staten Island Unviersity Hospital for the North and South, said on Thursday that both hospitals are complying with the CDC guidelines, which refer to proper cleaning of patient rooms and other practices aimed at limiting the spread of

However, Jarrett says "not always 100% successful" due to the nature of the sponge that can easily spread over surfaces. Jarrett did not disclose the number of cases that hospitals have gone through. [19659010] While hospitals are already taking steps to regularly clean and disinfect the premises, Jarrett says, "Because it is a fungus, the cleaning of the premises and decontamination should be slightly different and a little longer."

any infections are vital for patients who are often in a vulnerable state, said Jarrett that "overuse of broad-spectrum antibiotics" is also a major concern in healthcare facilities.

These organisms, through evolutionary means, have learned to develop resistance to survival, "says Jarrett.

" It's about using the right antibiotic at the right time, "he said, adding that Staton Island hospitals. along with many others in New York, is involved in "antibiotic management", which refers to a set of coordinated strategies for improving the use of antimicrobial drugs.

The Richmond University Medical Center in West Brighton, listed on the New York State , met her first hearing C. auris ay in 2017, but not from the hospital, said hospital spokesman Alex Lutz.

Since the outbreak of C. auris, the hospital "has put many aggressive procedures in accordance with the New York City Department of Health, Department of Health

Procedures include strict bleaching, along with UV light disinfection, which Lutz says is a "major fertilizer" in the hospital's efforts to reduce the spread of fungi. RUMC is also working closely with its Microbiology Laboratory to ensure proper practices to limit C. auris escalation.

"Because of these measures, we were able to limit this exposure to the hospital, which is relatively low," Lutz said.

In the last three years, RUMC has treated 16 patients who tested positive for C. auris; Lutz said

Five long-term care and hospice facilities at Staten Island are listed as health care facilities for patients with C. auris.

Richmond Health and Rehabilitation and Specialization Center in Stapleton mentioned in the aforementioned list has received two cases

"The Richmond Center has been working very closely and diligently with the Department of Health and local hospitals to address the epidemic of the drug-retaining candida auris fungus," says Jeff Djomovitz, a spokesman for the center. "Two cases from local hospitals undergoing treatment for this embryo were received in 2018 from downtown Richmond. In both cases, the hospital was in direct contact with the Richmond Center and the Department of Health to stop any spread of this infection at the Richmond Center. There are no other cases in the Richmond Center.

Clove Lakes Center for Health and Rehabilitation Center spokesman Jane Harris said the center was taking extreme precautions when testing patients before being admitted because of the vulnerable nature of its population.

Harris said the Center is caring for one patient who did not initially test positive for the drug-resistant fungus upon entry, but was later diagnosed after the patient was tested at another hospital.

The patient "did not return," Harris says. [19659025] The New Vanderbilt Rehabilitation and Care Center, the Silver Lake Specialized Rehabilitation and Care Center, and Staten Island Care Center – all listed on hospices treating C. auris patients – did not answer the phone requesting comment or additional information about the number of patients being treated.

The CDC says in its report that on average, anyone in the United States receives antibiotics c-resistant infection every 11 seconds and that someone dies every 15 minutes.

When bacteria such as clostridioides difficilie that can cause deadly diarrhea are included, the number of infections in the country of antibiotic-resistant bacteria and fungi exceeds three million, the CDC said.

According to the CDC, more than 48,000 deaths have also been reported.

Careful attention is needed to limit the development of fungi such as C. auris, NYSDOH says, including health professionals using proper hand hygiene using dresses and gloves and appropriate and effective cleaning and disinfection of the healthcare facility .


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