New 'superbug' found in UK hospitals

#1
More good news from the Indian Subcontinent!

BBC News - New 'superbug' found in UK hospitals

A new superbug that is resistant to even the most powerful antibiotics has entered UK hospitals, experts warn.

They say bacteria that make an enzyme called NDM-1 have travelled back with NHS patients who went abroad to countries like India and Pakistan for treatments such as cosmetic surgery.

Although there have only been about 50 cases identified in the UK so far, scientists fear it will go global.

Tight surveillance and new drugs are needed says Lancet Infectious Diseases.

NDM-1 can exist inside different bacteria, like E.coli, and it makes them resistant to one of the most powerful groups of antibiotics - carbapenems.

These are generally reserved for use in emergencies and to combat hard-to-treat infections caused by other multi-resistant bacteria.

Continue reading the main story “Start QuoteThe fear would be that it gets into a strain of bacteria that is very good at being transmitted between patients”
End Quote Dr David Livermore Researcher from the HPA Q&A: NDM-1 superbugs
And experts fear NDM-1 could now jump to other strains of bacteria that are already resistant to many other antibiotics.

Ultimately, this could produce dangerous infections that would spread rapidly from person to person and be almost impossible to treat.

At least one of the NDM-1 infections the researchers analysed was resistant to all known antibiotics.

Similar infections have been seen in the US, Canada, Australia and the Netherlands and international researchers say that NDM-1 could become a major global health problem.

Infections have already been passed from patient to patient in UK hospitals.

The way to stop NDM-1, say researchers, is to rapidly identify and isolate any hospital patients who are infected.

Normal infection control measures, such as disinfecting hospital equipment and doctors and nurses washing their hands with antibacterial soap, can stop the spread.

And currently, most of the bacteria carrying NDM-1 have been treatable using a combination of different antibiotics.

But the potential of NDM-1 to become endemic worldwide is "clear and frightening", say the researchers in their Lancet paper.

National alert

The research was carried out by experts at Cardiff University, the Health Protection Agency and international colleagues.

Dr David Livermore, one of the researchers and who works for the UK's Health Protection Agency (HPA), said: "There have been a number of small clusters within the UK, but far and away the greater number of cases appear to be associated with travel and hospital treatment in the Indian subcontinent.

E. coli can cause urinary tract infections and blood poisoning
"This type of resistance has become quite widespread there.

"The fear would be that it gets into a strain of bacteria that is very good at being transmitted between patients."

He said the threat was a serious global public health problem as there are few suitable new antibiotics in development and none that are effective against NDM-1.

The Department of Health has already put out an alert on the issue, he said.

"We issue these alerts very sparingly when we see new and disturbing resistance."

Travel history

The National Resistance Alert came in 2009 after the HPA noted an increasing number of cases - some fatal - emerging in the UK.

The Lancet study looked back at some of the NDM-1 cases referred to the HPA up to 2009 from hospitals scattered across the UK.

At least 17 of the 37 patients they studied had a history of travelling to India or Pakistan within the past year, and 14 of them had been admitted to a hospital in these countries - many for cosmetic surgery.

For some of the patients the infection was mild, while others were seriously ill, and some with blood poisoning.

A Department of Health spokeswoman said: "We are working with the HPA on this issue.

"Hospitals need to ensure they continue to provide good infection control to prevent any spread, consider whether patients have recently been treated abroad and send samples to HPA for testing.

"So far there has only been a small number of cases in UK hospital patients. The HPA is continuing to monitor the situation and we are investigating ways of encouraging the development of new antibiotics with our European colleagues."

The Welsh Assembly Government said it would be "fully considering" the report.

"The NHS in Wales is used to dealing with multi-resistant bacteria using standard microbiological approaches, and would deal with any new bacteria in a similar way," said a spokesperson.
 
#2
They say bacteria that make an enzyme called NDM-1 have travelled back with NHS patients who went abroad to countries like India and Pakistan for treatments such as cosmetic surgery.
But all this diversity is enriching us, New Liebour told us so.
 
#4
They say bacteria that make an enzyme called NDM-1 have travelled back with NHS patients who went abroad to countries like India and Pakistan for treatments such as cosmetic surgery.

Although there have only been about 50 cases identified in the UK so far, scientists fear it will go global.
Why does NDM-1 have to travel to The UK before it can go global. Are facilities in Pakistan and India so poor that this tiny enzyme needs some first class healthcare, before it can be bothered pulling its boots on and going on a proper outbreak.
 
#5
Read the bit you've highlighted again. Slowly this time.
**** me, that's didn't take long for Neues Arbiets Dr Spin to turn too!
 
#7
Leaving the grammer of the above alone for a second, did you do as I suggested?
Shouldn't you be giving Whet a shake or something useful?
 
#12
So...you're blaming Indians and Pakistanis for an enzyme that could have developed/evolved anywhere in the globe?

???

Antibiotics are used wordwide....Hence resistent bugs can also elvolve worldwide.

Or are you just clutching at straws in an attempt to bash some nationality or other that isn't British?

Of course you're right, these foreign bugs are shit in comparison to our superior home grown ones....
 
#13
I'll tell you what doesn't help: A few years ago I had to visit the STERILISATION SUITE at Leeds Royal Infirmary through work. Considering this was where medical instruments are sterilised, I was rather dismayed to see dirty sheets on the floor and dried blood and other bodily nasties on work surfaces, the floor and walls. Just because the general public don't see certain areas of hospital should be no excuse for shit cleaning drills.
 
#14
So...you're blaming Indians and Pakistanis for an enzyme that could have developed/evolved anywhere in the globe?
At least 17 of the 37 patients they studied had a history of travelling to India or Pakistan within the past year, and 14 of them had been admitted to a hospital in these countries - many for cosmetic surgery.

Doesn't say we were blaming the Indians or Pakistanis
 
#15
At least 17 of the 37 patients they studied had a history of travelling to India or Pakistan within the past year, and 14 of them had been admitted to a hospital in these countries - many for cosmetic surgery.

Doesn't say we were blaming the Indians or Pakistanis

Yes and you failed to note my comment on this

"Antibiotics are used wordwide....Hence resistent bugs can also elvolve worldwide"

That it came from India is probably pot luck. Or have we never had a problem with home grown resistent bugs then? If you can provide evidence I will happily accept it, but you're prooving nothing at the minute.
 
#16
From Johnboyzzz:

"Doesn't say we were blaming the Indians or Pakistanis"

Nope, just their shockingly poor infection control, which is self-evident if even one person comes back from their countries with novel infections which have the capability of joining with other nasty bugs and giving them ammunition against the last best anti-biotics which we still have.

Tam
 
#17
Isn't India quite a popular destination for Brits to get cosmetic surgery these days?
Yes it is. The article talks of NHS patients though. It does not say if they were sent there for treatment or if it was the patient's initiative...
 
#18
From Johnboyzzz:

"Doesn't say we were blaming the Indians or Pakistanis"

Nope, just their shockingly poor infection control, which is self-evident if even one person comes back from their countries with novel infections which have the capability of joining with other nasty bugs and giving them ammunition against the last best anti-biotics which we still have.

Tam
How do you insure a patient does not carry this enzyme back to the UK in the first place? Many of these infections carry no symptoms and we don't routinely screen for them either when releasing patients into the big wide world.

But I guess ARRSE loves a bandwagon.
 
#19
Perhaps we should screen travellers coming back from the Sub-Continent for this new bacteria strain? There are precedents for doing precisely this which I really can't be arsed looking up at the moment.

Tam
 
#20
Good old Daily Mash:

THE deadly new superbug that is going kill you by Friday is not even British, it emerged last night.

Image
It even looks foreign
Experts say NDM-1 is from Pakistan or India or one of those hot places where people live piled on top each other and share the same piece of lavatory paper for a month.

According to medical journal The Lancet the bug found its way into British hospitals via UK residents who had gone to India for medical treatment as part of a growing trend that confirms the NHS really is****ed into a tinker's bucket.

In a report that is already being photocopied by skinheads in Deptford, researchers said the foreign bug 'invades' host bacteria shortly after getting off a plane from Delhi or Islamabad.

Professor Julian Cook said: "There have only been 50 cases so far in the UK which means the country will be nothing more than a giant pile of rapidly decomposing flesh by two o'clock this afternoon."

He added: "Because I'm a ****ing scientist, that's how."

Meanwhile Daily Mail editor Paul Dacre, frustrated by the total indifference to his cloned cow horseshit avalanche, is said to be running round the office like a toddler who has just been given a puppy that shits Milky Ways and ice cream.

A Mail insider said: "Hopefully the main carriers of the bug will be skanky Indian single mums who've just had abortions."

Helen Archer, some bloody woman from Doncaster, said: "I'm so relieved it's from Pakistan. My theory that they were all terrorists was starting to wear a bit thin, but now a scientist says they're going to kill me with their bugs. I'm bullet proof."

Tom Logan, a dick and two arms from Peterborough, said: "Can I just ask - who the **** is going to India for an operation? Is there really that many people who would actively prefer to have their chest cut open in a country that still has typhoid?"

And Nikki Hollis, an empty space from Grantham, said: "Apparently India is a big centre for cosmetic surgery. Instead of a tummy tuck they inject some of the local cholera straight into your lower intestine and then you just shit yourself thin by the weekend. I'm very interested."

Logan added: "I also heard on the radio that NDM-1 can only be treated with one or two types of antibiotics.

"So maybe those are the ones they should use."
That should get MiT's temple veins throbbing. :thumright:
 

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