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Oh you know that theme song means it's time now for Sunday house call on joining us this morning doctor Davidson -- the vice chairman of the department of urology cheaper products at the Mount Sinai Medical Center and got to Mark Siegel is associate professor of medicine at NYU's -- medical center.
And the author of the inner pulse unlocking the secret code.
-- sickness and health component lacks good morning your decision to send a carrier just scared.
Everybody I -- time about this thing have you heard about the super bug.
There's some new warnings it's showing up at hospitals across the country.
Here's what we know right now 42 states are reporting that they have at least one patient who suffers from the super bug it is most common in the northeast.
And they say it's increased from one to 4% over the last ten years.
And kills up to half the patients who get it in the bloodstream.
So -- somebody what is the super bug how many are there and what do we do to protect ourselves from.
Becoming a victim with a classic segment -- that consensus that you mention the fact that half of the people die from this and we have zero.
That's -- by the treatment to treat this that's what it what CBC -- in the super bug or nightmare bought.
And what it really is a cause -- -- CRB in the name of it is Carville pan am which is one of the most aggressive until by the so we've had.
Kabul kind of just so you know comfort to all his other antibiotics that we have is the real nuclear bomb it's a missile that should wipe out any kind of bug that we have.
Now we have -- pan am resistance so it doesn't work anymore and it's one of these potential bacteria is that he called auto -- still are now.
You've heard of MRSA -- facility resistant staff for years we've heard of Sid did is at -- bugs tennis followers was that he did facility was a cause of -- these are all what you call and also called -- -- -- that we get.
In the hospital as his blogs are around they've become more more resistance because doctors are writing more antibiotics and -- -- they're getting smarter.
And that's what happens now when they are in the GI system in -- in -- god it's no big deal once they get into our blood system they get -- soft tissue.
Now we have a huge problem because that's about it won't work 42 states -- of the people -- actually died but let me explain to you.
Dead we don't want to scare people this is not something that you would see in the community so this is only mostly in the icu critical units.
CCU's patients had a very old have had.
Then today -- captain there's for a long time.
And that's one of the reasons why we're worried about this now this.
Basically his -- -- you not gonna get -- if you're home basically.
You basically it's in the hospital and if -- -- in the hospital for awhile but short of saying yes.
Absolutely no this bacteria in this but if you actually worries because it can spread resistance to -- bacteria that's another thing it does.
And it has a survival advantage meaning.
That it's the resistant bacteria is that a little live if they're faced with the antibiotics that they're trying to overcome shall we overuse antibiotics in the hospital.
We create this problem if we don't -- in -- the hospitals sufficiently.
We create this problem.
If the drug companies don't come up with new antibiotics which they don't have a financial incentive for doing anymore.
Doesn't make a lot of money we create this problem so that's that's the thing we're -- there are actually -- -- -- by the way there are some treatment.
Or get -- that the joint commission which is your organization that goes from hospital hospital to make sure that it is clean that they aren't overusing.
Why isn't -- is seen incomes are rising and why are they not doing their job.
Well I think they're doing their job but of course a lot of this goes on -- -- meet a lot of hospitals don't report sufficiently in many states they don't have to win these infections were actually under reporting -- today it's much worse is that we protect yourself well what what what.
Do we do to protect ourselves we're in the -- -- did you have this guy jumps up and just making what parliament that his -- so I think you know your point is well taken.
I think they're looking at the hospital is very carefully -- infectious.
Causes red flags and all the hospitals are professionals are working well together to make sure -- -- clothes for -- I read about Martha you're.
They're great and efficient as a result of this went down from 40% to 01 way to do this -- -- this is coming up with what they -- -- text.
And prevent so what does it mean if a patient transfer to the hospital unique and there are CRE contaminated.
You have to put -- little contact isolation.
If you go and you've got to Wear a mask you know where downs if you go and visit your family member -- make sure you're not touching a -- and -- hydrogen.
It's a way to know -- when it comes to doctors I think mark would tell you getting the pitches off mentally it is getting those catheters.
Not writing some too much antibodies.
We used to give seven days -- antibodies -- you're attracted attention.
Three days is more than enough time on singles and baseless -- not over using I want actually -- at several points about the hospital number one.
The reason that this is happening is it's on a case by case basis it's up to every doctor.
To Wear gloves when they would every patient it's up to infection disease surveillance to get the patients isolated when they have this you gotta start screening people.
We do this with -- MRSA we gotta screen people to see if they're contaminated with this bacteria that we've got to isolate them and that's why it's spreading now it's not in the community yet.
But MRSA didn't get out into the gyms in the community and that's where this is going maximum so we really and it's -- nursing homes we really have to.
Clamp down on -- now some of the points David made on how to do that is if we.
We have to do an individual basis and we have to do a systemic -- OK so we've got to be careful wash your hands -- -- in the hospital you can -- quickly -- anywhere you can treated you know that those people don't have to -- absolutely -- -- I mean look like a side street it's not a lot of -- caused by the century took several occasions how to doctor if we don't know -- renounced any of that -- -- -- -- that's for sure I'll ask the doctor last year doctor I mean it sounds awkward but now because of this everybody should be aware of washing their hands because you can.
Carry from one position I don't know don't be -- to have.
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