Two patients on a City Hospital ward have been identified as carrying the carbapenem-resistant Enterobacteriaceae (CRE) bug.
NUH updates us on the CRE superbug situation at Nottingham City Hospital,
‘Neither patient has had any symptoms or signs of infection. No other patients on the ward were carriers on screening. The two cases are probably linked, and one or both probably acquired the bug in our hospital – the first time this has happened. Since 2009 we have typically seen a few unrelated cases a year where the patient has been colonised in another healthcare facility, usually abroad.
‘We screen patients who have been in hospital abroad for the bug if they are admitted to our hospitals.’
The bug is very resistant to many antibiotics and can cause serious infections. We are taking all practicable measures to prevent further cases of this bug. We quickly isolated the two affected patients.
‘We have closed the ward to new admissions, restricted visiting and patient movements from the ward, and enhanced ward cleaning. The importance of washing hands with soap and water has been reinforced to all staff and visitors. We are ensuring that all antibiotic use on the ward is in line with guidelines. We are working closely with Public Health England and NHS Improvement to protect our patients.’
Reassurance for current and past patients
NUH wishes to reassure current and past patients of the City Hospital that they should not be alarmed by the two cases of a bug resistant to many antibiotics in inpatients recently. None of the other inpatients at the time these patients were identified as carriers of the bug were found to carry the bug.
The two patients themselves were not ill with the bug (one has gone home). This bug is found in the community. Patients can remain well and symptom free, even though they carry this bug (usually in their gut).
It is more often found in patients who have been in hospital abroad. We screen all such patients for this bug when they are admitted to help protect them and other patients from the serious infections it can cause. We have redoubled our efforts to stop any further spread of this bug in our hospitals to protect our patients and to minimise disruption to our services.