Skip to main content
Erschienen in: Critical Care 1/2005

01.02.2004 | Commentary

Ethics roundtable debate: A patient dies from an ICU-acquired infection related to methicillin-resistant Staphylococcus aureus – how do you defend your case and your team?

verfasst von: Jean-Louis Vincent, Christian Brun-Buisson, Michael Niederman, Christian Haenni, Stephan Harbarth, Dominique Sprumont, Mauricio Valencia, Antoni Torres

Erschienen in: Critical Care | Ausgabe 1/2005

Einloggen, um Zugang zu erhalten

Abstract

An elderly patient dies from septic shock in the intensive care unit. This is perhaps not an unusual scenario, but in this case the sepsis happens to have been due to methicillin-resistant Staphylococcus aureus, possibly related to a catheter, and possibly transmitted from a patient in a neighbouring room by less than adequate compliance with infection control procedures. The family decides to sue. We present how experts from four different countries assess the medicolegal issues involved in this case.
Literatur
1.
Zurück zum Zitat Vincent JL: Nosocomial infections in adult intensive-care units. Lancet 2003, 361: 2068-2077. 10.1016/S0140-6736(03)13644-6CrossRefPubMed Vincent JL: Nosocomial infections in adult intensive-care units. Lancet 2003, 361: 2068-2077. 10.1016/S0140-6736(03)13644-6CrossRefPubMed
2.
Zurück zum Zitat Cooper BS, Stone SP, Kibbler CC, Cookson BD, Roberts JA, Medley GF, Duckworth G, Lai R, Ebrahim S: Isolation measures in the hospital management of methicillin resistant Staphylococcus aureus (MRSA): systematic review of the literature. BMJ 2004, 329: 533. 10.1136/bmj.329.7465.533PubMedCentralCrossRefPubMed Cooper BS, Stone SP, Kibbler CC, Cookson BD, Roberts JA, Medley GF, Duckworth G, Lai R, Ebrahim S: Isolation measures in the hospital management of methicillin resistant Staphylococcus aureus (MRSA): systematic review of the literature. BMJ 2004, 329: 533. 10.1136/bmj.329.7465.533PubMedCentralCrossRefPubMed
4.
Zurück zum Zitat Boyce JM, Havill NL, Kohan C, Dunnigan DG, Ligi CE: Do Infection control measures work for methicillin-resistant Staphylococcus aureus ? Infect Control Hosp Epidemiol 2004, 25: 395-401.CrossRefPubMed Boyce JM, Havill NL, Kohan C, Dunnigan DG, Ligi CE: Do Infection control measures work for methicillin-resistant Staphylococcus aureus ? Infect Control Hosp Epidemiol 2004, 25: 395-401.CrossRefPubMed
5.
Zurück zum Zitat Gnass SA, Barboza L, Bilicich D, Angeloro P, Treiyer W, Grenovero S, Basualdo J: Prevention of central venous catheter-related bloodstream infections using non-technologic strategies. J Infect Control Hosp Epidemiol 2004, 25: 675-677.CrossRef Gnass SA, Barboza L, Bilicich D, Angeloro P, Treiyer W, Grenovero S, Basualdo J: Prevention of central venous catheter-related bloodstream infections using non-technologic strategies. J Infect Control Hosp Epidemiol 2004, 25: 675-677.CrossRef
6.
Zurück zum Zitat Harbarth S, Martin Y, Rohner P, Henry N, Auckenthaler R, Pittet D: Effect of delayed infection control measures on a hospital outbreak of methicillin-resistant Staphylococcus aureus . J Hosp Infect 2000, 46: 43-49. 10.1053/jhin.2000.0798CrossRefPubMed Harbarth S, Martin Y, Rohner P, Henry N, Auckenthaler R, Pittet D: Effect of delayed infection control measures on a hospital outbreak of methicillin-resistant Staphylococcus aureus . J Hosp Infect 2000, 46: 43-49. 10.1053/jhin.2000.0798CrossRefPubMed
7.
Zurück zum Zitat Lee SC, Chen KS, Tsai CJ, Lee CC, Chang HY, See LC, Kao YC, Chen SC, Wang CH: An outbreak of methicillin-resistant Staphylococcus aureus infections related to central venous catheters for hemodialysis. Infect Control Hosp Epidemiol 2004, 25: 678-684.CrossRefPubMed Lee SC, Chen KS, Tsai CJ, Lee CC, Chang HY, See LC, Kao YC, Chen SC, Wang CH: An outbreak of methicillin-resistant Staphylococcus aureus infections related to central venous catheters for hemodialysis. Infect Control Hosp Epidemiol 2004, 25: 678-684.CrossRefPubMed
8.
Zurück zum Zitat Hospital Infection Society and British Society for Antimicrobial Chemotherapy: Revised guidelines for the control of methicillin-resistant Staphylococcus aureus infection in hospitals. J Hosp Infect 1998, 39: 253-290. 10.1016/S0195-6701(98)90293-6CrossRef Hospital Infection Society and British Society for Antimicrobial Chemotherapy: Revised guidelines for the control of methicillin-resistant Staphylococcus aureus infection in hospitals. J Hosp Infect 1998, 39: 253-290. 10.1016/S0195-6701(98)90293-6CrossRef
9.
Zurück zum Zitat Pittet D, Mourouga P, Perneger TV: Compliance with hand washing in a teaching hospital. Ann Intern Med 1999, 130: 126-130.CrossRefPubMed Pittet D, Mourouga P, Perneger TV: Compliance with hand washing in a teaching hospital. Ann Intern Med 1999, 130: 126-130.CrossRefPubMed
10.
Zurück zum Zitat Studdert DM, Mello MM, Burns JP, Puopolo AL, Galper BZ, Truog RD, Brennan TA: Conflict in the care of patients with prolonged stay in the ICU: types, sources, and predictors. Intensive Care Med 2003, 29: 1489-1497. 10.1007/s00134-003-1853-5CrossRefPubMed Studdert DM, Mello MM, Burns JP, Puopolo AL, Galper BZ, Truog RD, Brennan TA: Conflict in the care of patients with prolonged stay in the ICU: types, sources, and predictors. Intensive Care Med 2003, 29: 1489-1497. 10.1007/s00134-003-1853-5CrossRefPubMed
11.
Zurück zum Zitat Fellmann W, Poledna T: Liability and malpractice in healthcare. Current issues and controversies [in German]. Edited by: Fellmann W, Poledna T. Schulthess: Forum Gesundheitsrecht 7; 2003. Fellmann W, Poledna T: Liability and malpractice in healthcare. Current issues and controversies [in German]. Edited by: Fellmann W, Poledna T. Schulthess: Forum Gesundheitsrecht 7; 2003.
12.
Zurück zum Zitat Guillod O, Rapin C: Medical litigation in Switzerland [in French]. In In La Responsabilité: Aspects Nouveaux. Paris, France: Travaux de l'association Henri Capitant; 2000:375-412. Guillod O, Rapin C: Medical litigation in Switzerland [in French]. In In La Responsabilité: Aspects Nouveaux. Paris, France: Travaux de l'association Henri Capitant; 2000:375-412.
13.
Zurück zum Zitat Bobinski MA: Legal issues in hospital epidemiology and infection control. In In Hospital Epidemiology and Infection Control. 3rd edition. Edited by: Mayhall CG. Philadelphia: Lippincott Williams & Wilkins; 2004:1835-1845. Bobinski MA: Legal issues in hospital epidemiology and infection control. In In Hospital Epidemiology and Infection Control. 3rd edition. Edited by: Mayhall CG. Philadelphia: Lippincott Williams & Wilkins; 2004:1835-1845.
14.
Zurück zum Zitat Runciman WB, Merry AF, Tito F: Error, blame, and the law in health care: an antipodean perspective. Ann Intern Med 2003, 138: 974-979.CrossRefPubMed Runciman WB, Merry AF, Tito F: Error, blame, and the law in health care: an antipodean perspective. Ann Intern Med 2003, 138: 974-979.CrossRefPubMed
15.
Zurück zum Zitat Pakarinen S: Incidence, etiology and prognosis of primary subarachnoid haemorrhage: a study based on 589 cases diagnosed in a defined urban population during a defined period. Acta Neurol Scand (Suppl) 1967, 29: 1-28. Pakarinen S: Incidence, etiology and prognosis of primary subarachnoid haemorrhage: a study based on 589 cases diagnosed in a defined urban population during a defined period. Acta Neurol Scand (Suppl) 1967, 29: 1-28.
16.
Zurück zum Zitat Allen GS, Ahn HS, Preziosi TJ, Battye R, Boone SC, Boone SC, Chou SN, Kelly DL, Weir BK, Crabbe RA, et al.: Cerebral arterial spasm: a controlled trial of nimodipine in patients with subarachnoid hemorrhage. N Engl J Med 1983, 308: 619-624.CrossRefPubMed Allen GS, Ahn HS, Preziosi TJ, Battye R, Boone SC, Boone SC, Chou SN, Kelly DL, Weir BK, Crabbe RA, et al.: Cerebral arterial spasm: a controlled trial of nimodipine in patients with subarachnoid hemorrhage. N Engl J Med 1983, 308: 619-624.CrossRefPubMed
17.
Zurück zum Zitat Sen J, Belli A, Albon H, Morgan L, Petzold A, Kitchen N: Triple-H therapy in the management of aneurysmal subarachnoid haemorrhage. Lancet Neurol 2003, 2: 614-621. 10.1016/S1474-4422(03)00531-3CrossRefPubMed Sen J, Belli A, Albon H, Morgan L, Petzold A, Kitchen N: Triple-H therapy in the management of aneurysmal subarachnoid haemorrhage. Lancet Neurol 2003, 2: 614-621. 10.1016/S1474-4422(03)00531-3CrossRefPubMed
18.
Zurück zum Zitat Marshall C, Harrington G, Wolfe R, Fairley CK, Wesselingh S, Spelman D: Acquisition of methicillin-resistant Staphylococcus aureus in intensive care unit. Infect Control Hosp Epidemiol 2003, 24: 322-326.CrossRefPubMed Marshall C, Harrington G, Wolfe R, Fairley CK, Wesselingh S, Spelman D: Acquisition of methicillin-resistant Staphylococcus aureus in intensive care unit. Infect Control Hosp Epidemiol 2003, 24: 322-326.CrossRefPubMed
19.
Zurück zum Zitat Moreno F, Crisp C, Jorgensen JH, Patterson JE: Methicillin-resistant Staphylococcus aureus as a community organism. Clin Infect Dis 1996, 21: 1308-1312.CrossRef Moreno F, Crisp C, Jorgensen JH, Patterson JE: Methicillin-resistant Staphylococcus aureus as a community organism. Clin Infect Dis 1996, 21: 1308-1312.CrossRef
20.
Zurück zum Zitat Garrouste-Orgeas M, Timsit JF, Kallel H, Ben Ali A, Dumay MF, Paoli B, Misset B, Carlet J: Colonization with methicillin-resistant Staphylococcus aureus in ICU patients: morbidity, mortality and glycopeptide use. Infect Control Hosp Epidemiol 2001, 22: 687-692.CrossRefPubMed Garrouste-Orgeas M, Timsit JF, Kallel H, Ben Ali A, Dumay MF, Paoli B, Misset B, Carlet J: Colonization with methicillin-resistant Staphylococcus aureus in ICU patients: morbidity, mortality and glycopeptide use. Infect Control Hosp Epidemiol 2001, 22: 687-692.CrossRefPubMed
21.
Zurück zum Zitat Boyce JM: Methicillin-resistant Staphylococcus aureus : detection, epidemiology, and control measures. Infect Dis Clin North Am 1989, 3: 901-913.PubMed Boyce JM: Methicillin-resistant Staphylococcus aureus : detection, epidemiology, and control measures. Infect Dis Clin North Am 1989, 3: 901-913.PubMed
22.
Zurück zum Zitat Garner JS: Hospital infection control practices advisory committee. Guidelines for isolation precautions in hospitals. Infect Control Hosp Epidemiol 1996, 17: 53-80.CrossRefPubMed Garner JS: Hospital infection control practices advisory committee. Guidelines for isolation precautions in hospitals. Infect Control Hosp Epidemiol 1996, 17: 53-80.CrossRefPubMed
23.
Zurück zum Zitat Zafar AB, Butler RC, Reese DJ, Gaydos LA, Mennonna PA: Use of 0.3% triclosan to eradicate an outbreak of methicillin-resistant Staphylococcus aureus in a neonatal nursery. Am J Infect Control 1989, 143: 34-39. Zafar AB, Butler RC, Reese DJ, Gaydos LA, Mennonna PA: Use of 0.3% triclosan to eradicate an outbreak of methicillin-resistant Staphylococcus aureus in a neonatal nursery. Am J Infect Control 1989, 143: 34-39.
24.
Zurück zum Zitat Hartstein AL, LeMonte AM, Iwamoto PK: DNA typing and control of methicillin-resistant Staphylococcus aureus in a hospital and an intensive care unit. Infect Control Hosp Epidemiol 1995, 16: 405-411.CrossRefPubMed Hartstein AL, LeMonte AM, Iwamoto PK: DNA typing and control of methicillin-resistant Staphylococcus aureus in a hospital and an intensive care unit. Infect Control Hosp Epidemiol 1995, 16: 405-411.CrossRefPubMed
25.
Zurück zum Zitat Jernigan JA, Titus MG, Groschel DH, Getchell-White S, Farr BM: Effectiveness of contact isolation during an outbreak of methicillin-resistant Staphylococcus aureus . Am J Epidemiol 1996, 143: 496-504.CrossRefPubMed Jernigan JA, Titus MG, Groschel DH, Getchell-White S, Farr BM: Effectiveness of contact isolation during an outbreak of methicillin-resistant Staphylococcus aureus . Am J Epidemiol 1996, 143: 496-504.CrossRefPubMed
Metadaten
Titel
Ethics roundtable debate: A patient dies from an ICU-acquired infection related to methicillin-resistant Staphylococcus aureus – how do you defend your case and your team?
verfasst von
Jean-Louis Vincent
Christian Brun-Buisson
Michael Niederman
Christian Haenni
Stephan Harbarth
Dominique Sprumont
Mauricio Valencia
Antoni Torres
Publikationsdatum
01.02.2004
Verlag
BioMed Central
Erschienen in
Critical Care / Ausgabe 1/2005
Elektronische ISSN: 1364-8535
DOI
https://doi.org/10.1186/cc3016

Weitere Artikel der Ausgabe 1/2005

Critical Care 1/2005 Zur Ausgabe

Update AINS

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.