Thursday, September 26, 2019

How The Elderly At Nursing Homes Are Exposed To Deadly Fungus and Other Fatal Infections

Nursing homes are a primary source of a deadly drug-resistant fungal infection that is spreading in hospitals across the country, according to a recent report. Seriously ill nursing home patients with the fungus tend to take multiple antibiotics, which increases the infection’s drug resistance. It can easily spread from resident to resident and to others outside the nursing home.

“(P)ublic health experts say that nursing facilities and long-term hospitals are a dangerously weak link in the health care system, often understaffed and ill-equipped to enforce rigorous infection control, yet continuously cycling infected patients, or those who carry the germ, into hospitals and back again,” the New York Times report says.

The Times report centers on Candida auris, a highly contagious, drug-resistant fungus that has infected nearly 800 people since it arrived in the United States four years ago, with half of patients dying within 90 days. 

In New York, 396 people are known to be infected and another 496 are carrying the germ without showing symptoms, according to public health officials. The Times cites a Brooklyn skilled nursing facility where 38 cases of C. auris have been diagnosed. In Chicago, half of patients living on dedicated ventilator floors in the city’s skilled nursing homes are infected with or harboring C. auris on their bodies, the Times says.

Nursing homes are caldrons that are constantly reseeding hospitals with increasingly dangerous bacteria, Betsy McCaughey, a former lieutenant governor of New York who leads the nonprofit Committee to Reduce Infection Deaths, told the newspaper. 

  1. auris preys on people with weakened immune systems and is impervious to major antifungal medications, the Times said in April. It is particularly found in patients on ventilators, which are difficult to adequately clean. After a patient at Mount Sinai Hospital in New York died from C. auris, tests showed it everywhere in his room. It was so invasive that the hospital needed special cleaning equipment and had to remove some of the ceiling tiles and floor tiles to eradicate it.

As of July 31, the Centers for Disease Control and Prevention (CDC) had confirmed 769 cases of C. auris in 13 states, 30 “probable” cases in those states and “an additional 1,540 patients … found to be colonized with C. auris by targeted screening in 12 states with clinical cases.”

There were no cases in South Carolina, but one case in neighboring Georgia.

How Do Infections Occur And Spread In Nursing Homes?

Bacteria, viruses, fungi or parasites can cause infection or infectious diseases. Some infectious diseases can be passed from person to person through direct contact or airborne contact through coughing or sneezing. Some infectious disease organisms can live outside of animal bodies for lengthy periods and be picked up from contact with them on hard surfaces, bedding, clothing, eating utensils, discarded medical tools or bandages.

If a nursing home or other medical facility is not properly cleaned or used instruments and materials are not disposed of or confined until they can be cleaned, infectious diseases will spread.

A 2017 study published by Nursing Times says, “Care home residents share air, space, food and equipment, so they also share organisms that can easily cause infection outbreaks, such as viruses and bacteria. They are also more prone and vulnerable to infections, which can lead to death.”

Common Infections Found in Nursing Homes

The Nursing Times report says the most common types of disease outbreaks in nursing homes are outbreaks of respiratory infections and gastrointestinal infections. 

A study of common infections in nursing homes published by the National Institutes of Health (NIH) says gastroenteritis, influenza and skin infections are the most common epidemic (widespread) infections.

The NIH study found that infections were 93.5% more likely among nursing home residents on ventilators, feeding tubes, or urinary catheters than residents who did not require those devices. 

Infections contracted while under medical care are known as healthcare-associated infections, or HAIs. In nursing homes and long-term care facilities (LTCFs), 1 to 3 million serious infections occur every year and as many as 380,000 people die from infections every year, according to the CDC.

Common infections and bacteria found in LTCFs, include:

  • Carbapenem-resistant Enterobacteriaceae (CRE), e.g., Escherichia coli (E. coli)
  • Clostridioides difficile (C. diff)
  • Methicillin-resistant Staphylococcus aureus (MRSA)
  • Influenza
  • Norovirus
  • Catheter-associated urinary tract infection (CAUTI)
  • Central line-associated bloodstream infection (CLABSI)
  • Surgical site infection (SSI)
  • Ventilator-associated pneumonia (VAP).

Each of these may be fatal. They are particularly deadly among individuals who are elderly and/or otherwise ill and infirm.

Can Nursing Homes Be Held Liable For Injury or Death From Infection?

Nursing homes have a legal duty to ensure the safety of residents under their care. This includes an obligation to ensure that sanitation protocols exist and are followed to guard against the development and spread of infections. When a nursing home neglects its obligations for residents’ health and safety and someone is injured or become seriously ill because of that neglect, the nursing home may be held liable through a lawsuit.

If a nursing home resident has contracted an infection due to neglect by the nursing home staff and dies or is significantly injured, the family of the patient may seek compensation for medical and/or funeral and burial expenses, their unnecessary pain and suffering, and other losses.

Our nursing home neglect lawyers at Joye Law Firm have the knowledge and experience to stand up for residents and the families of those who have been harmed by nursing home neglect. We can investigate the situation, review your loved one’s medical records and pursue a claim for compensation, if appropriate.

Contact Our SC Nursing Home Abuse and Neglect Attorneys

If a family member of yours has contracted a healthcare-associated infection as a result of negligent care by a nursing home or similar long-term care facility in South Carolina, Joye Law Firm is ready to help. You or your loved one may be entitled to seek money to assist with proper medical care, for pain and suffering and for other losses.

Call Joye Law. We have offices in Charleston, Myrtle Beach, Clinton and Columbia, SC. Our nursing home abuse and neglect attorneys handle cases anywhere in South Carolina. Phone 888-918-4959 or fill out our contact form for a free and confidential discussion of your legal options and how we can help you.

The post How The Elderly At Nursing Homes Are Exposed To Deadly Fungus and Other Fatal Infections appeared first on Joye Law Firm.



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Tuesday, September 3, 2019

Most Dangerous Highways in Charleston

If you’ve ever been in a car accident, you know that accident situations can develop out of nowhere. But certain highways are clearly more dangerous because of the design or volume of traffic or a combination of factors. You are more likely to be in a car accident in Charleston if you’re on a dangerous highway.

A handful of recent surveys of car accidents have spotlighted dangerous highways in Charleston and throughout South Carolina.

S.C.’s Main Coastal Highway is Most Dangerous

A recently released survey from the personal security issues website A Secure Life names the Most Dangerous Highways in Each State for summer driving, based on an analysis of traffic fatality reports from the National Highway Traffic Safety Administration covering the years 2015 to 2017. The researchers focused on data for the May-September period of each year.

“Summer driving has its own risks,” the survey report says. “With teen drivers out for summer break, families on long road trips, and fun outings like barbecues and beach trips, roads can be hectic and packed.”

Given that, it’s not a great surprise that the survey named U.S. 17, the Coastal Highway, the most dangerous in South Carolina for summer driving. Running south to north, U.S. 17 enters South Carolina from Georgia at the Savannah River and serves Hardeeville, Charleston, Georgetown and Myrtle Beach before entering North Carolina.

There were 82 fatalities on U.S. 17 in the period studied, but the survey does not pinpoint where they occurred.

The same survey says the state’s next most dangerous highways for summertime car accidents are Interstate 26 with 52 fatalities and S.C. 9 with 45 fatalities.

I-26 runs east-west from Charleston through Columbia and to near Landrum in Spartanburg County.

S.C. 9 begins in North Myrtle Beach and runs east-west parallel the S.C./N.C. border to Lancaster, then through Spartanburg and on to the North Carolina border in the Upstate.

6 Major S.C. Highways Among Nation’s Most Dangerous

South Carolina’s Coastal Highway, U.S. 17, and the state’s main east-west interstate, I-26, are not the only ones to make a list of the nation’s most dangerous highways based on NHTSA data.

Teletrac, a company that sells GPS fleet-tracking software, looked at 35,092 traffic fatalities in the United States in 2015 to determine the 25 most deadly highways in the United States based on fatalities per mile.

Interstate 26 is No. 12 on the list of deadly highways. Keep in mind that the survey covers the whole stretch from Kingsport, Tennessee, to Charleston, South Carolina.

U.S. 17, which stretches from Winchester, Virginia, to Punta Gorda, Florida, ranked No. 20. According to the survey, Myrtle Beach is the deadliest city on this highway.

Others on the list are:

  • Interstate 95, which is No. 5 and runs through Florence and Walterboro in South Carolina.
  • Interstate 20 at No. 14, which passes through Columbia and Florence, S.C.
  • Interstate 85 at No. 15, which runs from Petersburg, Virginia, to Montgomery, Alabama, and enters South Carolina south of Charlotte, N.C. before crossing the Upstate through Spartanburg and Greenville.
  • S. 1 at No. 24, which runs from Fort Kent, Maine, to Key West, Florida, and goes through Camden, Columbia and Aiken, S.C.

Fatalities were caused by crashes in moving traffic, overturned vehicles, pedestrians being hit and hitting trees.

South Carolina No. 2 Overall for Dangerous Highways

In a compilation of the most dangerous states to drive in the United States, 24/7 Wall St. calculated the number of motor vehicle fatalities per 100,000 residents in 2018, based on National Safety Council accident statistics and U.S. Census population estimates.

In a March 2019 report, 24/7 Wall St. said South Carolina ranked second among States With the Most Dangerous Roads.

The difference in the likelihood of dying from a car crash depends on a variety of conditions, including seat belt use, speed limits, drunk driving rates, and weather, 24/7 Wall St. said. The types of roads in the state also make a significant difference in whether a crash is an inconvenience or a life-threatening incident.

The survey’s statistical profile of South Carolina highway driving includes:

  • Motor vehicle fatalities per 100,000 residents: 20.34
  • 2018 motor vehicle fatalities: 1,034 (10th most)
  • Fatalities not wearing seat belts: 50.0% (17th highest)
  • Fatal crashes on rural roads: 60.0% (23rd highest).

Mississippi was No. 1 (worst) with 21.20 motor vehicle fatalities per 100,000 residents, and Alabama was No. 3, with 19.39 motor vehicle fatalities per 100,000 residents.

In April, 24/7 Wall St. cited Florence, S.C., for the state’s entry in Worst Cities to Drive in Every State. For this study, 24/7 Wall St. created an index composed of several driving-related measures, including average commute time, gas prices and accident rates, to capture various metropolitan areas’ safety, convenience and cost of driving.

In Florence, the survey found 22.8 traffic fatalities per 100,000 people, which compares to the state’s rate of 19.7.

In Florence, the survey cited:

  • Average commute time: 23.1 minutes (state average: 24.6 minutes)
  • Commuters driving to work: 92.1% (state: 91.3%)
  • 2017 car thefts per 100,000 people: 275.5.

The truth is a serious accident can happen anywhere. People are seriously injured and killed in preventable accidents in South Carolina all too often, unfortunately.

3 Tips for Highway Safety

At A Secure Life, the source of the first survey we’ve looked at here, they suggest a few tips for keeping yourself safe when driving during the summer (or any time). They are:

Take your car for a safety check before a trip. The NHTSA maintenance checklist includes:

  • Tires
  • Lights
  • Cooling system
  • Fluid levels
  • Belts
  • Hoses
  • Wiper blades
  • Air conditioning
  • Floor mats.

Plan your route. There are several commercially available mapping and traffic apps, but A Secure Life recommends the Federal Highway Administration’s National Traffic and Road Closure Information for traffic stats and closed road alerts nationwide.

Share your travel plans with a friend or family member who is staying home and schedule periodic check-ins with them, especially if you’re traveling alone.

Avoid driving on risky days or at risky times. This means avoiding holiday travel as well as driving in morning or evening rush hours and after midnight, when you are more likely to be sleepy and become a traffic hazard yourself.

The attorneys at Joye Law Firm represent people in South Carolina who are injured in accidents or lose loved ones due to others’ carelessness or disregard for safety. Take advantage of a free consultation to learn about your legal options. We will be honest with you about whether we believe you have a valid injury claim. If we believe we can help, we will offer to handle your car accident case on a contingency fee basis. The attorneys at Joye Law Firm do not charge a legal fee unless we are successful in recovering money for you. Get in touch today.

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from Joye Law Firm https://www.joyelawfirm.com/2019/09/most-dangerous-highways-in-charleston/
via https://www.joyelawfirm.com