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HEALTHCARE

One in twenty Danish accident and emergency patients carries resistant bacteria

Five percent of patients – or every 20th person – at emergency rooms in Danish hospitals carry resistant strains of bacteria, according to a report.

One in twenty Danish accident and emergency patients carries resistant bacteria
File photo: Henning Bagger / Ritzau Scanpix

National public service broadcaster DR reported the conclusion of an analysis of eight accident and emergency wards in four administrative regions across Denmark.

“I think this is so many that we need to be alert in order to stop it spreading at hospitals, as well as in society,” professor and consultant doctor Christian Backer Mogensen of South Jutland Hospital, one of the researchers who worked on the study, told DR.

The results of the research are an “eye opener” which demand action, according to Mogensen.

Researchers in Denmark have not previously conducted studies of this type on resistant bacteria prevalence.

Resistant bacteria are defined as types which do not respond to treatment with normal forms of antibiotics.

That makes treatment of certain conditions and diseases more difficult, for example in cases of urinary tract infection,

“We would be there not knowing which antibiotic to use. Perhaps we have one left in the drawer, perhaps we don’t have any,” Mogensen told DR.

Research institute Staten Serum Institut (SSI) said it was monitoring the proliferation of resistant bacteria.

One cause of the issue is over-prescription of antibiotics, according to the organization’s consultant doctor Ute Wolff Sönksen.

“Fundamentally things look good, but there is an increase in use at hospitals, partly because there is such intensive treatment at hospitals today,” Sönksen told Ritzau.

Doctors have become more restrictive about prescribing antibiotics in recent years, but there is still room for improvement, she continued.

“You must begin by choosing the type of antibiotic that can save life. But then you must reduce the use of antibiotics once you know exactly what condition the patient has. That can be done even better than it is now,” she said.

But the extent of antibiotic resistance in Denmark is similar to that in the other Nordic countries, according to Sönksen.

The World Health Organization has estimated that, in 15-20 years’ time, multi-resistant bacteria will be a bigger killer than cancer.

READ ALSO: Breast cancer checks may have been inadequate for 300 women at Danish hospital

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Emergency room visits to cost 50 francs in Switzerland

People who visit the emergency room for non-urgent treatment will now need to pay 50 francs after the Swiss government issued final approval for a rule change.

An ambulance approaches Geneva University Hospital. Emergency room visits will now cost 50 francs in Switzerland. Photo: Fabrice COFFRINI / AFP
An ambulance approaches Geneva University Hospital. Emergency room visits will now cost 50 francs in Switzerland. Photo: Fabrice COFFRINI / AFP

The proposal was originally developed by Zurich National Council member Thomas Weibel and received approval by the National Council in 2019. 

The Council of States on Wednesday accepted the parliamentary initiative, meaning that people who seek treatment in the emergency room for non-urgent health issues a fee of 50 francs. 

This will be introduced as a co-pay, meaning that the patients would have to pay out of their own pockets (i.e. it will not be covered by insurance). 

READ MORE: Switzerland to introduce 50 franc fee for emergency room visits

MPs argued that this measure may dissuade those who are not seriously ill from going to the emergency room and overloading the system, while also taking medical staff away from patients who need urgent help.

Opponents countered that this may discourage people from visiting hospital who actually need treatment, however the measure passed with a narrow majority. 

EXPLAINED: Everything you need to know about health insurance in Switzerland

No concrete indications were given as to what amounts to ’non-urgent’ treatment in the eyes of the law.

This is expected to be laid out by the National Council who are now charged with the responsibility of drafting the rules. 

Exemptions could apply to children and adolescents under the age of 16, patients referred to the emergency room by a doctor, and those whose treatment subsequently requires hospitalisation.

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