HC Deb 27 November 2000 vol 357 cc463-4W
Dr. Julian Lewis

To ask the Secretary of State for Health if he will make a statement on the prevalence of and frequency of infection by MRSA in NHS hospitals. [135014]

Mr. Steen

To ask the Secretary of State for Health how many cases of Methicillin Resistant Staphycoccocus Aureus were reported in(a) 1997–98, (b) 1998–99 and (c) 1999–2000 in (i) the United Kingdom and (ii) Devon; and if he will make a statement. [135141]

Mr. Denham

The Public Health Laboratory Service (PHLS) compiles aggregate data on the numbers of incidents of MRSA which are voluntarily submitted by trusts for specialist microbiological tests. The PHLS also compiles data on blood stream and other serious infections caused by Staphylococcus Aureus in hospitals and the community, reported by microbiology laboratories. Figures for England are given in the tables. From April 2001 all acute trusts will produce data on the prevalence of hospital-acquired infection, including MRSA, to provide a more complete picture of the situation. This information will be published in 2002–03. Matters relating to Scotland, Wales and Northern Ireland are for their respective devolved Administrations.

Incidents of MRSA and rates per 100,000 population 1997–2000
Numbers
1997
Anglia and Oxford 297
North Thames 544
North West 259
Northern and Yorkshire 224
South and West 254
South Thames 385
Trent 123
West Midlands 102
Wales 176
Total 2,364
1998
Anglia and Oxford 223
North Thames 289
North West 215
Northern and Yorkshire 202
South and West 101
South Thames 220
Trent 109
West Midlands 69
Wales 169
Total 1,597
1999
Eastern 80
London 290
Northern and Yorkshire 170
North West 180
South East 170
South West 40
Trent 100
West Midlands 30
Wales 130
Total 1,190

Incidents of MRSA and rates per 100,000 population 1997–2000
Numbers
2000
Eastern 30
London 100
Northern and Yorkshire 40
North West 50
South East 60
South West 10
Trent 30
West Midlands 30
Wales 30
Total 380

Notes:

1. For the first half of 1997 data have been amalgamated to the approximate boundaries of the new Regional Office areas. This allows for comparison with subsequent years.

2. Data for 2000 is for January-June only.

3. An incident is three or more patients infected or colonised by the same strain of MRSA in the same month from the same hospital.

4. The criteria for submission of isolates of MRSA (and other isolates of staphylococcus aureus) to the PHLS for specialist tests have been revised twice since 1996 (in January 1998 and in January 2000). These revised criteria have led to a fall in the number of incidents of MRSA that were reported to the PHLS.

Laboratory reports of staphylococcus aureus isolated from blood
1999 2000
South-west region
Total report 1,010 644
Sensitive to methicillin 591 314
Percentage 59 49
Resistant to methicillin 294 211
Percentage 29 33
Susceptibility not reported 125 119
Percentage 12 18
England
Total report 9,373 5,697
Sensitive to methicillin 4,934 2,661
Percentage 53 47
Resistant to methicillin 2,804 1,919
Percentage 30 34
Susceptibility not reported 1,635 1,117
Percentage 17 20

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