CATHETER INFECTION


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Of all the Urinary Tract Infections (UTIs) acquired in U.S hospitals, about 75 percent are associated with a urinary catheter—a tube inserted into the bladder through the urethra to drain urine in patients.

Catheters should only be used for appropriate indications and should be removed as soon as possible. Too often, healthcare providers neglect basic hospital infection prevention guidelines, which may result in serious injuries.

Hospital and nursing negligence in Ohio has been a concerning issue in the recent past, with preventable surgical errors and preventable mistakes hitting all-time highs. When basic protocols are ignored or improper training at hospitals leads to injury, both medical staff and management can be held liable for damages that result from urinary or vascular catheter infection.

Central line-associated bloodstream infections (CLABSIs) result in thousands of injuries and deaths each year and catheter-associated UTIs cost patients and the American healthcare system billions.

Joe Lyon is highly-rated Cincinnati Medical Malpractice Lawyer and Ohio Hospital Negligence Attorney reviewing cases of catheter infection for injured plaintiffs nationwide.


What is a Central Line or Vascular Catheter Infection?


As opposed the more frequent urinary catheter infections (UTIs), a central line or central venous catheter infection results when central lines are not properly changed or maintained. Central lines are different from IVs because central lines access major veins close to the heart and can remain in place for weeks or months, and can be more likely to cause serious infection.

A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when bacteria or viruses enter the bloodstream through the central line. Healthcare providers must follow a strict protocol when inserting the line to make sure the line remains sterile. Infection control practices are critical each time the line or dressing is changed.


Types of Vascular Catheter Infection


  • Coagulase-negative staphylococci
  • Staphylococcus aureus
  • Stenotrophomonas
  • Pseudomonas
  • Enterococci
  • Candida
  • Staphylococci

Catheter-Associated UTI


A urinary tract infection (UTI) is an infection in the urinary system, which includes the bladder and the kidneys. When bacteria and germs are introduced to the system in a hospital setting, a serious infection can occur. The blunt truth is patients with urinary catheters have a much higher chance of developing a urinary tract infection than people who don’t have a catheter.

Bacteria can travel along a catheter and cause infection in the bladder and kidney. Bacteria may enter the urinary tract when the catheter is being put in or while the catheter remains in the bladder. A urinary catheter is a thin tube placed in the bladder to drain urine, and is commonly used if:

  • A patient is not able to urinate on their own
  • Physicians want to measure the amount of urine made during a period of time
  • A patient is undergoing some type of surgery
  • Doctors order tests of the kidneys and bladder

Urinary Tract Infection Symptoms


Typical symptoms of a urinary tract infection include:

  • Burning or pain in lower abdomen
  • Fever
  • Cloudy or Bloody urine
  • Burning during urination
  • An increase in the frequency of urination after catheter is removed
  • Strong urine odor
  • Urine leakage around catheter
  • Pain or discomfort in lower back
  • Unexplained fatigue
  • Vomiting

Catheter Infection Prevention


Prevention and prompt treatment of a CAUTI are essential because an untreated UTI can lead to a more serious kidney infection, and elder patients with catheters may already have conditions that compromise immune systems, making them more vulnerable to future infections.

Healthcare providers and nurses should follow recommended central line insertion and CLABSI prevention practices to prevent infection, which can include:

  • Careful hand hygiene
  • Applying skin antiseptic
  • Ensure skin prep agent dries before inserting central line
  • Use sterile gloves, sterile gown, cap, mask
  • Remove central line as soon as it is no longer needed
  • Choose the best insertion site to minimize infections
  • Prepare the insertion site with alcohol
  • Immediately replace dressings that are wet or soiled
  • Perform routine dressing changes

Hospital UTI Lawsuits


A catheter-associated urinary tract infection (CAUTI) is one of the more common infections a person can contract in a hospital setting, according to the American Association of Critical-Care Nurses.

It is estimated that between 15 and 25 percent of hospitalized patients receive urinary catheters during their hospital stay, and risk a catheter-associated UTI (CAUTI) by prolonged use of the device.

Healthcare facilities and hospitals have a duty to educate healthcare personnel about indications for central lines, proper procedures for insertion and maintenance, and infection prevention.

Hospitals may be liable if they fail to properly train employees, provide a checklist to clinicians to ensure adherence to safe practice, reeducate personnel at regular intervals about central line insertion, ensure efficient access to supplies for central line insertion and maintenance, and use measures to ensure compliance with recommended practices.

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A Voice for Those who have suffered 

Why are these cases important?

 When management or individuals fail to provide a sufficient level of care, victims may seek legal recourse and file suit against the negligent parties. Medical malpractice lawsuits improve the quality of healthcare by holding physicians and hospitals responsible when they fall below a professional standard of care. 

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Questions about Medical Malpractice

What is a Medical Malpractice Lawsuit?

Hospitals, medical staff, nurses and doctors are responsible for providing proper patient care. When management or individuals fail to provide a sufficient level of care, victims may seek legal recourse and file suit against the negligent parties.

Without medical malpractice laws, medical mistakes would go without consequence, patients would be uncompensated for preventable injuries, and medical providers would have less incentive to improve the medical system to prevent future injuries.

Despite the reports discussed above, frivolous claims brought by medical malpractice attorneys and runaway juries have been blamed as causing a medical crisis. There is no medical malpractice crisis, it is simply propaganda created by the U.S. Chamber of Commerce and large insurance companies to pollute the American jury pool and change the law in a manner that is favorable to them and adverse to the average American. And sadly, it has worked.

Currently, 90 percent of juries side with the physician over the patient at trial. As a result, insurance companies are bolder than ever and refuse at times to settle even the most meritorious of cases knowing that the chances of the patient finding a fair and impartial jury is extremely low, especially in more conservative parties of the country such as Hamilton County, Ohio.

What is a “Never Event” in Hospital Care ?

The Deficit Reduction Act of 2005 required that conditions be identified that (a) are costly and occur at high rates, (b) are assigned as cases to the Diagnosis-Related Group, and (c) could have ultimately been prevented with appropriate care. These hospital-acquired conditions occur as negligence on the part of hospital staff and often result in a multitude of medical malpractice lawsuits.

Conditions that meet the three requirements for identification:

What if a hospital makes me an offer directly?

Many hospitals and physicians are taking proactive approaches to resolve viable medical malpractice claims by approaching patients who do not have legal counsel. The “family meeting” presentation will include deterring patients from seeking legal counsel. This is a very concerning development in the course of medical liability and risk management.

We strongly advise patients not to engage in “family meeting” settlement negotiations without an experienced Cincinnati medical malpractice lawyer present. Hospitals and physicians have lawyers who are specialized in medical malpractice claims advising them on how to approach the case, and it is only fair that the patient is afforded the same benefit of qualified counsel.

The “family meeting” practice of settling hospital negligence cases without an attorney does not benefit the patient in most cases, but almost always benefits the negligent hospital.

Do not be deterred by a hospital representative implying that the case will be compromised if you seek counsel. While attorney fees will need to be paid, those costs should not be a deterrent. The Lyon Firm adopts a lower contingency fee structure and offers hourly rates for cases that can be resolved without litigation.

If the parties wish to resolve the matter, having qualified counsel on both sides is beneficial to the process. The goal should be a settlement where both parties are satisfied, not a case where the hospital pays substantially less than the fair value of the claim.

There are numerous issues that need to be considered before settling a medical malpractice case, and you should know what the fair value of the claim is before accepting a settlement.

The hospital knows the fair value having been involved in other cases. You as the patient should work with counsel who has successfully worked on other cases and can advise on the appropriate risk of future litigation and settlement value.

If a hospital is approaching you or a family member about a settlement without a Cincinnati Medical Malpractice lawyer, please call (800) 513-2403 for a free consultation.

Why hire the Lyon Firm?

Our Firm will help you find the answers.  The Firm has the experience, resources and dedication to take on difficult and emotional cases and help our clients obtain the justice for the wrong they have suffered. 

 Experience:  Joe Lyon is an experienced Cincinnati Medical Malpractice Lawyer. The Lyon Firm has 17 years of experience and success representing individuals and plaintiffs in all fifty states, and in a variety of complex civil litigation matters. Medical malpractice lawsuits can be complex and require industry experts to determine the root cause of an accident or injury. Mr. Lyon has worked with experts nationwide to assist individuals understand why an injury occurred and what can be done to improve their lives in the future. Some cases may go to a jury trial, though many others can be settled out of court.

Resources/Dedication: Mr. Lyon has worked with experts in the fields of accident reconstruction, biomechanics, epidemiology, metallurgy, pharmacology, toxicology, human factors, workplace safety, life care planning, economics, and virtually every medical discipline in successfully representing Plaintiffs across numerous areas of law. The Lyon Firm is dedicated to building the strongest cases possible for clients and their critical interests.

Results:  Mr. Lyon has obtained numerous seven and six figure results in personal injury,  automotive product liability, medical Negligence, construction accidents, and auto dealership negligence cases.  The cases have involved successfully litigating against some of  the largest companies in the world

Your Right to Safe healthcare

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A recently published study titled, A New, Evidence-based Estimate of Patient Harms Associated with Hospital Care, estimated that 210,000 hospital patients die each year from medical mistakes that could have been prevented.

This places medical malpractice as the third leading cause of death in the United States after heart disease and cancer. Further, the Office of The Inspector General estimated 180,000 deaths per year are due to medical mistakes. And a Study from Journal of Patient Safety estimated that the number of preventable deaths is between 210,000 and 440,000.

Incredibly, the Wrong Site Surgery Project Study found that national incidence of wrong site surgeries, which includes wrong patient, wrong procedure, wrong site and wrong side surgeries, may be as high as 40 per week. 

Our Victories

The Lyon Firm aggressively, professionally, and passionately advocates for injured individuals and families against companies due to a defective product or recalled product to obtain just compensation under the law. 

FAILURE TO DIAGNOSE BOWEL OBSTRUCTION

WRONGFUL DEATH

(Cincinnati, Ohio):  Confidential settlement for a family due to a wrongful death. An emergency room physician failed to recognize the common symptoms associated with bowel obstruction and prescribed a contraindicated medicine of GoLytley.  The patient died at home the day of discharge after taking the medication. The case against the emergency room physician was resolved by settlement following extensive discovery. The settlement was paid to the spouse and surviving adult children for the loss of their mother. While no amount of money could bring back their mother, the case provided answers and held the hospital accountable.

FAILURE TO DIAGNOSE BREAST CANCER

$910,000 Settlement.

(Cincinnati, Ohio):   Joe Lyon was second chair in a case involving the failure of a physician to promptly communicate a positive breast cancer result to a patient. As a result of the delay, the cancer progressed from in situ carcinoma to stage 3B with lymph node involvement. The treatment required mastectomy and radiation/ chemotherapy rather than a simple excision. The case settled after extensive discovery. The defense argued: “the patient should have called the physician.” The settlement provided recovery for suffering through a misdiagnosis and the loss of a spouse and a mother. While the settlement cannot bring this wonderful woman back, it helped her family move forward with life’s challenges and encouraged  future accountability.

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