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.docVIP

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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.doc

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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

Available online /content/9/1/5 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? Jean-Louis Vincent1, Christian Brun-Buisson2, Michael Niederman3, Christian Haenni4, Stephan Harbarth5, Dominique Sprumont6, Mauricio Valencia7, Antoni Torres8 1Head, Department of Intensive Care, Erasme Hospital, Free University of Brussels, Belgium 2Reanimation Medicale, Hopital Henri Mondor (AP-HP), Cretiel, France 3Chairman, Department of Medicine, Winthrop University Hospital, Professor of Medicine, Vice-Chairman, Department of Medicine, SUNY at Stony Brook, New York, USA 4Fellow, Institut de droit de la santé Université de Neuchatel, Switzerland 5Associate Hospital Epidemiologist, Infection Control Program, Geneva University Hospitals, Geneva, Switzerland 6Co-Director, Institut de droit de la santé Université de Neuchatel, Switzerland 7Senior Researcher Intensive Care Medicine, Institut Clìnic de Pneumología i Cirurgia Toràcica (ICPCT), Hospital Clìnic de Barcelona, Barcelona, Spain 8Director, Institut Clìnic de Pneumología i Cirurgia Toràcica (ICPCT), Hospital Clìnic de Barcelona, Barcelona, Spain Correspondence: Critical Care Forum Editorial Office, editorial@ Published online: 15 December 2004 This article is online at /content/9/1/5 ? 2004 BioMed Central Ltd Critical Care 2005, 9:5-9 (DOI 10.1186/cc3016) 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. Keywords infectio