* Supplies of gloves and gowns threatened by budget cuts
* EU officials fear rising rates of superbug infections
* Greek govt says healthcare system is 2 bln euros in debt
By Kate Kelland, Health and Science Correspondent
LONDON, Dec 4 Greek hospitals are in such dire
straits that staff are failing to keep up basic disease controls
such as using gloves and gowns, threatening a rise in
multi-drug-resistant infections, according to Europe's top
Greece already has one of the worst problems in Europe with
hospital-acquired infections, and disease experts fear this is
being made worse by an economic crisis that has cut health care
staffing levels and hurt standards of care.
With fewer doctors and nurses to look after more patients,
and hospitals running low on cash for supplies, risks are being
taken even with basic hygiene, said Marc Sprenger, director of
the European Centre for Disease Prevention and Control (ECDC).
"I have seen places...where the financial situation did not
allow even for basic requirements like gloves, gowns and alcohol
wipes," Sprenger said after a two-day trip to Athens, where he
visited hospitals and other healthcare facilities.
"We already knew Greece is in a very bad situation regarding
antibiotic resistant infections, and after visiting hospitals
there I'm now really convinced we have reached one minute to
midnight in this battle," he told Reuters in an interview.
Sprenger said the situation means patients with
highly-infectious diseases such as tuberculosis (TB) may not get
the treatment they need, raising the risk that dangerous
drug-resistant forms will tighten their grip on Europe.
Greece spends 11 billion euros ($14.4 billion) a year on its
healthcare system - accounting for just over 5 percent of its
total economic output. The government says the system is around
2 billion euros in debt and spending must be cut drastically.
Many health workers have lost their jobs and others say they
have not been properly paid for months. A banner hung up by
doctors outside Athens Evangelismos hospital in October said
simply: "The health system is bleeding".
Exhausted doctors at Greece's 133 state hospitals cite a
lack of staff as well as basic supplies such as cotton wool,
catheters, gloves and paper used to cover examination beds.
Panos Papanicolaou, a member of a doctors' union and a
neurosurgeon at Athens' Nikea General Hospital, said staff cuts
mean as many as 90 to 100 patients a day wait in corridors with
many unable to get treatment. In the chaos, some go untreated or
come back again when they are far more seriously ill.
He said overworked nurses often treat twice as many patients
as before and confirmed that the shortage of basic items such as
disposable gloves meant corners were having to be cut.
"If a nurse has to see 10 patients instead of five without
disposable gloves it's certain that the transmission of
infections will rise rapidly," he said.
Greece could soon face even more problems with its health
care system if it runs out of money to buy drugs.
Another health official who asked to remain anonymous said a
senior Athens hospital worker had told him there was no budget
left for supplies at that hospital, so all its drug purchases
were on credit.
Germany's Merck KGaA said last month it was no
longer delivering its cancer drug Erbitux to Greek hospitals
, and Biotest, which makes products
from blood plasma to treat haemophilia and tetanus, stopped
shipments in June because of unpaid bills.
Roberto Bertollini, the World Health Organisation's chief
scientist and representative to the European Union, told Reuters
he too was worried about the rate of hospital-acquired
infections in Greece. He said cuts to resources and staff only
make it harder to adhere to infection control and hygiene rules.
"Countries have to be very careful when ... choosing what to
cut and what to keep," he said. "This is a very serious business
which might impact the health of the population much more in the
medium term, thus increasing rather than decreasing costs."
Greece's problems with drug resistant infections predate the
economic crisis: Greece is Europe's highest user of antibiotics,
and health experts say overuse of them is one of the main causes
of drug resistant disease.
Sprenger's ECDC warned last month that infections caused by
a bug called K. pneumoniae and resistant to the very last line
of antibiotics is "high and increasing in some EU countries".
"It's no longer a risk, it's already very bad - the
challenge is to turn that around," Sprenger said. "But you can
only focus properly on this if you are not overloaded with
($1 = 0.7650 euros)
(Additional reporting by Karolina Tagaris in Athens; Editing by