Development of a Statewide Program for Surveillance and Reporting of Hospital-Acquired Infections

Wenzel, Richard P.; Osterman, Charles A.; Townsend, Timothy R.; Veazey, James M.; Servis, Kathryn H.; Miller, Linda; Craven, Robert B.; Miller, Gabrielle F.; Jackson, Robert S.

doi:10.1093/infdis/140.5.741

Cited by 45 publications

(20 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A statewide system for surveillance and reporting of nosocomial infections has been described. 3 The program is based on the Kardex surveillance method, and uniform definitions of infection are used. The monthly reporting frequency was demonstrated at 83%, and the sensitivity and specificity of the surveillance techniques were 69% and 99% respectively.…”

Section: Statewide Surveillancementioning

confidence: 99%

Hospital-Acquired Infections in Intensive Care Unit Patients An Overview with Emphasis on Epidemics

et al. 1983

View full text Add to dashboard Cite

Surveillance activities for the detection of nosocomial infections at the University of Virginia Hospital (Charlottesville, Virginia) and at hospitals participating in the Virginia Statewide Infection Control Program have focused on outbreaks and device-related infections which are potentially preventable. Eleven outbreaks of nosocomial infections were identified at the University of Virginia Hospital between January 1, 1978 and December 31, 1982 (9.8 outbreaks/100,000 admissions). Ten of the 11 were centered in critical care units. The 269 patients involved in the epidemics represented 0.2% of all hospital admissions and 3.7% of all patients who developed nosocomial infections. Eight of the 11 outbreaks involved infection of the bloodstream, and the 90 patients who developed a bloodstream infection as part of an epidemic represented 8% of all patients with nosocomial bloodstream infections identified during the five-year study period. The reservoir of the 11 outbreaks involved devices (5), contaminated cocaine (1), probable blood products (1), other patients (3), and nursing personnel (1). Forty-one percent of all nosocomial bloodstream infections and 41% of all nosocomial pneumonias occurred in intensive care units (ICUs).In 38 hospitals in the state of Virginia with ICUs and practitioners who voluntarily reported surveillance data between June 1,1980 and May 31,1982, there were 264,757 patients admitted and a crude infection rate of 3%. Of note is that 1,867 of the 7,407 nosocomial infections (25%) occurred in the ICU patients. Several factors point to a compelling argument that the highest priority in infection control resources be assigned to the prevention and control of ICU infections: ICU patients often have serious device-related infections and may be identified as high risk prior to infection. Furthermore, they are at risk of being infected as part of a major outbreak. Such characteristics define a population of hospitalized patients, many of whose infections are preventable.

show abstract

Section: Statewide Surveillancementioning

confidence: 99%

Hospital-Acquired Infections in Intensive Care Unit Patients An Overview with Emphasis on Epidemics

et al. 1983

View full text Add to dashboard Cite

show abstract

“…We evaluate the role of this microorganism in the animals from which it had been isolated and investigate the possible role of predisposing factors. Clinical implications for the treatment of the individual cases and for the management of epidemics are discussed based on the specific knowledge gathered in the human medicine, 5 where 5-10% of all hospitalized patients 19 and 18% of patients in intensive care units (ICU) 20 develop nosocomial infections. With the development of intensive care medicine and the evolution of therapeutic techniques, veterinary clinicians are more likely to face such complications in their patients.…”

mentioning

confidence: 99%

The Role of Acinetobacter baumannii as a Nosocomial Pathogen for Dogs and Cats in an Intensive Care Unit

Francey¹,

Gaschen²,

Nicolet³

et al. 2000

J Vet Int Med

View full text Add to dashboard Cite

Acinetobacter baumannii is a nosocomial pathogen associated with high morbidity and mortality in humans. Whereas infections with strains of Acinetobacter species have been reported in various situations, the importance of A baumannii as a nosocomial pathogen in veterinary hospitals has not been studied so far. In this retrospective case series, we describe 17 dogs and 2 cats from which A baumannii had been isolated during a 2 1/2-year period. In 7 dogs, A baumannii induced systemic signs of illness, whereas 12 animals showed signs of local infection. In all animals with systemic infection, and in 2 with localized infection, A baumannii contributed to the death of the animal or contributed to euthanasia; the remaining 8 dogs and both cats recovered. Molecular typing of the isolates with restriction polymorphisms of ribosomal DNA provided evidence of nosocomial spread of this pathogen and for the presence of several strains of A baumannii in the hospital environment.

show abstract

“…Danach basiert die Diagnose einer nosokomialen Infektion immer auf ei-Spezifit~it der Diagnostik nosokomialer Infektionen wurden mit den Resultaten der wenigen in der Literatur gefundenen Validierungsstudien[6][7][8][9] verglichen. Danach sind die Validierungsresultate unserer Studieniirzte als besser bzw.…”

unclassified

Prävalenz der wichtigsten nosokomialen Infektionen in Deutschland

et al. 1997

View full text Add to dashboard Cite

ZusammenfassungZur Bestimmung der Pr~ivalenz nosokomialer Infektionen in Deutschland wurde durch vier in der Diagnostik nosokomialer Infektionen entsprechend den CDC-Kriterien trainierte und validierte Studieniirzte eine repr~isentative Stichprobe ron 14 966 Patienten in 72 Krankenh~iusern untersucht. Bei der Zufallsauswahl der KrankenMuser wurden die Gr6flenklassen der KrankenMuser und die Lage in den alten und neuen Bundesl~.ndern berª Die Pr~ivalenz nosokomialer Infektionen betrug 3,5 %. Das 95%-Konfidenz-intervalI Iag zwischen 3,1 und 3,9 %. Aufgrund der methodischen Festlegungen der Studie und dem in den Krankenh~iusern vorgefundenen Defizit an mikrobiologischer Diagnostik ist diese Rate als das sichere MŸ der Pr~ivalenz von nosokomialen Infektionen anzusehen. Die Mufigsten nosokomialen Infektionen waren die Harnwegsinfektionen (42,1%), die unteren Atemwegsinfektionen (20,6 %), postoperative Wundinfektionen (15,8 %) und prim~ire Sepsis-Erkrankungen (8,3 %). Wegen des teilweise gegens~itzlichen Einflusses der Patienten-Faktoren Alter und Geschlecht und der Krankenhausfaktoren Fachabteilung und Gr61genklasse wird die Pr~ivalenz dieser Infektionen in Abh¡ ron diesen Einfluggr6gen separat dargestellt und diskutiert. SummaFyPrevalence of the most common nosocomial infections in Germany -Results of the NIDEP-studyIn order to determine the prevalence of nosocomial infec2 tions in Germany a random sample of 14 966 patients in 72 hospitals was investigated by four in the use of CDC-definitions trained and validated physicians. The size and location of the hospitals in the old and new countries were considered during the setection process. The prevalence was 3,5 % with a confidence intervaI between 3,1 and 3,9 %. Due to the methodological commitments of the study and the deficit in the field of microbiological diagnostics in th~ investigated hospitals this rate should be considered as the certain mŸ of the prevalence of nosocomial infections. The most common infections were urinary tract infections (42,1%), lower respiratory tract infections (20,6 %), surgical site infections (15,8 %) and primary bloodstream infections (8,3 %). Because of the in part opposite influences of the patient risk factors age, sex, and the hospital factors type of department and hospital size the prevalence according to these factors is described separately.In den letzten Jahren hat das Wissen ª die Epidemiologie nosokomialer Infektionen in Deutschland zugenommen, und Risikofaktoren fª ihr Auftreten wurden identifiziert. Allerdings existierten bisher keine national repr~isentativen, international vergleichbaren und einheitlich erhobenen Daten, um anhand dieser Informationen die unterschiedliche Infektionsh~iufigkeit in verschiedenen Patientengruppen zu beurteilen. Dargestellt werden sollen hier die nosokomialen Infektionsraten fª die wichtigsten Krankenhausinfektionen: Harnwegsinfektionen, untere Atemwegsinfektionen, postoperative Wundinfektionen und prim~ire Sepsis-Erkrankungen. Dabei sollen besonders das A1ter und Geschlecht der Patienten, ...

show abstract

Development of a Statewide Program for Surveillance and Reporting of Hospital-Acquired Infections

Cited by 45 publications

References 9 publications

Hospital-Acquired Infections in Intensive Care Unit Patients An Overview with Emphasis on Epidemics

Hospital-Acquired Infections in Intensive Care Unit Patients An Overview with Emphasis on Epidemics

The Role of Acinetobacter baumannii as a Nosocomial Pathogen for Dogs and Cats in an Intensive Care Unit

Prävalenz der wichtigsten nosokomialen Infektionen in Deutschland

Contact Info

Product

Resources

About