National point prevalence survey of healthcare-associated infections and antimicrobial use in French home care settings, May to June 2012

Abstract

In May and June 2012, a national point prevalence survey (PPS) of healthcare-associated infections (HAIs) and antimicrobial use was conducted among French patients under home-based hospital care (HBHC). Data from 5,954 patients in 179 volunteer HBHC providers were collected. Prevalence of patients with at least one active HAI was 6.8% (95% confidence interval (CI): 6.1-7.4). Prevalence of those receiving at least one antimicrobial agent was 15.2% (95% CI: 14.3-16.1). More than a third (35.5%) of HAIs were HBHC-associated, 56% were imported from a healthcare facility and 8.5% of indeterminate origin. The main infection sites were urinary tract (26.6%), skin and soft tissue (17.6%), surgical site (15%), and pneumonia or other respiratory tract infections (13.5%). In multivariate analysis, three risk factors were associated with HBHC-associated infections: urinary catheter, at least one vascular catheter and a McCabe score 1 or 2. The most frequently isolated microorganism was Staphylococcus aureus (20.7%), 28.1% of them meticillin-resistant. Non-susceptibility to thirdgeneration cephalosporins was reported in 25.3% of Enterobacteriaceae, of which 16.1% were extended spectrum beta-lactamase-producing strains. The most prescribed antimicrobials were fluoroquinolones (16.1%), and third-generation cephalosporins (14.5%). PPS may be a good start in HBHC to obtain information on epidemiology of HAIs and antimicrobial use.

Point prevalence survey of indwelling urinary catheter use and appropriateness in patients living at home and receiving a community nursing service in Ireland

“…This may be due to patients recruited from different home-based populations, e.g. dedicated home healthcare agencies or hospital home-based care and therefore comparisons are not applicable (Miliani et al, 2015; RCP, 2012; Sorbye et al, 2005). The mean age of people in our study and the prevalence of suprapubic catheters were higher than that reported in similar sample populations by Wilde et al (2010, 2013), with a larger number of men than reported by Getliffe and Newton (2006) and Wilde et al (2013).…”

“…Catheter-associated urinary tract infections (CAUTI) are associated with increased patient morbidity and mortality resulting in increased healthcare use and cost (Lo et al, 2014). Prevalence studies report that 12–21% of patients in acute hospitals and 6–13% in the community have an IUC, making it the most common indwelling device in use (Health Protection Surveillance Centre [HPSC], 2012, 2013; Miliani et al, 2015; Royal College of Physicians [RCP], 2012).…”

Sondayla İlişkili İdrar Yolu Enfeksiyonları: Farklı Hasta Popülasyonlarında Üreyen Patojenlerin ve Antibiyotik Dirençlerinin Değerlendirilmesi

“…ESH' den yararlanan hastalarda İYE sık görülmektir [13]. Yurt dışında ve yurt içinde yapılan çeşitli çalışmalarda ESH' den yararlanan hastalarda İYE görülme oranı %23-26 olarak bulunmuştur [6,14]. Yurt dışında ESH yapılan çalışmada, İYE en fazla neden olan pato- [9].…”

Monitoramento da adesão à higiene das mãos em uma unidade de terapia intensiva [Monitoring hand hygiene adherence in an intensive care unit] [Monitoreo de la adhesión a la higiene de las manos en una unidad de terapia intensiva]

“…2018.33087 Saúde (OMS), com base em relatórios elaborados pelo Institute of Medicine dos Estados Unidos, apontam que 1,4 milhões de pessoas adquirem infecções anualmente. Na Europa, aproximadamente 6,8% dos pacientes internados adquirem, pelo menos, uma IRAS, e este número se torna ainda mais agravante em países em desenvolvimento, onde o risco de contrair infecções é quatro vezes maior 2,3 .…”