Point prevalence and risk factors for healthcare-associated infections in primary healthcare wards

Puhto, Teija; Ylipalosaari, Pekka; Ohtonen, Pasi; Syrjälä, Hannu

doi:10.1007/s15010-011-0123-7

Cited by 9 publications

(8 citation statements)

References 38 publications

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“…Azzam and Dramaix [11] reported the HAI prevalence rate to be 6.8%, slightly lower than that (8%) reported by Balkhy et al [12]. Likewise, Puhto et al reported a HAI prevalence rate of only 10.1% [2]. Unlike other studies [18][19][20], where the majority of the HAIs occurred in ICUs, our study reported that more than half of the HAIs occurred in the pediatric wards.…”

Section: Discussioncontrasting

confidence: 76%

“…Moreover, the higher temperature and relative humidity could also promote microbial growth in the pediatric wards. Several point-prevalence surveys from other countries had reported lower HAI prevalence rates [2,[11][12]. Azzam and Dramaix [11] reported the HAI prevalence rate to be 6.8%, slightly lower than that (8%) reported by Balkhy et al [12].…”

Section: Discussionmentioning

confidence: 85%

“…Furthermore, hospital-acquired infections (HAIs) are associated with increased morbidity and mortality [2,3]. In public hospital buildings (PHBs), HAIs are a major public health problem, especially in developing countries such as the Philippines.…”

Section: Introductionmentioning

confidence: 99%

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Hospital-acquired infection in public hospital buildings in the Philippines: Is the type of ventilation increasing the risk?

Vergeire-Dalmacion

Itable²,

Baja

2016

J Infect Dev Ctries

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Introduction: Hospital-acquired infections (HAIs) are associated with increased morbidity and mortality, especially in developing countries. However, limited information is available about the risk of HAIs in naturally ventilated wards (NVWs) and mechanically ventilated intensive care units (MVICUs) of public hospitals in the Philippines. We aimed to assess the association between HAIs and type of ventilation in an urban tertiary care hospital in the Philippines. Methodology: A cross-sectional point-prevalence survey of infections was done in NVWs and MVICUs of a tertiary care hospital in December 2013. Multivariate analyses were done to examine the associations between HAIs and type of ventilation and other risk factors. Results: Of the 224 patients surveyed, 63 (28%) patients had 69 HAIs. Pneumonia was the most common HAI (35%). Wards near areas with high vehicular activity had more respiratory HAI cases. Being immunocompromised is a risk factor for HAI for pediatric and adult patients. Among pediatric patients, staying in MVICUs had a lower risk for HAIs (adjusted odds ratio [AOR]: 0.33; 95% confidence interval [CI]: 0.10-1.08) compared to staying in NVWs. For adult patients, a higher risk for HAIs (AOR: 2.41; 95% CI: 0.29-18.20) was observed in MVICUs compared to NVWs. Conclusions: Type of ventilation is not a risk factor for HAIs. Patients who are immunocompromised may be at a higher risk for HAI. Indoor air pollution, proximity to congested main thoroughfare, and increased human foot traffic may contribute to the susceptibility of patients to HAIs. Hospital layout should be considered in infection control.

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Section: Discussioncontrasting

confidence: 76%

Section: Discussionmentioning

confidence: 85%

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Hospital-acquired infection in public hospital buildings in the Philippines: Is the type of ventilation increasing the risk?

Vergeire-Dalmacion

Itable²,

Baja

2016

J Infect Dev Ctries

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“…Hospital-acquired infection is an infection in which the development is favored by a hospital environment. The suggested mechanisms for fluoroquinolone resistance in hospitals may be the patient's poor state of health, the use of invasive devices, and the recent use of fluoroquinolones or other types of antimicrobials [30,31]. Because the presence of underlying diseases and an indwelling catheter were not important risk factors for fluoroquinolone resistance in this study, we think that the recent use of antimicrobials may be an important risk factor for obtaining fluoroquinolone-resistant strains [28].…”

Section: Discussionmentioning

confidence: 99%

Ciprofloxacin Resistance inEnterococcus faecalisStrains Isolated From Male Patients With Complicated Urinary Tract Infection

Lee

2013

Korean J Urol

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PurposeUrinary tract infection (UTI) is one of the most prevalent bacterial infections, and fluoroquinolone therapy is a well-known standard regimen for UTI. The prevalence and risk factor analysis of fluoroquinolone resistance in enterococcal UTIs are not well documented. The aim of this study was to evaluate the antimicrobial susceptibility and risk factors for ciprofloxacin resistance in Enterococcus faecalis strains isolated from patients with complicated UTI.Materials and MethodsWe evaluated 81 E. faecalis strains isolated from 81 male patients at a single teaching hospital over 3 years. The Vitek 2 automatic system was used for antimicrobial susceptibility analysis.ResultsAntimicrobial resistance rates were rare for ampicillin/sulbactam, imipenem, and vancomycin in E. faecalis. Forty-six percent of the E. faecalis strains were resistant to levofloxacin, 47% were resistant to ciprofloxacin, and 58% were resistant to norfloxacin. E. faecalis strains were highly resistant to erythromycin (92%) and ftetracycline (96%). The risk factor analysis revealed that age intervals, the underlying diseases, catheterization, and the number of admissions did not increase the risk of ciprofloxacin resistance, whereas patients with hospital-acquired infection (odds ratio [OR], 18.15; 95% confidence interval [CI], 3.46 to 95.13; p=0.001), patients who were treated in a urological department (OR, 6.15; 95% CI, 1.5 to 25.41; p=0.012), and patients who were transferred from health care centers (OR, 7.393; 95% CI, 1.32 to 41.22; p=0.023) had an increased risk of ciprofloxacin resistance compared with the matched controls.ConclusionsCiprofloxacin is no longer a recommended therapy for E. faecalis from complicated UTI in men with risk factors. We suggest that ampicillin/sulbactam can be recommended as alternatives for treating ciprofloxacin-resistant E. faecalis strains associated with UTI in Korea.

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“…However, in most of the primary healthcare wards there has been no routine surveillance so far. In some other hospital districts, PPS has been introduced in primary care hospitals [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Point prevalence survey is useful for introducing effective surveillance of healthcare-associated infections

Pitkäpaasi

Lehtinen

Kanerva

2021

Infection Prevention in Practice

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Point prevalence and risk factors for healthcare-associated infections in primary healthcare wards

Abstract: HAIs are common in Finnish primary healthcare wards and there is a need to improve everyday practices in the wards in order to reduce the number of HAIs. It is also important to reduce the inappropriate use of antibiotics.

Cited by 9 publications

References 38 publications

Hospital-acquired infection in public hospital buildings in the Philippines: Is the type of ventilation increasing the risk?

Hospital-acquired infection in public hospital buildings in the Philippines: Is the type of ventilation increasing the risk?

Ciprofloxacin Resistance inEnterococcus faecalisStrains Isolated From Male Patients With Complicated Urinary Tract Infection

Point prevalence survey is useful for introducing effective surveillance of healthcare-associated infections

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