Prevalence of Healthcare-Associated Infections in Acute Care Hospitals in Jacksonville, Florida

Abstract

Corresponding author: Shelley S. Magill, MD, PhD, Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, 1600 Clifton Rd., MS A-24, Atlanta, GA 30333, Phone: (404) 639-0291, smagill@cdc.gov. a Current affiliation: Mayo Clinic, Jacksonville, FL, USA b Current affiliation: Tanner Medical Center, Villa Rica, GA, USA The study described herein was presented in abstract form at the Fifth Decennial International Conference on Healthcare-Associated Infections, March 18-22, 2010, Atlanta, GA (Abstract #911). Objective-To determine healthcare-associated infection (HAI) prevalence in nine Jacksonville, FL hospitals, evaluate the performance of proxy indicators for HAIs, and refine methodology in preparation for a multi-state survey. HHS Public Access Design-Point prevalence survey.Patients-Acute care inpatients of any age.Methods-HAIs were defined using National Healthcare Safety Network criteria. In each facility a trained Primary Team (PT) of infection prevention (IP) staff performed the survey on 1 day, reviewing records and collecting data on a random sample of inpatients. PTs assessed patients with ≥1 proxy indicator (abnormal white blood cell count, abnormal temperature, or antimicrobial therapy) for the presence of HAIs. An external IP expert team collected data from a subset of patient records reviewed by PTs to assess proxy indicator performance and PT data collection.Results-Of 851 patients surveyed by PTs, 51 had ≥1 HAI (6.0%, 95% confidence interval 4.5-7.7%). Surgical site infections (n=18), urinary tract infections (n=9), pneumonia (n=9), and bloodstream infections (n=8) accounted for 75.8% of 58 HAIs detected by PTs. Staphylococcus aureus was the most common pathogen, causing 9 HAIs (15.5%). Antimicrobial therapy was the most sensitive proxy indicator, identifying 95.5% of patients with HAIs.

Surgical site infection and its risk factors in colon surgeries

“…The surgical site infection (SSI) has been pointed as the type of highest prevalence among infections associated with avoidable health care (1) . It is also the second or third most common infection in the world among patients undergoing surgeries (2) .…”

Comprehensive Preventive Approach to Surgical Site Infections (SSIs): A Review

“…There has been estimated that, about 234 million operations performed annually throughout the world (2). Surgical site infection is the most common healthcare-associated infection, and 31% of all hospitalized patients experience this complication (3). Threatening and common direct and indirect complications of SSI which impose costs and readmissions are as follows: Delayed wound healing, schars and keloids (4), atelectasis is common during and after general anesthesia (5), pneumonia, hospital stay and significant economic burden and direct and indirect costs due to readmission (re-operation, extra nursing care and resource utilization) (4,6), toxemia, septicemia, septic shock, thrombophlebitis and emboli, failure of vital organs, and extensive debridement.…”

Surveillance of Surgical Site Infection in Surgical Hospital Wards in Bulgaria, 2015-2016

“…The incidence of the registered cases varies widely -from 2% to 40.0 % (Mangram et al, 1999;Haley et al, 1975Haley et al, -1976. According to the Centers for Disease Control and Prevention (CDC) in 2010 in United States' hospitals for active treatment over 16 million surgery-procedures are performed, with SSIs accounting for of up to 31% of all healthcare associated infections (HCAI) (National Hospital Discharge Survey 2010; Magill et al, 2012 (Kircheva, 2004). An alarming fact is that the rate of these infections is constant, and even increases in some surgical procedures despite the success of antibiotic therapy and advanced aseptic and antiseptic methods (Magill et al, 2014;Mu et al, 2011;Centers for Disease Control and Prevention, 2014;Awad, 2012;European Centre for Disease Prevention and Control, 2016;Health Protection Agency, 2012).…”