Repeated prevalence surveys of healthcare-associated infections in Finnish neonatal intensive care units

Sarvikivi, Emmi; Kärki, Tommi; Lyytikäinen, Outi

doi:10.1016/j.jhin.2010.03.020

Cited by 25 publications

(19 citation statements)

References 19 publications

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“…This comprehensive HAI was lower than the HAI associated with a specific site infection according to other studies conducted in Ethiopia (39.10%) 33. The point prevalence obtained in this study (15.14%) was much higher than that reported by studies conducted in other developed34–37 and developing countries 38–41…”

Section: Discussioncontrasting

confidence: 69%

Point prevalence of hospital-acquired infections in two teaching hospitals of Amhara region in Ethiopia

Yallew¹,

Kumie²,

Yehuala³

2016

DHPS

106

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PurposeHospital-acquired infection (HAI) is a major safety issue affecting the quality of care of hundreds of millions of patients every year, in both developed and developing countries, including Ethiopia. In Ethiopia, there is no comprehensive research that presents the whole picture of HAIs in hospitals. The objective of this study was to examine the nature and extent of HAIs in Ethiopia.MethodsA repeated cross-sectional study was conducted in two teaching hospitals. All eligible inpatients admitted for at least 48 hours on the day of the survey were included. The survey was conducted in dry and wet seasons of Ethiopia, that is, in March to April and July 2015. Physicians and nurses collected the data according to the Centers for Disease Control and Prevention definition of HAIs. Coded and cleaned data were transferred to SPSS 21 and STATA 13 for analysis. Univariate and multivariable logistic regression analyses were used to examine the prevalence of HAIs and relationship between explanatory and outcome variables.ResultsA total of 908 patients were included in this survey, the median age of the patients was 27 years (interquartile range: 16–40 years). A total of 650 (71.6%) patients received antimicrobials during the survey. There were 135 patients with HAI, with a mean prevalence of 14.9% (95% confidence interval 12.7–17.1). Culture results showed that Klebsiella spp. (22.44%) and Staphylococcus aureus (20.4%) were the most commonly isolated HAI-causing pathogens in these hospitals. The association of patient age and hospital type with the occurrence of HAI was statistically significant.ConclusionIt was observed that the prevalence of HAI was high in the teaching hospitals. Surgical site infections and pneumonia were the most common types of HAIs. Hospital management should give more attention to promoting infection prevention practice for better control of HAIs in teaching hospitals.

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Section: Discussioncontrasting

confidence: 69%

Point prevalence of hospital-acquired infections in two teaching hospitals of Amhara region in Ethiopia

Yallew¹,

Kumie²,

Yehuala³

2016

DHPS

106

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“…14 In the Finnish prevalence study, cases of EOS were confirmed 3 times more frequently than cases of EO-pneumonia. 15 In our population, EO-pneumonia was characterized by a lower mortality rate than EOS (RR = 0.67), but a simultaneous higher morbidity rate (RR = 1.2).…”

confidence: 64%

Early-onset Infections of Very-low-birth-weight Infants in Polish Neonatal Intensive Care Units

Wójkowska‐Mach

Borszewska−Kornacka

Domańska

et al. 2012

Pediatric Infectious Disease Journal

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“…ICUs or neonatal wards. [21,22] The feasibility and sensitivity of HAI detection using different surveillance strategies has not been evaluated in SA. We compared the performance of three HAI surveillance methods in an SA children's hospital using the CDC framework [23] for evaluating public health surveillance programmes (reporting sensitivity, PPV, simplicity, flexibility, timeliness, acceptability and representativeness).…”

Section: Researchmentioning

confidence: 99%

Surveillance of healthcare-associated infection in hospitalised South African children: Which method performs best?

2016

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Background. In 2012, the South African (SA) National Department of Health mandated surveillance of healthcare-associated infection (HAI), but made no recommendations of appropriate surveillance methods. Methods. Prospective clinical HAI surveillance (the reference method) was conducted at Tygerberg Children's Hospital, Cape Town, from 1 May to 31 October 2015. Performance of three surveillance methods (point prevalence surveys (PPSs), laboratory surveillance and tracking of antimicrobial prescriptions) was compared with the reference method using surveillance evaluation guidelines. Factors associated with failure to detect HAI were identified by logistic regression analysis. Results. The reference method detected 417 HAIs among 1 347 paediatric hospitalisations (HAI incidence of 31/1000 patient days; 95% confidence interval (CI) 28.2 -34.2). Surveillance methods had variable sensitivity (S) and positive predictive value (PPV): PPS S = 24.9% (95% CI 21 -29.3), PPV = 100%; laboratory surveillance S = 48.4% (95% CI 43.7 -53.2), PPV = 55.2% (95% CI 50.1 -60.2); and antimicrobial prescriptions S = 66.4% (95% CI 61.8 -70.8%), PPV = 88.5% (95% CI 84.5 -91.6). Combined laboratory-antimicrobial surveillance achieved superior HAI detection (S = 84.7% (95% CI 80.9 -87.8%), PPV = 97% (95% CI 94.6 -98.4%)). Factors associated with failure to detect HAI included patient transfer (odds ratio (OR) 2.0), single HAI event (OR 2.8), age category 1 -5 years (OR 2.1) and hospitalisation in a general ward (OR 2.3). Conclusions. Repeated PPSs, laboratory surveillance and/or antimicrobial prescription tracking are feasible HAI surveillance methods for low-resource settings. Combined laboratory-antimicrobial surveillance achieved the best sensitivity and PPV. SA paediatric healthcare facilities should individualise HAI surveillance, selecting a method suited to available resources and practice context.

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Repeated prevalence surveys of healthcare-associated infections in Finnish neonatal intensive care units

Cited by 25 publications

References 19 publications

Point prevalence of hospital-acquired infections in two teaching hospitals of Amhara region in Ethiopia

Point prevalence of hospital-acquired infections in two teaching hospitals of Amhara region in Ethiopia

Early-onset Infections of Very-low-birth-weight Infants in Polish Neonatal Intensive Care Units

Surveillance of healthcare-associated infection in hospitalised South African children: Which method performs best?

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