Risk factors for healthcare-associated infection in light of two years of experience with the ECDC point prevalence survey of healthcare-associated infection and antimicrobial use in Poland

Deptuła, Aleksander; Trejnowska, Ewa; Ozorowski, Tomasz; Hryniewicz, Waleria

doi:10.1016/j.jhin.2015.03.005

Cited by 48 publications

(45 citation statements)

References 11 publications

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“…In our study, central vascular catheter used on patients was 7.56 times more likely to be a risk factor compared to non-central vascular catheter patients. This finding was supported by other studies conducted in hospitals in Poland, Morocco and China [22,26,46]. …”

Section: Discussionsupporting

confidence: 87%

“…Hospital-acquired infections occur with the devices used in medical procedures[45]. A hospital based research in Poland showed a positive correlation between prevalence of hospital-acquired infection and exposure to invasive procedures[22]. In our study, central vascular catheter used on patients was 7.56 times more likely to be a risk factor compared to non-central vascular catheter patients.…”

Section: Discussionmentioning

confidence: 51%

“…Risk of hospital-acquired infections increased with invasive devices used [5] for example, for treatment and monitoring of patient in Intensive Care Units (ICU)[6]. Incidence of device-associated infections(DAIs) as reported by the International Nosocomial Infection Control Consortium(INICC) is higher than reported by the US National Healthcare Safety Network (NHSN)[7,8].…”

Section: Introductionmentioning

confidence: 99%

“…Risk factors for such infections vary between different specific site infections, because hospital environments are complex. Previously conducted researches indicated that, longer hospital stays[20,21], gender[22,23], intravascular catheter[24,25], surgery since admission[22,26], intubation[27], mechanical ventilation[28], age of the patient[4,29], type of hospital [4,30], urinary catheter[22,27] were some of the risk factors for hospital acquired infections.…”

Section: Introductionmentioning

confidence: 99%

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Risk factors for hospital-acquired infections in teaching hospitals of Amhara regional state, Ethiopia: A matched-case control study

2017

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BackgroundHospital-acquired infection affects hundreds of millions of people worldwide. It is a major global issue for patient safety. Understanding the potential risk factors is important to appreciate the local context. A matched case control study design, which is the first of its kind in the study region, was undertaken to identify risk factors in teaching hospitals of Amhara regional state, Ethiopia.MethodA matched case control study design matched with age and hospital type was used. The study was conducted in University of Gondar and Felege-Hiwot medical teaching hospital. Cases were patients who fulfilled the criteria based on CDC definition of hospital-acquired infection and controls were patients admitted to the hospital that stayed for more than 48 hours in the ward in the study period, but who did not develop infection. For one case, four controls were selected. Of 545 patients, 109 were cases and 436 were controls. Conditional logistic regression using STATA 13 was used for data analysis.ResultThe median length of stay for cases and controls was 7 and 8 days, respectively. Patients admitted in wards with the presence of medical waste container in the room had 82% less chance of developing hospital-acquired infection (AOR 0.18; 95% CI, 0.03–0.98). The odds of developing hospital-acquired infection among immune deficient patients were 2.34 times higher than their counterparts (95% CI; 1.17–4.69). Patients received antimicrobials, central vascular catheter and surgery since admission had 8.63, 6.91 and 2.35 higher odds of developing hospital-acquired infection, respectively.ConclusionHealth providers and mangers should consider the provision and availability of healthcare materials and facilities in all of the ward rooms, follow appropriate safe medical procedures for use of external devices on patients, and give attention to the immunocompromised patients for the prevention and control of hospital-acquired infections.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 51%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Risk factors for hospital-acquired infections in teaching hospitals of Amhara regional state, Ethiopia: A matched-case control study

2017

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“…Esse dado reforça ainda mais que os indicadores epidemiológicos de IRAS são substancialmente mais elevados em países em desenvolvimento, sendo de duas a oito vezes maiores do que aqueles relatados pelo NHSN (NATIONAL NOSOCOMIAL INFECTION SURVEILLANCE SYSTEM, 2003; EDWARDS et al, 2009). Vale ressaltar que as UTIs clínico-cirúrgicas são o tipo mais comum nos Estados Unidos, o impacto do tipo de hospital, se universitários ou não, e o seu tamanho são de particular interesse, pois apresentam diferenças significativas nas taxas de IRAS, sendo mais altas nos hospitais universitários e de grande porte ≥ 200 leitosKUNIN, 2008;DEPTUŁA et al, 2015;FORTALEZA et al, 2017). No entanto, nossos dados mostraram prevalências altas e semelhantes ao se fazer a comparação entre hospitais universitários e não universitários.…”

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Estudo Multicêntrico de Infecções Relacionadas à Assistência à Saúde em Unidades de Terapia Intensiva de Adultos no Estado de Minas Gerais, Brasil

Braga¹

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A Deus, Obrigada, Senhor, por estar ao meu lado e se fazer presente em todos os momentos, tanto de tristeza e dificuldades, quanto nos de alegria, confortando-me e mostrando que a queda, às vezes, era necessária para me fortalecer...Aos meus pais, Jadir Alves Braga e Maria de Oliveira Braga, exemplos de força e dedicação, base da minha educação, que semearam e cuidaram com atenção e carinho do meu crescimento pessoal e profissional e, mesmo longe, sempre apoiaram minhas decisões e acreditaram em minha capacidade. Dedico toda esta trajetória com amor.Ao meu esposo, Ronaldo Fernandes da Silva, "Tudo vai bem quando quem caminha ao seu lado está comprometido com o seu sucesso."Aos meus Professores, mestres queridos, que souberam ensinar a direção correta para que este crescimento fosse possível. AGRADECIMENTOSDizem que Doutorado é uma trajetória muito solitária. Ao longo destes quatro anos, mesmo sabendo que o maior esforço se concentrava em minhas mãos, se não contasse com a colaboração de pessoas muito especiais, certamente não teria chegado até aqui. Agradeço imensamente aos meus irmãos, Ademir Alves Braga e Ismail Fernandes Braga, que sempre me estimularam a nunca desistir de meus sonhos. À minha cunhada, Tânia Raquel de Lima Braga, obrigada pelo apoio. À Profª. Drª. Rosineide Marques Ribas, pela amizade, carinho, compreensão, dedicação, ajuda na organização deste estudo e, principalmente, por acreditar que conseguiríamos realizar a pesquisa. Obrigada seria muito pouco para expressar minha enorme gratidão. "Tente uma, duas, três vezes e se possível tente a quarta, a quinta e quantas vezes for necessário. Só não desista nas primeiras tentativas, a persistência é amiga da conquista. Se você quer chegar aonde a maioria não chega, faça o que a maioria não faz" (Bill Gates). Ao Prof. Dr. Paulo Pinto Gontijo Filho, que, apesar de seus inúmeros afazeres, sempre estava pronto para me atender, orientar e esclarecer dúvidas. Agradeço por ter conhecido esse ser humano íntegro, amigo e solidário, que sabe nos ensinar o verdadeiro encanto da pesquisa. "Conte-me e esquecerei, ensina-me e me lembrarei, envolva-me e aprenderei" (Benjamim Franklin). À técnica do Laboratório de Microbiologia Molecular, Dr a . Cristiane Brito, pela amizade, pelas palavras de apoio e pela colaboração. À Equipe da Gerência das Unidades de Internação Clínica do HC-UFU, às minhas grandes e queridas amigas, Célia Fabrício de Souza Rezende, Deusdélia Dias Magalhães Rodrigues, Paula Carolina Messias Rosa, Vanessa Faria Neves e Vanessa da Silva Pessoa Silvério, e ao meu amigo, Alan Kardec de Oliveira, pela ajuda imprescindível nesta longa caminhada, pelas palavras de apoio e pelo incentivo nos momentos mais difíceis e principalmente por toda colaboração para que eu pudesse me dedicar na fase final do doutorado. Muito obrigada!!! "Sozinhos vencemos às vezes, mas em equipe podemos ganhar constantemente." Às minhas amigas da Gerência de Enfermagem, Flávia Dutra, Francisca Santos, Huara Pessoa, Mary Sanches Meneses, Sebastiana Sabino e Priscila de Oliveira Mig...

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Compliance with standard precaution of infection prevention practice and associated factors among health care workers in Ethiopia: Mixed method study

Kassa¹,

Tadesse

Walelign

et al. 2022

Health Science Reports

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Backgrounds and Aims: In developing countries, most infections can be prevented with relatively inexpensive infection prevention methods. However, there is limited information on standard precautions for infection prevention practices among health workers in Ethiopia Therefore, this study aimed to assess the compliance with the standard precaution of infection prevention practice and associated factors among health care workers (HCWs) using a mixed method study.Methods: A hospital-based mixed-methods study design (concurrent mixed method design) was conducted among 378 randomly selected health professionals. Selfadministered questionnaire; an in-depth interview and an observational checklist were used to collect the data. The collected data were cleaned and entered into Epi data and analyzed using a static package for social science. Descriptive statistics were conducted and the result was reported using frequency, and percentile.Logistic regression was performed to identify associated factors. Adjusted odds ratios with 95% confidence intervals (CIs) and p < 0.05 were used to explain statistically significant associations. Results:The proportion of standard precaution practice among HCWs at Dessie specialized and comprehensive hospital was 55.6% (put the 95% CI). Age ≤ 25 years

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Risk factors for healthcare-associated infection in light of two years of experience with the ECDC point prevalence survey of healthcare-associated infection and antimicrobial use in Poland

Cited by 48 publications

References 11 publications

Risk factors for hospital-acquired infections in teaching hospitals of Amhara regional state, Ethiopia: A matched-case control study

Risk factors for hospital-acquired infections in teaching hospitals of Amhara regional state, Ethiopia: A matched-case control study

Estudo Multicêntrico de Infecções Relacionadas à Assistência à Saúde em Unidades de Terapia Intensiva de Adultos no Estado de Minas Gerais, Brasil

Compliance with standard precaution of infection prevention practice and associated factors among health care workers in Ethiopia: Mixed method study

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