Severe consequences of healthcare-associated infections among residents of nursing homes: a cohort study

Koch, Anne Mette; Eriksen, Hanne-Merete; Elstrøm, Petter; Aavitsland, Preben; Harthug, Stig

doi:10.1016/j.jhin.2008.10.032

Cited by 56 publications

(41 citation statements)

References 15 publications

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“…However, in our study, not all patients who had a diagnosis of malignancy during the previous 5 years were on active immunosuppressive treatment, for which reason malignancy as a risk factor for HAI may have been underestimated. Diabetes is a generally known risk factor for infection [33], though it has not been reported in all studies among LTCFs and mixed populations [1,20]. In our study, there was a trend where especially diabetics with poor glycemic control (defined as GHbA1c [7) had more HAIs, but this did not reach statistical significance, perhaps due to the sample size.…”

Section: Discussioncontrasting

confidence: 67%

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

et al. 2011

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Section: Discussioncontrasting

confidence: 67%

“…Healthcare-associated infections (HAIs) increase morbidity and mortality, and cause considerable costs to healthcare systems [1][2][3]. Point prevalence studies are widely used to analyze the rate of HAIs in facilities where prospective active surveillance approaches are limited.…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2011

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“…Für alte Menschen, die aufgrund ihrer chronischen Erkrankungen und ihrer eingeschränkten körperlichen Funktionen in Heimen leben oder durch eine ambulante Versorgung zu Hause gepflegt werden, sind Infektionen ein erheblicher Risikofaktor für erhöhte Morbidität und zum Teil auch Mortalität [1,2,3,4,5].…”

Section: Originalien Und üBersichtenunclassified

Healthcare-associated infections in long-term care facilities (HALT)

Wischnewski

Mielke

Wendt³

2011

Bundesgesundheitsbl.

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“…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%

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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Severe consequences of healthcare-associated infections among residents of nursing homes: a cohort study

Cited by 56 publications

References 15 publications

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

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

Healthcare-associated infections in long-term care facilities (HALT)

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

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