A point prevalence survey of hospital-acquired infections and antimicrobial use in a paediatric hospital in north-western Russia

OBJECTIVETo evaluate a computer-assisted point-prevalence survey (CAPPS) for hospital-acquired infections (HAIs).DESIGNValidation cohort.SETTINGA 754-bed teaching hospital in the Netherlands.METHODSFor the internal validation of a CAPPS for HAIs, 2,526 patients were included. All patient records were retrospectively reviewed in depth by 2 infection control practitioners (ICPs) to determine which patients had suffered an HAI. Preventie van Ziekenhuisinfecties door Surveillance (PREZIES) criteria were used. Following this internal validation, 13 consecutive CAPPS were performed in a prospective study from January to March 2013 to determine weekly, monthly, and quarterly HAI point prevalence. Finally, a CAPPS was externally validated by PREZIES (Rijksinstituut voor Volksgezondheid en Milieu [RIVM], Bilthoven, Netherlands). In all evaluations, discrepancies were resolved by consensus.RESULTSIn our series of CAPPS, 83% of the patients were automatically excluded from detailed review by the ICP. The sensitivity of the method was 91%. The time spent per hospital-wide CAPPS was ~3 hours. External validation showed a negative predictive value of 99.1% for CAPPS.CONCLUSIONSCAPPS proved to be a sensitive, accurate, and efficient method to determine serial weekly point-prevalence HAI rates in our hospital.Infect Control Hosp Epidemiol2016;1–6

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Identifying hospital-acquired infections using retrospective record review from the Irish National Adverse Events Study (INAES) and European point prevalence survey case definitions

Journal of Hospital Infection ◽

10.1016/j.jhin.2018.12.011 ◽

2019 ◽

Vol 101 (3) ◽

pp. 313-319 ◽

Cited By ~ 1

Author(s):

N. Rafter ◽

R. Finn ◽

K. Burns ◽

S. Condell ◽

R.M. Conroy ◽

...

Keyword(s):

Adverse Events ◽

Point Prevalence ◽

Case Definitions ◽

Prevalence Survey ◽

Retrospective Record Review ◽

Hospital Acquired Infections ◽

Point Prevalence Survey ◽

Record Review ◽

Hospital Acquired ◽

Events Study

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Point-Prevalence Survey for the Hospital-Acquired Infections in Intensive Care Units of Trauma Center in a Tertiary Care Hospital of Northern India

Journal of Laboratory Physicians ◽

10.1055/s-0041-1731946 ◽

2021 ◽

Author(s):

Sandeep Boora ◽

Parul Singh ◽

Arun Verma ◽

Ashok Chauhan ◽

Amit Lathwal ◽

...

Keyword(s):

Trauma Center ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Point Prevalence ◽

Care Hospital ◽

Prevalence Survey ◽

Hospital Acquired Infections ◽

Point Prevalence Survey ◽

Stewardship Program ◽

Hospital Acquired

Abstract Background The burden of hospital-acquired infections (HAIs) is all assumption based, and the true burden remains unknown in most countries, particularly in the developing countries where healthcare facilities are suboptimal and knowledge is limited. Methodology This cross-sectional study was conducted at the trauma center of a tertiary care institute from August to September 2019, to assess the burden of HAI and antibiotic resistance pattern of HAI. The total sample size in our study was 105. Our objective was to estimate the point prevalence of HAI and study the associated factors in a tertiary care hospital. Result In this study, the point prevalence of HAI was five to six times higher when compared with that of developed countries. Gram-negative organisms were the predominant bacteria; with Acinetobacter baumannii the most common among them. Conclusion Point-prevalence survey is an important objective of the antimicrobial stewardship program; it will be helpful in controlling antimicrobial resistance and this tool plays a significant role in hospital settings. Our study is quite pertinent to assess the point prevalence of HAI. It will help in knowing the current prevalence and pattern of the HAI. Therefore, as healthcare administrators, we can further decrease the HAI for better patient outcomes in the future.

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Point-prevalence survey of hospital acquired infections in three acute care hospitals in Northern Nigeria

Antimicrobial Resistance and Infection Control ◽

10.1186/s13756-020-00722-9 ◽

2020 ◽

Vol 9 (1) ◽

Author(s):

Usman Abubakar

Keyword(s):

Acute Care ◽

Acute Care Hospitals ◽

Point Prevalence ◽

Northern Nigeria ◽

Prevalence Survey ◽

Hospital Acquired Infections ◽

Point Prevalence Survey ◽

Hospital Acquired

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A multicentre point prevalence survey of patterns and quality of antibiotic prescribing in Indonesian hospitals

JAC-Antimicrobial Resistance ◽

10.1093/jacamr/dlab047 ◽

2021 ◽

Vol 3 (2) ◽

Author(s):

Ralalicia Limato ◽

Erni J Nelwan ◽

Manzilina Mudia ◽

Justin de Brabander ◽

Helio Guterres ◽

...

Keyword(s):

Antibiotic Prescription ◽

Point Prevalence ◽

High Rate ◽

Antibiotic Prescribing ◽

Prevalence Survey ◽

Hospital Acquired Infections ◽

Point Prevalence Survey ◽

Hospital Acquired ◽

Third Generation Cephalosporins

Abstract Background The global emergence of antimicrobial resistance is driven by antibiotic misuse and overuse. However, systematic data in Indonesian hospitals to adequately inform policy are scarce. Objectives To evaluate patterns and quality indicators of antibiotic prescribing in six general hospitals in Jakarta, Indonesia. Methods We conducted a hospital-wide point prevalence survey (PPS) between March and August 2019, using Global-PPS and WHO-PPS protocols. The analysis focused on antibacterials (antibiotics) for systemic use. Results Of 1602 inpatients, 993 (62.0%) received ≥1 antimicrobial. Of 1666 antimicrobial prescriptions, 1273 (76.4%) were antibiotics. Indications comprised community-acquired infections (42.6%), surgical prophylaxis (22.6%), hospital-acquired infections (18.5%), medical prophylaxis (9.6%), unknown (4.6%) and other (2.1%). The most common reasons for antibiotic prescribing were pneumonia (27.7%), skin and soft tissue infections (8.3%), and gastrointestinal prophylaxis (7.9%). The most prescribed antibiotic classes were third-generation cephalosporins (44.3%), fluoroquinolones (13.5%), carbapenems (7.4%), and penicillins with β-lactamase inhibitor (6.8%). According to the WHO AWaRe classification, Watch antibiotics accounted for 67.4%, followed by 28.0% Access and 2.4% Reserve. Hospital antibiotic guidelines were not available for 28.1% of prescriptions, and, where available, guideline compliance was 52.2%. Reason for the antibiotic prescription, stop/review date and planned duration were poorly documented. Culture-guided prescriptions comprised 8.1% of community-acquired infections and 26.8% of hospital-acquired infections. Conclusions Our data indicate a high rate of empirical use of broad-spectrum antibiotics in Indonesian hospitals, coupled with poor documentation and guideline adherence. The findings suggest important areas for antimicrobial stewardship interventions.

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