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

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.

Internal and External Validation of a Computer-Assisted Surveillance System for Hospital-Acquired Infections in a 754-Bed General Hospital in the Netherlands

2016 ◽  
Vol 37 (11) ◽  
pp. 1355-1360 ◽  
Author(s):  
H. Roel A. Streefkerk ◽  
Ivar O. Lede ◽  
John L. V. Eriksson ◽  
Marije G. Meijling ◽  
Conrad P. van der Hoeven ◽  
...  
Keyword(s):  
The Netherlands ◽  
External Validation ◽  
Point Prevalence ◽  
Computer Assisted ◽  
Prevalence Survey ◽  
Internal Validation ◽  
Hospital Acquired Infections ◽  
Point Prevalence Survey ◽  
A Prospective Study ◽  
Hospital Acquired

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

scholarly journals A point prevalence survey study (PPS) of antimicrobial consumption in a tertiary care super-speciality hospital of West Bengal

2021 ◽  
Vol 8 (3) ◽  
pp. 200-204
Author(s):  
Raja Chakraverty ◽  
Kalyan Samanta
Keyword(s):  
West Bengal ◽  
Tertiary Care ◽  
Point Prevalence ◽  
Survey Study ◽  
Care Hospital ◽  
Antimicrobial Consumption ◽  
Prevalence Survey ◽  
Record System ◽  
Point Prevalence Survey ◽  
Number Of Patients

Antimicrobial resistance (AMR) is an emerging global health issue. Resistance occurs when bacteria, parasites, viruses or fungi are exposed to antimicrobials but not killed by them. The study was conducted to gather baseline information to assess the antimicrobial consumption practices across six departments in a tertiary care super speciality hospital of West Bengal. Modified version of a patient data collection form proposed by Global PPS was developed on Epi Info software version 7 (CDC). Data of all patients in ward at 08.00 am data were studied. The use of antimicrobials was categorized as empiric, prophylactic or lab based. This classification is not mentioned in the files, so a response from the doctor taking care of the patient was noted.A total of 85 patient related data was collected in the designated survey form. Total beds covered was 340 and the number of patients on antimicrobials was found to be low at 21.27 %. The patients surveyed were predominantly female (78.8 %). The mean number of antimicrobials per patient was found to be 1.62 (range of 1.4 to 2.2) Relatively low number of patients were found to be on 2 or more antimicrobials. Double gram negative and Double anaerobic coverage of AM used varied across departments covered.:Our point prevalence study was able to facilitate conducting of point prevalence survey in high patient volume tertiary care hospital with paper based medical record system and also depicted the baseline parameters of intervention for instituting future action and policy changes.

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