scholarly journals INT-009 Point Prevalence Studies on Antibiotic Usage at the Children’s University Hospital

2013 ◽  
Vol 20 (Suppl 1) ◽  
pp. A220.3-A221
Author(s):  
I Sviestina ◽  
D Mozgis
2013 ◽  
Vol 13 (2) ◽  
pp. 34-41
Author(s):  
E Malobicka ◽  
D Roskova ◽  
V Svihrova ◽  
H. Hudeckova

Abstract Nosocomial infections are a serious problem not only in Slovakia but in all countries. The European Commission decided on their standardized surveillance in the whole European Union. According methodology elaborated by experts from the European Centre for Disease Control and Prevention in Stockholm we performed a point prevalence survey in the University Hospital Martin. Our observed prevalence of nosocomial infections in University Hospital Martin within the point prevalence study was 5.2%. The highest point prevalence of nosocomial infections was found at the Surgical Department (9.3%). The most common type of nosocomial infections was urological infections (27.3%), sepsis (22.7%) and surgical site infection (22.7%). The most common microorganisms isolated from the biological material were Klebsiella pneumoniae, Pseudomonas aeruginosa and Proteus mirabilis. Appropriate method of nosocomial infections surveillance is monitoring their prevalence in the point prevalence studies. International projects of nosocomial infections in the EU allow to compare the obtained results with other hospitals in the Member States.


ANKEM Dergisi ◽  
2015 ◽  
Author(s):  
Ayşe SAĞMAK TARTAR ◽  
Affan DENK ◽  
Mehmet ÖZDEN ◽  
Yasemin ÇELİK KIRIK ◽  
Ayhan AKBULUT ◽  
...  

2015 ◽  
Vol 7 (02) ◽  
pp. 108-111 ◽  
Author(s):  
Tuhina Banerjee ◽  
Shampa Anupurba ◽  
Joel Filgona ◽  
Dinesh K Singh

ABSTRACT Background: Alarming rise of vancomycin-resistant enterococci (VRE) is a global cause of concern. Several factors have been held responsible for such rise, of which antibiotic usage is a prominent one. Objectives: This study was undertaken to determine the intestinal VRE colonization rate amongst hospitalized patients in relation to use of various antibiotics in the Intensive Care Unit (ICU) of a tertiary care university hospital, India. Materials and Methods: Stool samples were collected weekly from all the patients in the adult ICU for a period of 6 months and processed for isolation and phenotypic and genotypic characterization of VRE isolates. Patient and treatment details were noted and cases (those with VRE in stool) and controls (those without VRE in stool) were compared statistically. Further, a multivariate analysis was done to identify those antibiotics as independent risk factors for VRE colonization. Results: VRE colonization was found in 34.56% (28/81) of the patients studied, with the majority 75% (21/28) carrying the vanA gene. The cases had significantly more (P < 0.05) duration of hospital stay and antibiotic exposure. Intake of metronidazole, vancomycin, and piperacillin-tazobactam were identified as significant risk factors both in univariate and multivariate analysis. Conclusion: A potential reservoir of VRE was thus revealed even in low VRE prevalence setting. Based on this high colonization status, restriction of empirical antibiotic use, reviewing of the ongoing antibiotic policy, and active VRE surveillance as an integral part of infection control strategy were suggested.


2021 ◽  
pp. 175717742110358
Author(s):  
Sailesh Kumar Shrestha ◽  
Swarup Shrestha ◽  
Sisham Ingnam

Information on the burden of healthcare-associated infections (HAIs) and patterns of antibiotic use are prerequisites for infection prevention and control (IPC) and antibiotics stewardship programmes. However, a few studies have been reported from resource-limited settings and many of them have not used standard definitions to diagnose HAI precluding benchmarking with regional or international data. This study aims to estimate the prevalence of HAIs and antibiotic use in our centre. We conducted a point prevalence survey in a 350-bed university hospital in Kathmandu, Nepal in April 2019. We reviewed all patients aged ⩾ 18 years admitted to the hospital for at least two calendar days and evaluated for the three common HAIs—pneumonia, urinary tract infection and surgical site infection. We used the clinical criteria by the European Center for Disease Prevention and Control to diagnose the HAIs. We also collected information on the antibiotics used. Of 160 eligible patients, 18 (11.25%) had HAIs and 114 (87.5%) were on antibiotics, with more than half of them (61/114 patients, 53.5%) receiving two or more antibiotics. This highlights the need for effective implementation of IPC as well as antibiotics stewardship programmes in our centre.


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