scholarly journals The prevalence study of hospital-acquired infections at different surgical departments in Banjaluka

2006 ◽  
Vol 134 (5-6) ◽  
pp. 229-233 ◽  
Author(s):  
Ljiljana Markovic-Denic ◽  
Slavenka Jankovic ◽  
Janja Bojanic ◽  
Natasa Maksimovic
Keyword(s):  
Surgical Site Infections ◽  
Point Prevalence ◽  
Prevalence Study ◽  
Fast Method ◽  
Point Prevalence Study ◽  
Hospital Acquired Infections ◽  
Clinical Center ◽  
Cdc Guidelines ◽  
Tract Infections ◽  
Hospital Acquired

Introduction: Prevalence study is simple, cheap and fast method that provides information about hospital-acquired infections (HAI). Objective: To assess the HAI prevalence at different surgical departments in the Clinical Center of Banjaluka. Method: A point prevalence study design was used. All patients (N = 174) hospitalized on July, 1st, 1999 were included in the study. The study was performed by following the CDC guidelines. All patients with clinically manifested infections on the day of study in all surgical departments were recorded. Infections of more than one site in the same patient were considered separate infections. Results: The overall prevalence of patients with HAI was 16.1% (28/174; 95%CI = 10.4-21.6) and the overall HAI prevalence was 18.4% (32/174). Surgical-site infections were the most prevalent (6.3%) followed by skin/soft tissue infections (4.6%) and urinary tract infections (4.0%). More than two thirds (87.5%) of HAI were microbiologically documented. The most commonly isolated microorganisms were Pseudomonas aeruginosa (29.7%), Enterobacter spp. (24.3%) and Staphylococcus aureus (16.2%). Conclusion: This point prevalence study clearly showed the magnitude of HAI problem at different surgical departments in the Clinical Center of Banjaluka, the most prevalent anatomic localizations of HAI, and the most common causes.

Pediatric Sepsis in Our Community: A Point Prevalence Study

2019 ◽  
Vol 15 (01) ◽  
pp. 039-047
Author(s):  
Ryan K. Breuer ◽  
Frank Carnevale ◽  
Jessica Donhauser ◽  
Mika Iwano ◽  
Bree Kramer ◽  
...  
Keyword(s):  
New York ◽  
Respiratory Tract ◽  
Lower Respiratory Tract ◽  
Acute Infection ◽  
Point Prevalence ◽  
Urgent Care ◽  
Prevalence Study ◽  
Point Prevalence Study ◽  
Pediatric Sepsis ◽  
Tract Infections

Abstract Objective Hospital-based studies are the main sources of epidemiologic data on pediatric sepsis, underrepresenting those managed as outpatients. This may disadvantage community providers, especially when determining triage, referral, and follow-up. Our objective was to characterize sepsis in nonhospitalized children and describe resources allocated to their care. Methods This was a point prevalence study conducted in 11 primary care (PC) offices, 2 urgent care (UC) centers, and 1 pediatric emergency department (ED) serving Western New York. Patients aged 18 years and younger evaluated at a participating site on one of four study dates over a 12-month period were eligible to participate. Patients were included if temperature and heart rate and/or respiratory rate were documented during their visit. The primary outcome was the prevalence of sepsis in participating sites. Results Of 3,269 eligible children, 52.6% (n = 1,719) met inclusion criteria, 91% of whom (n = 1,576) were evaluated for acute infection. Sepsis criteria were met by 8.8% of these patients (22.4% in ED, 13.0% in UC centers, and 1.6% in PC offices). Most (74%) patients with sepsis were managed solely by initial site and sent home. However, meeting sepsis criteria was associated with higher odds of escalation of care beyond initial site (adjusted odds ratio [aOR]: 2.59, 95% confidence interval [CI]: 1.62–4.17). The presence of tachycardia (aOR: 2.88, 95% CI: 1.70–4.90) or a lower respiratory tract infection (aOR: 3.69, 95% CI: 2.28–5.99) was also independently associated with higher odds of care escalation. Conclusion Nearly 1 in 10 children seeking outpatient evaluation for infection met sepsis criteria. While most were managed without transfer or hospital admission, the diagnosis did carry higher odds of care escalation. Tachycardia and lower respiratory tract infections also conveyed an increased likelihood, suggesting additional screening possibilities for outpatient clinicians.

Multicenter Study of the Prevalence of Nosocomial Infections in Italian Hospitals

2004 ◽  
Vol 25 (1) ◽  
pp. 85-87 ◽  
Author(s):  
Carlo Di Pietrantonj ◽  
Lorenza Ferrara ◽  
G. Lomolino
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Multicenter Study ◽  
Nosocomial Infections ◽  
Point Prevalence ◽  
Prevalence Study ◽  
Infection Rates ◽  
Point Prevalence Study ◽  
Tract Infections

AbstractA point-prevalence study of nosocomial infections was conducted in 10 generai hospitals in northwestern Italy in June and July 2000. Infection rates were compared by type and site among the different hospitals. Urinary tract infections were most frequent, accounting for 57.8% of 128 nosocomial infections.

scholarly journals Point prevalence study of hospital acquired infection in an italian hospital

2018 ◽  
Vol 28 (suppl_4) ◽  
Author(s):  
F Gori ◽  
L Kundisova ◽  
G Bocci ◽  
C Quercioli ◽  
G Santoriello ◽  
...  
Keyword(s):  
Point Prevalence ◽  
Prevalence Study ◽  
Point Prevalence Study ◽  
Hospital Acquired Infection ◽  
Italian Hospital ◽  
Hospital Acquired

Healthcare associated urinary tract infections: a protocol for a national point prevalence study

2014 ◽  
Vol 19 (1) ◽  
pp. 26-31 ◽  
Author(s):  
Brett Mitchell ◽  
Anne Gardner ◽  
Wendy Beckingham ◽  
Oyebola Fasugba
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Point Prevalence ◽  
Prevalence Study ◽  
Point Prevalence Study ◽  
Tract Infections ◽  
Healthcare Associated

scholarly journals A point prevalence study of catheter associated urinary tract infections among patients admitted in an university hospital

2019 ◽  
Vol 7 (11) ◽  
pp. 3964
Author(s):  
Filippo Binda ◽  
Antonia Demarchi ◽  
Alessandro Galazzi ◽  
Gabriella Nicolò ◽  
Alberto Bisesti ◽  
...  
Keyword(s):  
Escherichia Coli ◽  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Urinary Catheter ◽  
Point Prevalence ◽  
Adult Patients ◽  
Prevalence Study ◽  
Point Prevalence Study ◽  
Gram Negative ◽  
Tract Infections

Background: Urinary tract infections (UTIs) are the most common type of healthcare associated infection in acute care hospitals. Most involve urinary drainage devices, such as urinary catheter. The objective of this study was to investigate the prevalence of catheter-associated urinary tract infections in adult patients of a tertiary level university hospital.Methods: The point prevalence study was conducted in one single day and included all adult patients admitted in medical, surgical wards and intensive care units. The Centre for Disease Control (CDC) criteria were adopted to classify the different type of UTIs.Results: Out of a total of 497 adult inpatients, 94 patients had a urinary catheter for at least 48 hours. The prevalence of symptomatic urinary tract infection (SUTI) in this sample is 17%. Escherichia coli (31.2%), Enterococcus faecium (25.0%) and Enterococcus faecalis (12.5%) are the most common pathogens found.Conclusions: The main isolated uropathogens in this study are Gram-negative and Escherichia coli remains one of the most frequent cause of UTIs in human. Gram-negative pathogens have multiple virulent factors responsible for their adherence to uroepithelium and urinary catheter positioning facilitates the transmission of these pathogens to urinary tract. Urinary catheterization is frequently used as solution to facilitate continence and maintain skin integrity in elderly patients. Urinary incontinence frequently is an example of inappropriate use of urinary catheter: for that reason, urinary catheter should be considered as the last option if other solution, like incontinence pads, are not indicated.

scholarly journals Bugs Can Be Busted: How to Prevent Hospital-Acquired Infections A Success Story of Norwegian American Hospital, Chicago, U.S.A, in Substantially Reducing Hospital-acquired Infection (HAI) Rates

2020 ◽  
Vol 5 (2) ◽  
Keyword(s):  
Gap Analysis ◽  
Bloodstream Infections ◽  
Surgical Site Infections ◽  
Infection Rates ◽  
Clinical Practices ◽  
American Hospital ◽  
Hospital Acquired Infections ◽  
Stewardship Program ◽  
Tract Infections ◽  
Hospital Acquired

Hospital-acquired infections (HAIs) including Central Line -Associated Bloodstream Infections (CLABSI), CatheterAssociated Urinary Tract Infections (CAUTI), Methicillin-Resistant Staphylococcus aureus (MRSA) infections, Clostridium difficle Infections (CDI), Surgical Site Infections (SSI), and Ventilator-Associated Pneumonia (VAP) are among the most common and serious patient safety threats in the health care settings, which contribute to significant morbidity, mortali-ty, length of patient stay, and healthcare cost. To combat increasing number of HAI, Norwegian American Hospital (NAH), Chicago, Illinois, USA, strategically developed, and successfully implemented a HAI control and prevention initia-tive in 2013. As a result, NAH dramatically reduced its infection rates over the next several years and the trend continues to date. Guided by Gap analysis, driven by data, gathered from both internal and external sources, and supported by hospital leadership, NAH initiated a process of gradual and transformational re-forms, by engaging, educating and empowering all clinical and administrative staff, patients, their families and community, promoting a culture of mutual responsibility, incorporating best practic-es, integrating technology into clinical practices, developing electronic standing order- sets and nurse-driven protocols, creating hand hygiene, sepsis and sexually transmitted infections task forces, and antimicrobial stewardship program, NAH successfully managed to achieve and maintain high-quality standards of patient care and lower then national benchmarks HAI rates for the last four consecutive years (January 2016 to December 2019). Among the device-associated infections (CAUTI/CLABSI), we encountered only one CAUTI and no CLABSI in 2016, none in 2017, only one CAUTI and no CLABSIs in 2018 and only one CAU-TI and one CLABSI in 2019. Furthermore, our VAP rate remained zero, we had only one SSI in 2019 and the C. Difficle Infection rates have also been steadily declining since the implementation of new preventive measures. As a result, NAH received several recognition awards from the lo-Cal as well as national health organizations.

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