Hospital-Acquired Infections in Norway: A National Prevalence Survey in 1991

1992 ◽  
Vol 24 (4) ◽  
pp. 477-483 ◽  
Author(s):  
Preben Aavitsland ◽  
Marit Stormark ◽  
Arve Lystad
2010 ◽  
Vol 75 (3) ◽  
pp. 163-167 ◽  
Author(s):  
B. Gordts ◽  
F. Vrijens ◽  
F. Hulstaert ◽  
S. Devriese ◽  
S. Van de Sande

1988 ◽  
Vol 11 (4) ◽  
pp. 328-334 ◽  
Author(s):  
H. Šrámová ◽  
A. Bartoňová ◽  
S. Bolek ◽  
M. Krečmerová ◽  
V. Šubertová

2019 ◽  
Vol 74 (10) ◽  
pp. 3104-3110
Author(s):  
C L Gibbons ◽  
W Malcolm ◽  
J Sneddon ◽  
C Doherty ◽  
S Cairns ◽  
...  

Abstract Background The majority of antimicrobial stewardship programmes focus on prescribing in adult populations; however, there is a recognized need for targeted paediatric antimicrobial stewardship to improve the quality and safety of prescribing amongst this patient group. Objectives To describe the current epidemiology of antimicrobial prescribing in paediatric inpatient populations in Scotland to establish a baseline of evidence and identify priority areas for quality improvement to support a national paediatric antimicrobial stewardship programme. Methods A total of 559 paediatric inpatients were surveyed during the Scottish national point prevalence survey of healthcare-associated infections and antimicrobial prescribing, 2016. The prevalence of antimicrobial prescribing was calculated and characteristics of antimicrobial prescribing were described as proportions and compared between specialist hospitals and paediatric wards in acute hospitals. Results Prevalence of antimicrobial use in paediatric inpatients was 35.4% (95% CI = 31.6%–39.4%). Treatment of community- and hospital-acquired infections accounted for 47.1% and 20.7% of antimicrobial use, respectively, with clinical sepsis being the most common diagnosis and gentamicin the most frequently prescribed antimicrobial for the treatment of infection. The reason for prescribing was documented in the notes for 86.5% of all prescriptions and, of those assessed for compliance against local policy, 92.9% were considered compliant. Conclusions Data from national prevalence surveys are advantageous when developing antimicrobial stewardship programmes. Results have highlighted differences in the prescribing landscape between paediatric inpatient populations in specialist hospitals and acute hospitals, and have informed priorities for the national antimicrobial stewardship programme, which reinforces the need for a targeted paediatric antimicrobial stewardship programme.


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 ◽  
...  

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


Author(s):  
Sandeep Boora ◽  
Parul Singh ◽  
Arun Verma ◽  
Ashok Chauhan ◽  
Amit Lathwal ◽  
...  

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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