tetano
Editor, Senior Moderator
J Infect Public Health. 2014 Dec 5. pii: S1876-0341(14)00182-8. doi: 10.1016/j.jiph.2014.11.001. [Epub ahead of print]
Need for more targeted measures - Only less severe hospital-associated infections declined after introduction of an infection control program.
Koch AM1, Nilsen RM2, Dalheim A3, Cox RJ4, Harthug S5.
Author information
Abstract
A systematic infection control program is found to be an important tool to reduce hospital-associated infections (HAIs) and surveillance of infection is a significant part of it. The aim of this paper was to present the result from 17 years continuous prevalence studies after implementation of a systematic infection control program, to examine trends of hospital-associated infections and to study possible risk factors for different sites of infection. Data from 61399 in-patients at Haukeland University Hospital, Norway, from 1994 to 2010 was included in the study. Overall prevalence of HAIs was 7.6%. There was a reduction in HAIs from 8.3% in 1994 to 7.1% in 2010 (relative decrease 14.4%), mostly attributable to a significant reduction in the prevalence of urinary tract infections (UTI). For surgical site infections (SSI) we found a borderline significant increase (p=0.05). Male gender (except for UTI), urinary tract catheter and surgical operation were all strong predictors for HAIs. Higher age was a risk factor for all infection types, except for BSI. In conclusion, repeated prevalence surveys demonstrated a significant reduction in HAIs but no decrease in hospital-associated BSI, LRTI and SSI. There was, however, a rapid decline of UTI and other less severe HAIs.
Copyright ? 2014 King Saud Bin Abdulaziz University for Health Sciences. Published by Elsevier Ltd. All rights reserved.
KEYWORDS:
Hospital-associated infection; Infection control program; Prevalence; Risk factors
PMID:
25488823
[PubMed - as supplied by publisher]
http://www.ncbi.nlm.nih.gov/pubmed/25488823
Need for more targeted measures - Only less severe hospital-associated infections declined after introduction of an infection control program.
Koch AM1, Nilsen RM2, Dalheim A3, Cox RJ4, Harthug S5.
Author information
Abstract
A systematic infection control program is found to be an important tool to reduce hospital-associated infections (HAIs) and surveillance of infection is a significant part of it. The aim of this paper was to present the result from 17 years continuous prevalence studies after implementation of a systematic infection control program, to examine trends of hospital-associated infections and to study possible risk factors for different sites of infection. Data from 61399 in-patients at Haukeland University Hospital, Norway, from 1994 to 2010 was included in the study. Overall prevalence of HAIs was 7.6%. There was a reduction in HAIs from 8.3% in 1994 to 7.1% in 2010 (relative decrease 14.4%), mostly attributable to a significant reduction in the prevalence of urinary tract infections (UTI). For surgical site infections (SSI) we found a borderline significant increase (p=0.05). Male gender (except for UTI), urinary tract catheter and surgical operation were all strong predictors for HAIs. Higher age was a risk factor for all infection types, except for BSI. In conclusion, repeated prevalence surveys demonstrated a significant reduction in HAIs but no decrease in hospital-associated BSI, LRTI and SSI. There was, however, a rapid decline of UTI and other less severe HAIs.
Copyright ? 2014 King Saud Bin Abdulaziz University for Health Sciences. Published by Elsevier Ltd. All rights reserved.
KEYWORDS:
Hospital-associated infection; Infection control program; Prevalence; Risk factors
PMID:
25488823
[PubMed - as supplied by publisher]
http://www.ncbi.nlm.nih.gov/pubmed/25488823