Multi-state survey of healthcare-associated infections in acute care hospitals in Brazil.

Autor: Fortaleza CMCB; Faculdade de Medicina de Botucatu, Botucatu, São Paulo State, Brazil. Electronic address: cmfortaleza@uol.com.br., Padoveze MC; Escola de Enfermagem (School of Nursing), Universidade de São Paulo (USP), City of São Paulo, São Paulo State, Brazil., Kiffer CRV; Escola Paulista de Medicina (São Paulo School of Medicine), Universidade Federal de São Paulo (UNIFESP), City of São Paulo, São Paulo State, Brazil., Barth AL; Universidade Federal do Rio Grande do Sul (UFRGS), City of Porto Alegre, State of Rio Grande do Sul, Brazil., Carneiro ICDRS; Universidade Federal do Pará (UFPA), City of Belém, Pará State, Brazil., Giamberardino HIG; Hospital Pequeno Príncipe (HPP), City of Curitiba, State of Paraná, Brazil., Rodrigues JLN; Universidade Federal do Ceará, City of Fortaleza, State of Ceará, Brazil., Santos Filho L; Universidade Federal da Paraíba (UFPB), City of João Pessoa, State of Paraíba, Brazil., de Mello MJG; Instituto Medicina Integral Prof. Fernando Figueira (IMIP), City of Recife, State of Pernambuco, Brazil., Pereira MS; Pontifícia Universidade Católica (PUC) - Goiás, City of Goiânia, State of Goiás, Brazil., Gontijo Filho PP; Universidade Federal de Uberlândia (UFU), City of Uberlândia, State of Minas Gerais, Brazil., Rocha M; Fundação Instituto Oswaldo Cruz (FiOCruz), City of Rio de Janeiro, Rio de Janeiro State, Brazil., Servolo de Medeiros EA; Escola Paulista de Medicina (São Paulo School of Medicine), Universidade Federal de São Paulo (UNIFESP), City of São Paulo, São Paulo State, Brazil., Pignatari ACC; Escola Paulista de Medicina (São Paulo School of Medicine), Universidade Federal de São Paulo (UNIFESP), City of São Paulo, São Paulo State, Brazil.
Jazyk: angličtina
Zdroj: The Journal of hospital infection [J Hosp Infect] 2017 Jun; Vol. 96 (2), pp. 139-144. Date of Electronic Publication: 2017 Mar 23.
DOI: 10.1016/j.jhin.2017.03.024
Abstrakt: Background: Healthcare-associated infections (HCAIs) challenge public health in developing countries such as Brazil, which harbour social inequalities and variations in the complexity of healthcare and regional development.
Aim: To describe the prevalence of HCAIs in hospitals in a sample of hospitals in Brazil.
Methods: A prevalence survey conducted in 2011-13 enrolled 152 hospitals from the five macro-regions in Brazil. Hospitals were classified as large (≥200 beds), medium (50-199 beds) or small sized (<50 beds). Settings were randomly selected from a governmental database, except for 11 reference university hospitals. All patients with >48 h of admission to the study hospitals at the time of the survey were included. Trained epidemiologist nurses visited each hospital and collected data on HCAIs, subjects' demographics, and invasive procedures. Univariate and multivariate techniques were used for data analysis.
Findings: The overall HCAI prevalence was 10.8%. Most frequent infection sites were pneumonia (3.6%) and bloodstream infections (2.8%). Surgical site infections were found in 1.5% of the whole sample, but in 9.8% of subjects who underwent surgical procedures. The overall prevalence was greater for reference (12.6%) and large hospitals (13.5%), whereas medium- and small-sized hospitals presented rates of 7.7% and 5.5%, respectively. Only minor differences were noticed among hospitals from different macro-regions. Patients in intensive care units, using invasive devices or at extremes of age were at greater risk for HCAIs.
Conclusion: Prevalence rates were high in all geographic regions and hospital sizes. HCAIs must be a priority in the public health agenda of developing countries.
(Copyright © 2017 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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