Monitoring healthcare-associated infections and antimicrobial use at regional level through repeated point prevalence surveys: what can be learnt?
| Autor: | Arnoldo, L, Smaniotto, C, Celotto, D, Brunelli, L, Cocconi, R, Tignonsini, D, Faruzzo, A, Brusaferro, S, Collazzo, R, Mansutti, M, Martellotta, F, Giacomini, M, Del Ben, G, Vigo, C, Marino, M, Farneti, F, Franca, G, Calligaris, L, Giuliani, C, Perossa, R, Carlovich, C, Valentinis, A, Compassi, S, Guarneri, S, Rasman, W, Kette, F, Toscani, P, Crapis, M, Santarossa, A, Bigaran, A, Maggiore, A, Croci, E, Germanis, L, Perulli, A, Monteverdi, D, Zobec, S, Benedetti, G, Montesi, Mc, Petronio, L, Sfreddo, P, Giurco, C, Rieppi, C, Alessandrini, V, Zuliani, P, Polonia, M, Pipan, C, the FVG Regional 'safety Care' Group |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Microbiology (medical) Healthcare associated infections Infection prevention and control animal structures Adolescent Prevalence 030501 epidemiology Young Adult 03 medical and health sciences Environmental health Humans Medicine Infection control Healthcare-associated infection Child Aged Aged 80 and over Repeated prevalence Cross Infection Infection Control 0303 health sciences 030306 microbiology business.industry Infant Newborn Infant virus diseases General Medicine Middle Aged Drug Utilization Hospitals Anti-Bacterial Agents Friuli venezia giulia Antimicrobial use Infectious Diseases Italy Child Preschool Female Disease prevention Health Services Research 0305 other medical science business |
| Zdroj: | Journal of Hospital Infection. 101:447-454 |
| ISSN: | 0195-6701 |
| DOI: | 10.1016/j.jhin.2018.12.016 |
| Popis: | Healthcare-associated infections (HAIs) surveillance is an essential part of any infection prevention and control programme. Repeated point prevalence surveys (PPSs) according to European Centre for Disease Prevention and Control (ECDC) protocol have been implemented in all Friuli Venezia Giulia (FVG) region (Italy) acute hospitals to reduce and control HAIs.Using the repeated PPSs within a regional-healthcare system (RHS) to promote and evaluate infection prevention and control (IPC) programmes.The standard versions of the ECDC PPS protocols were used in all four surveys (2011, 2013, 2015, 2017). All RHS public and private accredited hospitals were involved within the 'safe care network' programme.The numbers of surveyed patients in the four PPSs were 3172, 3253, 2969 and 3036, respectively. Prevalence of HAIs and antimicrobial use (AU) decreased significantly from 2011: HAIs (P0.05) 7.1%, 6.3%, 5.5%, 5.8% and AU (P0.01) 40.4%, 39.2%, 36.0%, 37.2%, respectively. The appropriateness of duration of surgical prophylaxis increased significantly (24 h increased through surveys related to one in 2011: odds ratio (OR), 95% confidence interval (CI) 1.29, 0.92-1.81; 1.95, 1.31-2.91; 1.78, 1.20-2.64, respectively). The most frequently detected HAIs were: bloodstream, urinary tract, pneumonia and surgical site (more than the 70% of HAIs in each PPS).The FVG regional approach to HAIs and AU surveillance was able to contribute to reduce prevalence over a 7-year period. Furthermore, it was able to keep hospital attention on HAIs and AU through the years and to guarantee a standardized and comparable evaluation of HAIs and AU burden in all RHS hospitals, as well as impacting on HAIs and AU regional programmes. |
| Databáze: | OpenAIRE |
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