One-day point prevalence of healthcare-associated infections and antimicrobial use in four countries in Latin America
Autor: | W. Trindade-Clemente, Fernando Rosso-Suárez, Rayo Morfin-Otero, M. Guzmán-Blanco, S. Moreno-Espinosa, L. Braga, E. Landaeta-Nezer, L. García-Mollinedo, Patricia Rodríguez-Zulueta, Sandra Valderrama-Beltrán, R. Huerta-Gutiérrez, A. Rosado-Buzzo, Adrián Camacho-Ortiz, Denusa Wiltgen, Humberto Díaz-Ponce |
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Rok vydání: | 2019 |
Předmět: |
Adult
Male 0301 basic medicine Microbiology (medical) Healthcare associated infections medicine.medical_specialty animal structures Latin Americans medicine.drug_class 030106 microbiology Antibiotics Prevalence lcsh:Infectious and parasitic diseases 03 medical and health sciences Drug Utilization Review 0302 clinical medicine Risk Factors Surveys and Questionnaires Environmental health Acute care medicine Humans Surgical Wound Infection lcsh:RC109-216 030212 general & internal medicine National data Cross Infection business.industry virus diseases General Medicine Middle Aged medicine.disease Hospitals Anti-Bacterial Agents Pneumonia Latin America Infectious Diseases Antimicrobial use Female Epidemiologic Methods business |
Zdroj: | International Journal of Infectious Diseases, Vol 86, Iss, Pp 157-166 (2019) |
ISSN: | 1201-9712 |
Popis: | Background and aims: Experience in the region shows that in some countries there is very good surveillance of Healthcare-associated infections (HAIs) in health services, but there is no national data consistently in all countries. Therefore, we set to estimate the total burden of HAIs and antimicrobial use in acute care hospitals in Brazil, Venezuela, Mexico, and Colombia using the one-day point prevalence methodology. Methods: The survey was conducted between June and July 2016. In each ward or unit, HAIs and antimicrobial use data were collected on a single day by a trained team of researchers. Also, for each patient, we collected data on risk factors for infections. Results: One out of ten individuals surveyed had at least one healthcare-associated infection (HAI). Pneumonia and surgical site infections were the most relevant among the surveyed countries. Most of the surveyed participants, regardless of their HAI status, received antibiotics except the individuals managed in Brazil. Carbapenems and third-generation Cephalosporins were among the most frequently used antibiotics. Conclusion: Our results add to WHO’s recent efforts to understand HAIs prevalence and antibiotic consumption in low and middle-income countries, of which we studied three that were not included in their last report. Keywords: Healthcare-associated infections, Antibiotics, One day prevalence, Public hospitals, Infectology, Nosocomial infections |
Databáze: | OpenAIRE |
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