Surveillance of healthcare-associated infections in Indonesian hospitals
| Autor: | Hendro Wahjono, Jan C. Wille, Usman Hadi, D. Roeshadi, Nico Nagelkerke, D.O. Duerink, P. J. van den Broek, Endang Sri Lestari, R.M. De Jong |
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| Rok vydání: | 2006 |
| Předmět: |
Adult
Male Microbiology (medical) Pediatrics medicine.medical_specialty Adolescent Cross-sectional study Prevalence Obstetrics and gynaecology Sepsis Intensive care Epidemiology Health care medicine Humans Infection control Child Hospitals Teaching Aged Aged 80 and over Observer Variation Cross Infection Infection Control business.industry Public health Infant Newborn Infant General Medicine Middle Aged Cross-Sectional Studies Infectious Diseases Indonesia Child Preschool Health Care Surveys Urinary Tract Infections Emergency medicine Female Phlebitis business |
| Zdroj: | Journal of Hospital Infection. 62:219-229 |
| ISSN: | 0195-6701 |
| DOI: | 10.1016/j.jhin.2005.08.004 |
| Popis: | A cross-sectional surveillance of healthcare-associated infections (HAIs) and exposure to risk factors was undertaken in two Indonesian teaching hospitals (Hospitals A and B). Patients from internal medicine, surgery, obstetrics and gynaecology, paediatrics, a class department and intensive care were included. Patient demographics, antibiotic use, culture results, presence of HAI [phlebitis, surgical site infection (SSI), urinary tract infection (UTI) and septicaemia] and risk factors were recorded. To check for interobserver variation, a validation study was performed in Hospital B. In Hospitals A and B, 1,334 and 888 patients were included, respectively. Exposure to invasive devices and surgery was 59%. In Hospital A, 2.8% of all patients had phlebitis, 1.7% had SSI, 0.9% had UTI and 0.8% had septicaemia. In Hospital B, 3.8% had phlebitis, 1.8% had SSI, 1.1% had UTI and 0.8% had septicaemia. In the validation study, the prevalence as recorded by the first team was 2.6% phlebitis, 1.8% SSI, 0.9% UTI and no septicaemia, and that recorded by the second team was 2.2% phlebitis, 2.6% SSI, 3.5% UTI and 0.9% septicaemia. This study is the first to report on HAI in Indonesia. Prevalence rates are comparable to those in other countries. The reliability of the surveillance was insufficient as a considerable difference in prevalence rates was found in the validation study. The surveillance method used is a feasible tool for hospitals in countries with limited healthcare resources to estimate their level of HAI and make improvements in infection control. Efficiency can be improved by restricting the surveillance to include only those patients with invasive procedures. This can help to detect 90% of all infections while screening only 60% of patients. |
| Databáze: | OpenAIRE |
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