Prospective Surveillance of Healthcare-Associated Infections in Residents in Four Long-Term Care Facilities in Graz, Austria
| Autor: | Walter Schippinger, Ines Zollner-Schwetz, Michael Uhlmann, Robert Krause, Mara Medwed, Christian Pux, Elisabeth König |
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| Rok vydání: | 2021 |
| Předmět: |
Microbiology (medical)
Healthcare associated infections medicine.medical_specialty health-care associated infections Psychological intervention RM1-950 030501 epidemiology nursing homes Biochemistry Microbiology Health centre Article 03 medical and health sciences 0302 clinical medicine medicine nosocomial infections Antimicrobial stewardship Infection control Pharmacology (medical) 030212 general & internal medicine General Pharmacology Toxicology and Pharmaceutics Respiratory tract infections business.industry Long-term care Infectious Diseases Emergency medicine Therapeutics. Pharmacology long term care facility 0305 other medical science business Reporting system |
| Zdroj: | Antibiotics Antibiotics, Vol 10, Iss 544, p 544 (2021) Volume 10 Issue 5 |
| ISSN: | 2079-6382 |
| Popis: | Healthcare-associated infections (HCAI) are a common cause for residents’ mortality and morbidity associated with a significant socio-economic burden. Data on HCAIs in Austrian long-term care facilities are scare. Therefore, we evaluated the incidence rate of HCAIs per 1000 resident days in four LTC facilities in Graz, Austria, characterized the spectrum of HCAIs and the use of antimicrobial substances. We conducted a prospective surveillance study from 1 January to 31 December 2018 in four LTCFs of the Geriatric Health Centre of the City of Graz (total of 388 beds). Nursing staff collected data on HCAIs once a week using an electronic reporting system. During the 12-month surveillance period, 252 infections of 165 residents were recorded. The overall incidence rate of HCAIs was 2.1 per 1000 resident days. Urinary tract infections were the most commonly recorded HCAIs (49%, 124/252, 1.03 per 1000 resident days), followed by skin and soft tissue infections and respiratory tract infections. Beta-lactams (ATC class J01C) were prescribed most frequently (63/212), followed by fluoroquinolones (J01M 54/212). In conclusion, the overall incidence rate for HCAIs was relatively low at 2.1 per 1000 resident days. Our real-life data can serve as a basis for future antimicrobial stewardship and infection prevention interventions. |
| Databáze: | OpenAIRE |
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