Prevalence of Healthcare-Associated Infections in Acute Care Hospitals in Jacksonville, Florida

被引:198
作者
Magill, Shelley S. [1 ]
Hellinger, Walter [2 ]
Cohen, Jessica [1 ,3 ]
Kay, Robyn [4 ]
Bailey, Christine [5 ]
Boland, Bonnie [6 ]
Carey, Darlene [7 ]
de Guzman, Jessica [8 ]
Dominguez, Karen [9 ]
Edwards, Jonathan [1 ]
Goraczewski, Lori [2 ]
Horan, Teresa [1 ]
Miller, Melodee [10 ]
Phelps, Marti [9 ]
Saltford, Rebecca [11 ]
Seibert, Jacquelyn [2 ]
Smith, Brenda [2 ]
Starling, Patricia [8 ]
Viergutz, Bonnie [12 ]
Walsh, Karla [6 ]
Rathore, Mobeen [5 ]
Guzman, Nilmarie
Fridkin, Scott [1 ]
机构
[1] Ctr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, GA 30333 USA
[2] Mayo Clin, Jacksonville, FL 32224 USA
[3] Atlanta Res & Educ Fdn, Decatur, GA USA
[4] Florida Dept Hlth, Jacksonville, FL USA
[5] Wolfson Childrens Hosp, Jacksonville, FL USA
[6] Baptist Med Ctr Downtown, Jacksonville, FL USA
[7] Univ Florida, Shands Hosp, Jacksonville, FL USA
[8] Baptist Med Ctr Beaches, Jacksonville, FL USA
[9] St Vincents Med Ctr, Jacksonville, FL USA
[10] Orange Pk Med Ctr, Orange Pk, FL USA
[11] Baptist Med Ctr S, Jacksonville, FL USA
[12] St Lukes Hosp, Jacksonville, FL USA
关键词
NOSOCOMIAL INFECTIONS; ACQUIRED INFECTIONS; ANTIBIOTIC USE; UNITED-STATES; SURVEILLANCE;
D O I
10.1086/664048
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
OBJECTIVE. To determine healthcare-associated infection (HAI) prevalence in 9 hospitals in Jacksonville, Florida; to evaluate the performance of proxy indicators for HAIs; and to refine methodology in preparation for a multistate survey. DESIGN. Point prevalence survey. PATIENTS. Acute care inpatients of any age. METHODS. HAIs were defined using National Healthcare Safety Network criteria. In each facility a trained primary team (PT) of infection prevention (IP) staff performed the survey on 1 day, reviewing records and collecting data on a random sample of inpatients. PTs assessed patients with one or more proxy indicators (abnormal white blood cell count, abnormal temperature, or antimicrobial therapy) for the presence of HAIs. An external IP expert team collected data from a subset of patient records reviewed by PTs to assess proxy indicator performance and PT data collection. RESULTS. Of 851 patients surveyed by PTs, 51 had one or more HAIs (6.0%; 95% confidence interval, 4.5%-7.7%). Surgical site infections (n = 18), urinary tract infections (n = 9), pneumonia (n = 9), and bloodstream infections (n = 8) accounted for 75.8% of 58 HAIs detected by PTs. Staphylococcus aureus was the most common pathogen, causing 9 HAIs (15.5%). Antimicrobial therapy was the most sensitive proxy indicator, identifying 95.5% of patients with HAIs. CONCLUSIONS. HAI prevalence in this pilot was similar to that reported in the 1970s by the Centers for Disease Control and Prevention's Study on the Efficacy of Nosocomial Infection Control. Antimicrobial therapy was a sensitive screening variable with which to identify those patients at higher risk for infection and reduce data collection burden. Additional work is needed on validation and feasibility to extend this methodology to a national scale.
引用
收藏
页码:283 / 291
页数:9
相关论文
共 40 条
  • [1] Prevalence of nosocomial infections in France:: results of the nationwide survey in 1996
    Astagneau, P
    Branger, B
    Dumartin, C
    Gayet, S
    Lepoutre, A
    Parneix, P
    Savey, A
    Bientz, M
    Brücker, G
    Carlet, J
    Chaperon, J
    Lejeune, B
    Cullet, D
    Fabry, J
    Golliot, F
    Gulian, C
    Jacquelinet, C
    Labadie, JC
    Sartor, C
    Kadi, Z
    Gachie, JP
    [J]. JOURNAL OF HOSPITAL INFECTION, 2000, 46 (03) : 186 - 193
  • [2] A one-day prevalence survey of hospital-acquired infections in Lebanon
    Azzam, R
    Dramaix, M
    [J]. JOURNAL OF HOSPITAL INFECTION, 2001, 49 (01) : 74 - 78
  • [3] INFECTIONS AND ANTIBIOTIC USE AMONG PATIENTS AT BOSTON CITY HOSPITAL FEBRUARY 1967
    BARRETT, FF
    CASEY, JI
    FINLAND, M
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 1968, 278 (01) : 5 - &
  • [4] Surveillance of hospital-acquired infections: A model for settings with resource constraints
    Brusaferro, Silvio
    Regattin, Laura
    Faruzzo, Alda
    Grasso, Adriana
    Basile, Marco
    Calligaris, Laura
    Scudeller, Luigia
    Viale, Pierluigi
    [J]. AMERICAN JOURNAL OF INFECTION CONTROL, 2006, 34 (06) : 362 - 366
  • [5] Moving toward elimination of healthcare-associated infections: A call to action
    Cardo, Denise
    Dennehy, Penelope H.
    Halverson, Paul
    Fishman, Neil
    Kohn, Mel
    Murphy, Cathryn L.
    Whitley, Richard J.
    [J]. AMERICAN JOURNAL OF INFECTION CONTROL, 2010, 38 (09) : 671 - 675
  • [6] Centers for Disease Control and Prevention, National Healthcare Safety Network-about NHSN
  • [7] Danchaivijitr Somwang, 2007, Journal of the Medical Association of Thailand, V90, P1524
  • [8] Multicenter Study of Clostridium difficile Infection Rates from 2000 to 2006
    Dubberke, Erik R.
    Butler, Anne M.
    Yokoe, Deborah S.
    Mayer, Jeanmarie
    Hota, Bala
    Mangino, Julie E.
    Khan, Yosef M.
    Popovich, Kyle J.
    Fraser, Victoria J.
    [J]. INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2010, 31 (10) : 1030 - 1037
  • [9] Surveillance of healthcare-associated infections in Indonesian hospitals
    Duerink, DO
    Roeshadi, D
    Wahjono, H
    Lestari, ES
    Hadi, U
    Wille, JC
    De Jong, RM
    Nagelkerke, NJD
    Van den Broek, PJ
    [J]. JOURNAL OF HOSPITAL INFECTION, 2006, 62 (02) : 219 - 229
  • [10] SURVEILLANCE OF NOSOCOMIAL INFECTIONS IN COMMUNITY HOSPITALS .I. SURVEILLANCE METHODS, EFFECTIVENESS, AND INITIAL RESULTS
    EICKHOFF, TC
    BRACHMAN, PS
    BENNETTT, JV
    BROWN, JF
    [J]. JOURNAL OF INFECTIOUS DISEASES, 1969, 120 (03) : 305 - &