Details:

Alternative Title:
Infect Control Hosp Epidemiol
Personal Author:
Magill, Shelley S. ; Hellinger, Walter ; Cohen, Jessica ; Kay, Robyn ; Bailey, Christine ; ... More +
Magill, Shelley S. ; Hellinger, Walter ; Cohen, Jessica ; Kay, Robyn ; Bailey, Christine ; Boland, Bonnie ; Carey, Darlene ; de Guzman, Jessica ; Dominguez, Karen ; Edwards, Jonathan ; Goraczewski, Lori ; Horan, Teresa ; Miller, Melodee ; Phelps, Marti ; Saltford, Rebecca ; Seibert, Jacquelyn ; Smith, Brenda ; Starling, Patricia ; Viergutz, Bonnie ; Walsh, Karla ; Rathore, Mobeen ; Guzman, Nilmarie ; Fridkin, Scott Less -
Description:
Objective

To determine healthcare-associated infection (HAI) prevalence in nine Jacksonville, FL hospitals, evaluate the performance of proxy indicators for HAIs, and refine methodology in preparation for a multi-state 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 ≥1 proxy indicator (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 ≥1 HAI (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 from CDC’s Study on the Efficacy of Nosocomial Infection Control. Antimicrobial therapy was a sensitive screening variable with which to identify higher-risk patients and reduce data collection burden. Additional work is needed on validation and feasibility to extend this methodology to a national scale.


Subject:
[+]
Adolescent
Adult
Aged
Aged, 80 And Over
Anti-Infective Agents
Child
Child, Preschool
Cross Infection
Female
Gram-Negative Bacterial Infections
Gram-Positive Bacterial Infections
Health Surveys
Hospitals
Humans
Infant
Infant, Newborn
Male
Middle Aged
Pilot Projects
Prevalence
Young Adult

Source:
Infect Control Hosp Epidemiol. 33(3):283-291
Pubmed ID:
22314066
Pubmed Central ID:
PMC4648350
Document Type:
Journal Article
Funding:
CC999999/Intramural CDC HHS/United States
Place as Subject:
Florida
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:b3b7e32c196a4799c07c5290663b67ef446195ac238d1b6b0e6c8ec49ff6ba39
File Type:

Supporting Files

• nihms735013.nxml

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