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

Details

• Alternative Title:
  Infect Control Hosp Epidemiol
• Personal Author:
  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
• 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.
  
  
• Subjects:
  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

  More +
• Source:
  Infect Control Hosp Epidemiol. 33(3):283-291
• Pubmed ID:
  22314066
• Pubmed Central ID:
  PMC4648350
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHSUnited States/
• Place as Subject:
  Florida
• Volume:
  33
• Issue:
  3
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:b3b7e32c196a4799c07c5290663b67ef446195ac238d1b6b0e6c8ec49ff6ba39
• Download URL:
  https://stacks.cdc.gov/view/cdc/36664/cdc_36664_DS1.pdf
• File Type:
  [PDF - 184.01 KB ]