Longitudinal Trends in All Healthcare-Associated Infections through Comprehensive Hospital-wide Surveillance and Infection Control Measures over the Past 12 Years: Substantial Burden of Healthcare-Associated Infections Outside of Intensive Care Units and “Other” Types of Infection

Abstract

We demonstrated success in reducing overall HAIs over a 12-year period. Our data underscore the necessity for surveillance and infection prevention interventions outside of the ICUs, for non-device-associated HAIs, and for CDI.

A ten-year review of healthcare-associated bloodstream infections from forty hospitals in Québec, Canada

“…1 A smaller study in Denmark reported a rate of 6.4 per 10,000 patient days and another in the United States reported a range between 11.2 and 6.7 per 10,000 patient days. 2,3 The HABSI rates were consistently higher in teaching hospitals and often higher in nonteaching hospitals with ICUs compared to nonteaching hospitals without ICUs. It is common for HAI rates to be higher in teaching hospitals because they often receive sicker patients given their mission to provide specialized care for severely ill patients who are more vulnerable to HABSI.…”

Incidence and risk factors of non–device-associated pneumonia in an acute-care hospital

“…HAIs were identified through the UNC Hospitals' Epidemiology database, which included both device and non-device-associated HAIs, captured through comprehensive, hospital-wide active surveillance, in accordance with CDC case definitions and methodology. 7,15 In July 2014, the UNC Hospital Department of Epidemiology began also capturing ventilator-associated events, a new surveillance concept that CDC developed as an alternative to traditional VAP surveillance. 16 The 2 databases were then deterministically linked using admission date, medical record numbers, and full name.…”

Incidence and risk factors of non–device-associated urinary tract infections in an acute-care hospital

“…HAIs were identified through the UNC Hospitals' Infection Prevention database, which included both deviceassociated and non-device-associated HAIs captured through comprehensive, hospital-wide active surveillance in accordance with the Centers for Disease Control and Prevention (CDC) case definitions and methodology. 11,13 The CDC definition of UTI (device and non-device associated) require the patient has at least 1 sign or symptom (eg, fever, suprapubic tenderness, urinary frequency, and/or urinary urgency) and a urine culture with a bacterium of either ≥10 3 CFU/mL (2013-2014 definition) or ≥10 5 CFU/mL (2015-2017 definition). All diagnoses were reviewed and validated by 2 independent reviewers.…”