Prevalence of hospital-associated infections can be decreased effectively in developing countries

Ogwang, Martin D.; Paramatti, Daniele; Molteni, T.; Ochola, Emmanuel; Okello, Tom Richard; Salgado, JB; Kayanja, Adrian; Greco, Chiara; Kizza, Daniel; Gondoni, E.; Okot, Jerom; Praticò, Liliana; Granata, Viviana; Filia, Antonietta; Ayugi, H. Kellar; Greco, Donato

doi:10.1016/j.jhin.2013.02.016

Cited by 30 publications

(26 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Age of the patient, ward type, and hospital type were predictors for the occurrence of HAI. The results of this survey are similar to those reported previously for a survey conducted in Uganda and Tunisia (mean prevalence of HAI: 17%) 25,26. The point-prevalence finding in this study was lower than that reported by a study conducted in Albania (19.11%) 27.…”

Section: Discussionsupporting

confidence: 88%

Point prevalence of hospital-acquired infections in two teaching hospitals of Amhara region in Ethiopia

Yallew¹,

Kumie²,

Yehuala³

2016

DHPS

106

View full text Add to dashboard Cite

PurposeHospital-acquired infection (HAI) is a major safety issue affecting the quality of care of hundreds of millions of patients every year, in both developed and developing countries, including Ethiopia. In Ethiopia, there is no comprehensive research that presents the whole picture of HAIs in hospitals. The objective of this study was to examine the nature and extent of HAIs in Ethiopia.MethodsA repeated cross-sectional study was conducted in two teaching hospitals. All eligible inpatients admitted for at least 48 hours on the day of the survey were included. The survey was conducted in dry and wet seasons of Ethiopia, that is, in March to April and July 2015. Physicians and nurses collected the data according to the Centers for Disease Control and Prevention definition of HAIs. Coded and cleaned data were transferred to SPSS 21 and STATA 13 for analysis. Univariate and multivariable logistic regression analyses were used to examine the prevalence of HAIs and relationship between explanatory and outcome variables.ResultsA total of 908 patients were included in this survey, the median age of the patients was 27 years (interquartile range: 16–40 years). A total of 650 (71.6%) patients received antimicrobials during the survey. There were 135 patients with HAI, with a mean prevalence of 14.9% (95% confidence interval 12.7–17.1). Culture results showed that Klebsiella spp. (22.44%) and Staphylococcus aureus (20.4%) were the most commonly isolated HAI-causing pathogens in these hospitals. The association of patient age and hospital type with the occurrence of HAI was statistically significant.ConclusionIt was observed that the prevalence of HAI was high in the teaching hospitals. Surgical site infections and pneumonia were the most common types of HAIs. Hospital management should give more attention to promoting infection prevention practice for better control of HAIs in teaching hospitals.

show abstract

Section: Discussionsupporting

confidence: 88%

Point prevalence of hospital-acquired infections in two teaching hospitals of Amhara region in Ethiopia

Yallew¹,

Kumie²,

Yehuala³

2016

DHPS

106

View full text Add to dashboard Cite

show abstract

“…1e5,13e16 However, three out of four publications from these LMICs subsequently reported major reductions in HCAI prevalence (to 8.6%, 7.4%, and 5%) after implementing infection prevention programmes. 13,15,29 HCAI rates and incidence density on the PICUs were fourfold higher than in wards, reflecting the increased likelihood of infection in critically ill patients with greater use of indwelling devices and higher antimicrobial usage. Although device-associated HCAI contributed only 7% of all HCAI events, PICU patients with indwelling central lines, catheters, and endotracheal tubes were at very high risk of infection.…”

Section: Discussionmentioning

confidence: 98%

Burden, spectrum, and impact of healthcare-associated infection at a South African children's hospital

Dramowski

Whitelaw

Cotton

2016

Journal of Hospital Infection

View full text Add to dashboard Cite

show abstract

“…The present study has found point prevalence of HAI to be 3.76 per cent (95% CI=2.97, 4.69), which was lower than the rates reported by other hospitals in many developing 5 6 and developed countries 18 as well. A systematic review has estimated hospital-wide prevalence of HAIs in high-income countries at 7.6 per cent and in low- and middle-income countries at 10.1 per cent 4 .…”

Section: Discussionmentioning

confidence: 99%

“…The risk to acquire HAI is universal and pervades every healthcare facility and health system worldwide with some high-income countries having a national surveillance system for HAIs. However, the true burden remains unknown in many nations, particularly in developing countries 4 . There are scant data available from India.…”

mentioning

confidence: 99%

Point prevalence & risk factor assessment for hospital-acquired infections in a tertiary care hospital in Pune, India

Nair¹,

Sahni²,

Sharma³

et al. 2017

Indian Journal of Medical Research

View full text Add to dashboard Cite

Background & objectives:Hospital-acquired infections (HAIs) are a major challenge to patient safety and have serious public health implications by changing the quality of life of patients and sometimes causing disability or even death. The true burden of HAI remains unknown, particularly in developing countries. The objective of this study was to estimate point prevalence of HAI and study the associated risk factors in a tertiary care hospital in Pune, India.Methods:A series of four cross-sectional point prevalence surveys were carried out between March and August 2014. Data of each patient admitted were collected using a structured data entry form. Centers for Disease Control and Prevention guidelines were used to identify and diagnose patients with HAI.Results:Overall prevalence of HAI was 3.76 per cent. Surgical Intensive Care Unit (ICU) (25%), medical ICU (20%), burns ward (20%) and paediatric ward (12.17%) were identified to have significant association with HAI. Prolonged hospital stay [odds ratio (OR=2.81), mechanical ventilation (OR=18.57), use of urinary catheter (OR=7.89) and exposure to central air-conditioning (OR=8.59) had higher odds of acquiring HAI (P<0.05).Interpretation & conclusions:HAI prevalence showed a progressive reduction over successive rounds of survey. Conscious effort needs to be taken by all concerned to reduce the duration of hospital stay. Use of medical devices should be minimized and used judiciously. Healthcare infection control should be a priority of every healthcare provider. Such surveys should be done in different healthcare settings to plan a response to reducing HAI.

show abstract

Prevalence of hospital-associated infections can be decreased effectively in developing countries

Cited by 30 publications

References 6 publications

Point prevalence of hospital-acquired infections in two teaching hospitals of Amhara region in Ethiopia

Point prevalence of hospital-acquired infections in two teaching hospitals of Amhara region in Ethiopia

Burden, spectrum, and impact of healthcare-associated infection at a South African children's hospital

Point prevalence & risk factor assessment for hospital-acquired infections in a tertiary care hospital in Pune, India

Contact Info

Product

Resources

About