A point prevalence survey of hospital-acquired infections and antimicrobial use in a paediatric hospital in north-western Russia

A point prevalence survey of hospital-acquired infections and antimicrobial use in a paediatric hospital in north-western Russia

Summary We carried out a one-day prevalence survey of hospital-acquired infections (HAIs) and antimicrobial use in February 2006 in a paediatric hospital in Arkhangelsk, north-western Russia. A total 472 patients aged less than 18 years old were included in the study, of which 395 (84%) had been inp...

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Bibliographic Details
Published in:The Journal of hospital infection Vol. 66; no. 4; pp. 378 - 384
Main Authors: Hajdu, A, Samodova, O.V, Carlsson, T.R, Voinova, L.V, Nazarenko, S.J, Tjurikov, A.V, Petrova, E.G, Tulisov, A.V, Andresen, S, Eriksen, H.M
Format: Journal Article
Language:English
Published: England Elsevier Ltd 01-08-2007
Subjects:
Adolescent
Age Factors
Anti-Bacterial Agents - classification
Anti-Bacterial Agents - therapeutic use
Bacterial Infections - drug therapy
Bacterial Infections - epidemiology
Child
Child, Preschool
Cross Infection - drug therapy
Cross Infection - epidemiology
Cross-Sectional Studies
Drug utilisation
Female
Hospital-acquired
Hospitals, Pediatric - statistics & numerical data
Humans
Infant
Infant, Newborn
Infection
Infectious Disease
Length of Stay
Male
Nosocomial
Paediatric hospital
Prescriptions, drug
Prevalence
Russia
Russia - epidemiology
Sentinel Surveillance
Russia
Infection
Prevalence
Paediatric hospital
Nosocomial
Hospital-acquired
Drug utilisation
Prescriptions, drug
Russia
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Summary:Summary We carried out a one-day prevalence survey of hospital-acquired infections (HAIs) and antimicrobial use in February 2006 in a paediatric hospital in Arkhangelsk, north-western Russia. A total 472 patients aged less than 18 years old were included in the study, of which 395 (84%) had been inpatients in the hospital for at least 48 h on the study day. The overall prevalence of HAI amongst the latter group of patients was 17% [67/395; 95% confidence interval (CI): 13.8–21.2] with upper respiratory tract infections being most frequently diagnosed (45%), followed by lower respiratory tract infections (19%) and urinary tract infections (12%). The highest proportion of HAI was found in patients less than one year old and in those with hospital stays of longer than 10 days. Antimicrobial agents were given to 39% of all hospitalized patients (183/472; 95% CI: 34.5–43.2). Cephalosporins accounted for 39% (82/211) of all antimicrobial prescriptions, followed by the penicillins (22%; 46/211). This study established a baseline for surveillance of HAI and antimicrobial use within the hospital, and facilitated the adoption of targeted infection control measures.
Bibliography:ObjectType-Article-1
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ISSN:0195-6701
1532-2939
DOI:10.1016/j.jhin.2007.04.018