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Prevalence of healthcare-associated infections in acute care hospitals in Jacksonville, Florida.

Content Provider	World Health Organization (WHO)-Global Index Medicus
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
Spatial Coverage	Florida
Description	Country affiliation: United States Author Affiliation: Magill SS ( Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA. smagill@cdc.gov)
Abstract	OBJECTIVE: To determine healthcare-associated infection (HAI) prevalence in 9 hospitals in Jacksonville, Florida; to evaluate the performance of proxy indicators for HAIs; and to refine methodology in preparation for a multistate 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 one or more proxy indicators (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 one or more HAIs (6.0%; 95% confidence interval, 4.5%-7.7%). Surgical site infections ([Formula: see text]), urinary tract infections ([Formula: see text]), pneumonia ([Formula: see text]), and bloodstream infections ([Formula: see text]) 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 by the Centers for Disease Control and Prevention's Study on the Efficacy of Nosocomial Infection Control. Antimicrobial therapy was a sensitive screening variable with which to identify those patients at higher risk for infection and reduce data collection burden. Additional work is needed on validation and feasibility to extend this methodology to a national scale.
File Format	HTM / HTML
ISSN	0899823X
e-ISSN	15596834
DOI	10.1086/664048
Journal	Infection Control & Hospital Epidemiology
Issue Number	3
Volume Number	33
Language	English
Publisher	Cambridge University Press
Publisher Date	2012-03-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Discipline Communicable Diseases Discipline Epidemiology Cross Infection Epidemiology Microbiology Gram-negative Bacterial Infections Etiology Gram-positive Bacterial Infections Adolescent Anti-infective Agents Therapeutic Use Child, Preschool Drug Therapy Florida Health Surveys Infant Infant, Newborn Pilot Projects Multicenter Study Research Support, U.s. Gov't, P.h.s.
Content Type	Text
Resource Type	Article
Subject	Infectious Diseases Epidemiology Microbiology (medical)

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