en
Scientific article
English

Variation in nosocomial infection prevalence according to patient care setting:a hospital-wide survey

Published inThe Journal of hospital infection, vol. 48, no. 1, p. 27-32
Publication date2001
Abstract

A study was performed to estimate the prevalence of nosocomial infections (NI) and assess differences between medical care settings in one hospital complex. A seven-day period-prevalence survey was conducted in May 1998 in a large primary and tertiary healthcare centre in Geneva, Switzerland, that included all patients in acute, sub-acute and chronic care settings. Variables included demography, exposure to invasive devices and antibiotics, surgical history, and patients' localization. Overall prevalence of NI was 11.3% (acute, 8.4%; sub-acute, 11.4%; chronic care setting, 16.4%) in the 1928 patients studied, and ranged from 0% in ophthalmology to 23% in critical care units. Odds of infection in sub-acute and chronic care settings were significantly higher than in the acute care setting even after adjustment for case-mix [OR, 2.59; 95% confidence interval (CI(95)) 1.53-4.41; and OR, 2.34; Cl(95)1.38-3.95, respectively]. As a distinct group, patients in the geriatric location (belonging to the sub-acute care setting) showed a significant proportion of urinary (39%) and respiratory (21%) tract infections, contrasting with a relatively low exposure to urinary catheters (6.1%) and orotracheal intubation (0%). In conclusion, sub-acute and chronic care settings are associated with high infection prevalence even after case-mix adjustment. Prevalence studies are an easy surveillance tool that can be exploited further by analysing data according to hospital care settings to identify high-risk areas.

Keywords
  • Acute Disease/ therapy
  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Bacterial Infections/epidemiology/ etiology
  • Candidiasis/epidemiology/ etiology
  • Chi-Square Distribution
  • Child
  • Child, Preschool
  • Chronic Disease/ therapy
  • Cross Infection/epidemiology/ etiology
  • Diagnosis-Related Groups/classification/statistics & numerical data
  • Hospital Units
  • Hospitals, Teaching
  • Humans
  • Infant
  • Infant, Newborn
  • Infection Control
  • Length of Stay/statistics & numerical data
  • Logistic Models
  • Long-Term Care
  • Middle Aged
  • Prevalence
  • Risk Factors
  • Subacute Care
  • Switzerland/epidemiology
Citation (ISO format)
SAX, Hugo et al. Variation in nosocomial infection prevalence according to patient care setting:a hospital-wide survey. In: The Journal of hospital infection, 2001, vol. 48, n° 1, p. 27–32. doi: 10.1053/jhin.2001.0961
Main files (1)
Article
accessLevelRestricted
Identifiers
ISSN of the journal0195-6701
553views
0downloads

Technical informations

Creation06/21/2010 10:26:18 AM
First validation06/21/2010 10:26:18 AM
Update time03/14/2023 3:45:29 PM
Status update03/14/2023 3:45:29 PM
Last indexation02/12/2024 6:37:09 PM
All rights reserved by Archive ouverte UNIGE and the University of GenevaunigeBlack