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A Six-Year Point Prevalence Survey of Healthcare-Associated Infections in an Italian Teaching Acute Care Hospital

Author

Listed:
  • Andrea Gentili

    (Section of Hygiene, University Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, 00168 Rome, Italy)

  • Marcello Di Pumpo

    (Section of Hygiene, University Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, 00168 Rome, Italy)

  • Daniele Ignazio La Milia

    (Department of Woman and Child Health and Public Health-Public Health Area, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy)

  • Doriana Vallone

    (Section of Hygiene, University Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, 00168 Rome, Italy)

  • Gino Vangi

    (Medical Management, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy)

  • Maria Incoronata Corbo

    (Medical Management, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy)

  • Filippo Berloco

    (Medical Management, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy)

  • Andrea Cambieri

    (Medical Management, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy)

  • Gianfranco Damiani

    (Section of Hygiene, University Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
    Department of Woman and Child Health and Public Health-Public Health Area, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy)

  • Walter Ricciardi

    (Section of Hygiene, University Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
    Department of Woman and Child Health and Public Health-Public Health Area, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy)

  • Patrizia Laurenti

    (Section of Hygiene, University Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
    Department of Woman and Child Health and Public Health-Public Health Area, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy)

Abstract

Healthcare-associated infections (HAI) represent one of the most common cause of infection and an important burden of disease. The aim of this study was to analyze the results of a six-year HAI point prevalence survey carried out yearly in a teaching acute care hospital from 2013 to 2018, following the European Center for Disease Prevention and Control (ECDC) guidelines. Surgical site infections, urinary tract infections, bloodstream infections, pneumonia, meningitis, and Clostridium difficile infections were considered as risk factors. A total of 328 patients with HAI were detected during the 6-year survey, with an average point prevalence of 5.24% (95% CI: 4.70–5.83%). Respiratory tract infections were the most common, followed by surgical site infections, urinary tract infections, primary bloodstream infections, Clostridium difficile infections, and central nervous system infections. A regression model showed length of stay at the moment of HAI detection, urinary catheter, central venous catheter, and antibiotic therapy to be the most important predictors of HAI prevalence, yielding a significant adjusted coefficient of determination (adjusted R 2 ) of 0.2780. This will provide future infection control programs with specific HAI to focus on in order to introduce a proper prophylaxis and to limit exposure whenever possible.

Suggested Citation

  • Andrea Gentili & Marcello Di Pumpo & Daniele Ignazio La Milia & Doriana Vallone & Gino Vangi & Maria Incoronata Corbo & Filippo Berloco & Andrea Cambieri & Gianfranco Damiani & Walter Ricciardi & Patr, 2020. "A Six-Year Point Prevalence Survey of Healthcare-Associated Infections in an Italian Teaching Acute Care Hospital," IJERPH, MDPI, vol. 17(21), pages 1-8, October.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:21:p:7724-:d:433107
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    References listed on IDEAS

    as
    1. Septimiu Voidazan & Sorin Albu & Réka Toth & Bianca Grigorescu & Anca Rachita & Iuliu Moldovan, 2020. "Healthcare Associated Infections—A New Pathology in Medical Practice?," IJERPH, MDPI, vol. 17(3), pages 1-13, January.
    2. Nicholas Graves & Diana Weinhold & Jennifer A. Roberts, 2005. "Correcting for bias when estimating the cost of hospital‐acquired infection: an analysis of lower respiratory tract infections in non‐surgical patients," Health Economics, John Wiley & Sons, Ltd., vol. 14(7), pages 755-761, July.
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