PURPOSE: The aim of this study was to document the point prevalence of healthcare-associated infections (HAIs) in the public primary healthcare wards, which treat both acute and long-term care patients. We also assessed the risk factors for HAI and the consumption of alcoholic hand rubs and antibiotics. METHODS: A cross-sectional study was performed in northern Finland in 2006 including all healthcare centers in the Oulu University Hospital district. RESULTS: There were 1,190 patients eligible for study in 44 public primary healthcare wards. The point prevalence of HAIs was 10.1%. The most common infections were urinary tract infections (30%), lower respiratory tract infections (27%), and skin and soft tissue infections (20%). The prevalence of HAIs did not depend on whether wards gave acute care, long-term care, or both acute and long-term care. In the multivariate analysis, the main risk factors for HAI were: more than three antibiotic prescriptions during the previous year, fully bedridden, renal disease, venous catheter, age over 80 years, previous hospitalization during the past six months, and implanted foreign material. A prophylactic antibiotic was a protecting factor. Antimicrobial treatment was given for 18% of the study population and another 18% received prophylactic antimicrobials. CONCLUSIONS: HAIs are common in Finnish primary healthcare wards and there is a need to improve everyday practices in the wards in order to reduce the number of HAIs. It is also important to reduce the inappropriate use of antibiotics.
PURPOSE: The aim of this study was to document the point prevalence of healthcare-associated infections (HAIs) in the public primary healthcare wards, which treat both acute and long-term care patients. We also assessed the risk factors for HAI and the consumption of alcoholic hand rubs and antibiotics. METHODS: A cross-sectional study was performed in northern Finland in 2006 including all healthcare centers in the Oulu University Hospital district. RESULTS: There were 1,190 patients eligible for study in 44 public primary healthcare wards. The point prevalence of HAIs was 10.1%. The most common infections were urinary tract infections (30%), lower respiratory tract infections (27%), and skin and soft tissue infections (20%). The prevalence of HAIs did not depend on whether wards gave acute care, long-term care, or both acute and long-term care. In the multivariate analysis, the main risk factors for HAI were: more than three antibiotic prescriptions during the previous year, fully bedridden, renal disease, venous catheter, age over 80 years, previous hospitalization during the past six months, and implanted foreign material. A prophylactic antibiotic was a protecting factor. Antimicrobial treatment was given for 18% of the study population and another 18% received prophylactic antimicrobials. CONCLUSIONS: HAIs are common in Finnish primary healthcare wards and there is a need to improve everyday practices in the wards in order to reduce the number of HAIs. It is also important to reduce the inappropriate use of antibiotics.
Authors: N Floret; P Bailly; X Bertrand; B Claude; C Louis-Martinet; A Picard; N Tueffert; D Talon Journal: J Hosp Infect Date: 2006-06-08 Impact factor: 3.926
Authors: Catherine Sartor; Anne Delchambre; Laurence Pascal; Michel Drancourt; Philippe De Micco; Roland Sambuc Journal: Infect Control Hosp Epidemiol Date: 2005-04 Impact factor: 3.254
Authors: P Brugnaro; U Fedeli; G Pellizzer; D Buonfrate; M Rassu; C Boldrin; S G Parisi; A Grossato; G Palù; P Spolaore Journal: Infection Date: 2008-12-09 Impact factor: 3.553
Authors: Jan Walter; Sebastian Haller; Chantal Quinten; Tommi Kärki; Benedikt Zacher; Tim Eckmanns; Muna Abu Sin; Diamantis Plachouras; Pete Kinross; Carl Suetens Journal: Euro Surveill Date: 2018-08