S Cairns1, C Gibbons2, A Milne2, H King2, M Llano2, L MacDonald2, W Malcolm2, C Robertson3, J Sneddon4, J Weir2, J Reilly5. 1. National Services Scotland, Health Protection Scotland, Glasgow, UK. Electronic address: shona.cairns@nhs.net. 2. National Services Scotland, Health Protection Scotland, Glasgow, UK. 3. National Services Scotland, Health Protection Scotland, Glasgow, UK; University of Strathclyde, Glasgow, UK. 4. Healthcare Improvement Scotland, Glasgow, UK. 5. National Services Scotland, Health Protection Scotland, Glasgow, UK; Glasgow Caledonian University, Glasgow, UK.
Abstract
BACKGROUND: Healthcare-associated infections (HCAIs) are a major public health concern and a significant cause of morbidity and mortality. A robust and current evidence base that is specific to local, national and Europe-wide settings is necessary to inform the development of strategies to reduce HCAI and contain antimicrobial resistance. AIM: To measure the prevalence of HCAI and antimicrobial prescribing and identify key priority areas for interventions to reduce the burden of infection. METHODS: A national rolling point-prevalence survey (PPS) in National Health Service (NHS) acute, NHS non-acute, NHS paediatric, and independent hospitals was carried out between September and November 2016 using the European Centre for Disease Prevention and Control protocol designed for the European PPS. FINDINGS: The prevalence of HCAI was 4.6%, 2.7%, and 3.2% in acute adults, paediatric and non-acute patient groups, respectively. The most frequent HCAI types reported in adult patients were urinary tract infection and pneumonia. The prevalence of antimicrobial prescribing was 35.7%, 29.3%, and 13.8% in acute adults, paediatric, and non-acute patient groups, respectively. Respiratory, skin and soft tissue, gastrointestinal, and urinary tract infections were the most common infections being treated at the time of survey. CONCLUSION: HCAI continues to be a public health concern in Scotland. Urinary tract infection and pneumonia continue to place a significant burden on patients and on healthcare delivery, including those that develop in the community and require hospital admission. A broader population health approach which focuses on reducing the risk of infection upstream would reduce these infections in both community and hospital settings. Crown
BACKGROUND: Healthcare-associated infections (HCAIs) are a major public health concern and a significant cause of morbidity and mortality. A robust and current evidence base that is specific to local, national and Europe-wide settings is necessary to inform the development of strategies to reduce HCAI and contain antimicrobial resistance. AIM: To measure the prevalence of HCAI and antimicrobial prescribing and identify key priority areas for interventions to reduce the burden of infection. METHODS: A national rolling point-prevalence survey (PPS) in National Health Service (NHS) acute, NHS non-acute, NHS paediatric, and independent hospitals was carried out between September and November 2016 using the European Centre for Disease Prevention and Control protocol designed for the European PPS. FINDINGS: The prevalence of HCAI was 4.6%, 2.7%, and 3.2% in acute adults, paediatric and non-acute patient groups, respectively. The most frequent HCAI types reported in adult patients were urinary tract infection and pneumonia. The prevalence of antimicrobial prescribing was 35.7%, 29.3%, and 13.8% in acute adults, paediatric, and non-acute patient groups, respectively. Respiratory, skin and soft tissue, gastrointestinal, and urinary tract infections were the most common infections being treated at the time of survey. CONCLUSION:HCAI continues to be a public health concern in Scotland. Urinary tract infection and pneumonia continue to place a significant burden on patients and on healthcare delivery, including those that develop in the community and require hospital admission. A broader population health approach which focuses on reducing the risk of infection upstream would reduce these infections in both community and hospital settings. Crown
Authors: P L Russo; A J Stewardson; M J Lydeamore; B G Mitchell; T Bucknall; A C Cheng Journal: Antimicrob Resist Infect Control Date: 2022-05-13 Impact factor: 6.454
Authors: Philip L Russo; Andrew Stewardson; Allen C Cheng; Tracey Bucknall; Kalisvar Marimuthu; Brett G Mitchell Journal: BMJ Open Date: 2018-11-08 Impact factor: 2.692
Authors: Philip L Russo; Andrew J Stewardson; Allen C Cheng; Tracey Bucknall; Brett G Mitchell Journal: Antimicrob Resist Infect Control Date: 2019-07-15 Impact factor: 4.887
Authors: Michael Klompas; Aileen Ochoa; Wenjing Ji; Caroline McKenna; Roger Clark; Erica S Shenoy; David Hooper; Chanu Rhee Journal: JAMA Netw Open Date: 2020-07-01