Hospital Infection Society prevalence survey of Healthcare Associated Infection 2006: comparison of results between Northern Ireland and the Republic of Ireland.

Hdl Handle:
http://hdl.handle.net/10147/302723
Title:
Hospital Infection Society prevalence survey of Healthcare Associated Infection 2006: comparison of results between Northern Ireland and the Republic of Ireland.
Authors:
Fitzpatrick, F; McIlvenny, G; Oza, A; Newcombe, R G; Humphreys, H; Cunney, R; Murphy, N; Ruddy, R; Reid, G; Bailie, R; Lavelle, C; Doherty, L; Smyth, E T M
Affiliation:
Health Protection Surveillance Centre, Dublin, Ireland. Fidelma.fitzpatrick@hse.ie
Citation:
Hospital infection society prevalence survey of Healthcare Associated Infection 2006: comparison of results between Northern Ireland and the Republic of Ireland. 2008, 69 (3):265-73 J. Hosp. Infect.
Publisher:
Journal of hospital infection
Journal:
Journal of hospital infection
Issue Date:
Jul-2008
URI:
http://hdl.handle.net/10147/302723
DOI:
10.1016/j.jhin.2008.04.016
PubMed ID:
18547678
Additional Links:
http://www.ncbi.nlm.nih.gov/pubmed/18547678
Abstract:
As part of the Third Healthcare Associated Infection (HCAI) Prevalence Survey of the United Kingdom and Ireland, HCAI point prevalence surveys were carried out in Northern Ireland (NI) and the Republic of Ireland (RoI). Here we explore the potential benefits of comparing results from two countries with different healthcare systems, which employed similar methodologies and identical HCAI definitions. Forty-four acute adult hospitals in the RoI and 15 in NI participated with a total of 11 185 patients surveyed (NI 3644 patients and RoI 7541). The overall HCAI prevalence was 5.4 and 4.9 in NI and the RoI, respectively. There was no significant difference in prevalence rates of HCAI, device-related HCAI or HCAI associated with bloodstream infection but there was a difference in meticillin-resistant Staphylococcus aureus-related HCAI (P = 0.02) between the two countries. There were significantly more urinary tract infections and Clostridium difficile infections recorded in NI (P = 0.002 and P < 0.001). HCAIs were more prevalent in patients aged >65 years and in the intensive care unit in both countries. HCAIs were also more prevalent if patients were mechanically ventilated, had had recent non-implant surgery (RoI) or had more recorded HCAI risk factors. This is the first time that HCAI prevalence rates have been directly compared between NI and the RoI. By closely examining similarities and differences between HCAI prevalence rates in both countries it is hoped that this will influence healthcare planning and at the same time reassure the public that HCAI is important and that measures are being taken to combat it.
Item Type:
Article
Language:
en
Keywords:
HOSPITAL; INFECTION CONTROL
MeSH:
Adolescent; Adult; Age Factors; Aged; Aged, 80 and over; Bacteremia; Cross Infection; Enterocolitis, Pseudomembranous; Equipment and Supplies; Female; Hospital Units; Hospitals; Humans; Ireland; Male; Methicillin Resistance; Middle Aged; Northern Ireland; Prevalence; Staphylococcal Infections; Staphylococcus aureus; Urinary Tract Infections
ISSN:
0195-6701

Full metadata record

DC FieldValue Language
dc.contributor.authorFitzpatrick, Fen_GB
dc.contributor.authorMcIlvenny, Gen_GB
dc.contributor.authorOza, Aen_GB
dc.contributor.authorNewcombe, R Gen_GB
dc.contributor.authorHumphreys, Hen_GB
dc.contributor.authorCunney, Ren_GB
dc.contributor.authorMurphy, Nen_GB
dc.contributor.authorRuddy, Ren_GB
dc.contributor.authorReid, Gen_GB
dc.contributor.authorBailie, Ren_GB
dc.contributor.authorLavelle, Cen_GB
dc.contributor.authorDoherty, Len_GB
dc.contributor.authorSmyth, E T Men_GB
dc.date.accessioned2013-10-04T14:07:30Z-
dc.date.available2013-10-04T14:07:30Z-
dc.date.issued2008-07-
dc.identifier.citationHospital infection society prevalence survey of Healthcare Associated Infection 2006: comparison of results between Northern Ireland and the Republic of Ireland. 2008, 69 (3):265-73 J. Hosp. Infect.en_GB
dc.identifier.issn0195-6701-
dc.identifier.pmid18547678-
dc.identifier.doi10.1016/j.jhin.2008.04.016-
dc.identifier.urihttp://hdl.handle.net/10147/302723-
dc.description.abstractAs part of the Third Healthcare Associated Infection (HCAI) Prevalence Survey of the United Kingdom and Ireland, HCAI point prevalence surveys were carried out in Northern Ireland (NI) and the Republic of Ireland (RoI). Here we explore the potential benefits of comparing results from two countries with different healthcare systems, which employed similar methodologies and identical HCAI definitions. Forty-four acute adult hospitals in the RoI and 15 in NI participated with a total of 11 185 patients surveyed (NI 3644 patients and RoI 7541). The overall HCAI prevalence was 5.4 and 4.9 in NI and the RoI, respectively. There was no significant difference in prevalence rates of HCAI, device-related HCAI or HCAI associated with bloodstream infection but there was a difference in meticillin-resistant Staphylococcus aureus-related HCAI (P = 0.02) between the two countries. There were significantly more urinary tract infections and Clostridium difficile infections recorded in NI (P = 0.002 and P < 0.001). HCAIs were more prevalent in patients aged >65 years and in the intensive care unit in both countries. HCAIs were also more prevalent if patients were mechanically ventilated, had had recent non-implant surgery (RoI) or had more recorded HCAI risk factors. This is the first time that HCAI prevalence rates have been directly compared between NI and the RoI. By closely examining similarities and differences between HCAI prevalence rates in both countries it is hoped that this will influence healthcare planning and at the same time reassure the public that HCAI is important and that measures are being taken to combat it.-
dc.language.isoenen
dc.publisherJournal of hospital infectionen_GB
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pubmed/18547678en_GB
dc.rightsArchived with thanks to The Journal of hospital infectionen_GB
dc.subjectHOSPITALen_GB
dc.subjectINFECTION CONTROLen_GB
dc.subject.meshAdolescent-
dc.subject.meshAdult-
dc.subject.meshAge Factors-
dc.subject.meshAged-
dc.subject.meshAged, 80 and over-
dc.subject.meshBacteremia-
dc.subject.meshCross Infection-
dc.subject.meshEnterocolitis, Pseudomembranous-
dc.subject.meshEquipment and Supplies-
dc.subject.meshFemale-
dc.subject.meshHospital Units-
dc.subject.meshHospitals-
dc.subject.meshHumans-
dc.subject.meshIreland-
dc.subject.meshMale-
dc.subject.meshMethicillin Resistance-
dc.subject.meshMiddle Aged-
dc.subject.meshNorthern Ireland-
dc.subject.meshPrevalence-
dc.subject.meshStaphylococcal Infections-
dc.subject.meshStaphylococcus aureus-
dc.subject.meshUrinary Tract Infections-
dc.titleHospital Infection Society prevalence survey of Healthcare Associated Infection 2006: comparison of results between Northern Ireland and the Republic of Ireland.en_GB
dc.typeArticleen
dc.contributor.departmentHealth Protection Surveillance Centre, Dublin, Ireland. Fidelma.fitzpatrick@hse.ieen_GB
dc.identifier.journalJournal of hospital infectionen_GB

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