Hospital Infection Society prevalence survey of Healthcare Associated Infection 2006: comparison of results between Northern Ireland and the Republic of Ireland.
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Authors
Fitzpatrick, FMcIlvenny, 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.ieIssue Date
2008-07Keywords
HOSPITALINFECTION CONTROL
MeSH
AdolescentAdult
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
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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 infectionJournal
Journal of hospital infectionDOI
10.1016/j.jhin.2008.04.016PubMed ID
18547678Additional Links
http://www.ncbi.nlm.nih.gov/pubmed/18547678Abstract
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
ArticleLanguage
enISSN
0195-6701ae974a485f413a2113503eed53cd6c53
10.1016/j.jhin.2008.04.016
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