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2016, Number 3

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Rev cubana med 2016; 55 (3)

Surveillance of healthcare associated infections

Baster CMM, Frómeta SI

Language: Spanish
References: 12
Page: 190-201
PDF size: 129.01 Kb.


ABSTRACT

Introduction: in 2006, the surveillance activity associated with healthcare infections is logged at Hermanos Ameijeiras Hospital, for which general, specific and tracer indicators were designed. These are measured monthly and annually, and they are presented to the Committee for Prevention and Control of Infections associated with Health Care and to Board of Directors.
Objective: described the behavior of hospital infections associated with health care from 2006 to 2014.
Methods: a descriptive, observational, retrospective study. The study group consisted of all patients discharged from the hospital in the studied period (109,897 patients). For the primary data, the Galem System hospital statistics, registration of infections, the clinical records of infected patients, the results of microbiological studies of Galem system of Microbiology, and registration of death were reviewed.
Results: the rates of infections associated with health care in this hospital are comparable with those of, similar to that of countries with efficient control programs nosocomial infections international standards. The surgical wound infection is the most frequent in the years of epidemiological surveillance and although it does not coincide with the observations of others, it does with similar studies conducted in this institution in previous period.
Conclusions: infection of the surgical site is the most common of those associated with health care, common behavior of a hospital with surgical infections profile; the remaining three locations of the urinary tract infection, bloodstream infection and lower respiratory tract infection match the surveillance studies worldwide.


REFERENCES

  1. National Nosocomial Infections Surveillance (NNIS) System Report, data summary from January 1992 through June 2004, issued October 2004. National Nosocomial Infections Surveillance System. Am J infect Cont. Dec 1, 2004;32:470-85.

  2. Grace Emori TRN, Culver David H, Horan TC, JarvisWilliam R, WhiteJohn W, Olson David R, et al. National nosocomial infections surveillance system (NNIS): Description of surveillance methods. Hospital Infections Program, Center for Infectious Diseases, Centers for Disease Control, Atlanta, Georgia, USA. [citado 10 Nov 2015] Disponible en: http://www.sciencedirect.com/science/article/pii/0196655391901578

  3. April 2013 CDC/NHSN Protocol Corrections, Clarification, and Additions. NHSN. January 2013. [citado 10 Nov 2015] Disponible en: http://www.cdc.gov/nhsn/pdf/pscmanual/errata2013.pdf

  4. Arya SC, Agarwal N, Agarwal S, George S, Singh K. Nosocomial infection: hospital infection surveillance and control. J Hosp Infect. 2004 Nov;58(3):242- 3.PubMed PMID: 15501345.

  5. Crowe MJ, Cooke EM. Review of case definitions for nosocomial infection-- towards a consensus. Presentation by the Nosocomial Infection Surveillance Unit (NISU) to the Hospital Infection Liaison Group, subcommittee of the Federation of Infection Societies (FIS). J Hosp Infect. 1998 May;39(1):3-11. Review. PubMed PMID: 9617679.

  6. Geffers C, Gastmeier P. Nosocomial infections and multidrug-resistant organisms in Germany: epidemiological data from KISS (the Hospital Infection Surveillance System). Dtsch Arztebl Int. 2011 Feb;108(6):87-93. doi: 10.3238/arztebl.2011.0087. Epub 2011 Feb 11. PubMed PMID: 21373275; PubMed Central PMCID: PMC3047718.

  7. Palomar M, Alvarez Lerma F, Olaechea P, López Pueyo MJ, Gimeno Costa R, García Arnilla MP, et al. Estudio nacional de Vigilancia de Infección Nosocomial en Servicios de Medicina Intensiva. Informe ENVIN-HELICS. 2014. Disponible en: http://hws.vhebron.net/envin-helics/Help/Informe%20ENVIN-UCI%202014.pdf

  8. Rosenthal VD, Richtmann R, Singh S, Apisarnthanarak A, Kübler A, Viet-Hung N, et al. International Nosocomial Infection Control Consortiuma. Surgical site infections, International Nosocomial Infection Control Consortium (INICC) report, data summary of 30 countries, 2005-2010. Infect Control Hosp Epidemiol. 2013 Jun;34(6):597-604. doi: 10.1086/670626. Epub 2013 Apr 18. PubMed PMID: 23651890.

  9. Gastmeier P, Geffers C, Brandt C, Zuschneid I, Sohr D, Schwab F, et al. Effectiveness of a nationwide nosocomial infection surveillance system for reducing nosocomial infections. The Journal of Hospital Infection. Sep. 2006;64(1):16-22.

  10. Álvarez-Lerma F. Estudio Nacional de Vigilancia de Infección Nosocomial en Unidades de Cuidados Intensivos. Informe evolutivo de los años 2003-2005. Med Intensiva. Ene 2007[citado 10 Nov 2015];31(1). versión impresa ISSN 0210-5691. Disponible en: http://hws.vhebron.net/envin-helics/

  11. Rosenthal VD, Maki DG, Salomao R, Álvarez Moreno C, Mehta Y, Higuera F, et al. International Nosocomial Infection Control Consortium* Device-Associated Nosocomial Infections in 55 Intensive Care Units of 8 Developing Countries. Annals of Internal Medicine. 17 Oct 2006;145(8):582-91.

  12. Frómeta Suárez I, Izquierdo Cubas F, López Ruiz M. Infecciones nosocomiales en un hospital del tercer nivel. Experiencia de 5 años. Rev Cubana Med. Ul. Sep. 2008 [citado 10 Nov 2015];47(3). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034- 75232008000300005&lng=es&nrm=iso&tlng=es




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