Impact of hospital-wide surveillance on hospital-acquired infections in an acute-care hospital in The Netherlands

2000 ◽  
Vol 46 (1) ◽  
pp. 36-42 ◽  
Author(s):  
A.J Mintjes-de Groot ◽  
C.A.N van Hassel ◽  
J.A Kaan ◽  
R.P Verkooyen ◽  
H.A Verbrugh
Keyword(s):  
The Netherlands ◽  
Acute Care ◽  
Acute Care Hospital ◽  
Care Hospital ◽  
Hospital Acquired Infections ◽  
Hospital Acquired

Hospital-Acquired Infections in Elderly Versus Younger Patients in an Acute Care Hospital

2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Perla Sarai Solis-Hernandez ◽  
Melissa Vidales-Reyes ◽  
Elvira Garza-Gonzalez ◽  
Guillermo Guajardo-Alvarez ◽  
Susana Chavez-Moreno ◽  
...  
Keyword(s):  
Acute Care ◽  
Acute Care Hospital ◽  
Care Hospital ◽  
Younger Patients ◽  
Hospital Acquired Infections ◽  
Hospital Acquired

scholarly journals 1263. Managing an Influenza Outbreak Which Spilled Over to an Acute Care Hospital from a Behavioral Health Unit

2018 ◽  
Vol 5 (suppl_1) ◽  
pp. S385-S385
Author(s):  
Colleen M Clay ◽  
Leonardo Girio-Herrera ◽  
Faheem Younus
Keyword(s):  
Behavioral Health ◽  
Acute Care ◽  
Influenza A ◽  
Average Length ◽  
Acute Care Hospital ◽  
Control Measures ◽  
Care Hospital ◽  
Prevention Measures ◽  
Influenza Outbreak ◽  
Hospital Acquired

Abstract Background Behavioral health units (BHU) have been implicated in influenza outbreaks due to group activities, low availability of alcohol-based hand gels and unique host factors. We describe the management of an unusual influenza outbreak, which started in the BHU and then spilled over to the acute care hospital (ACH). Methods University of Maryland Harford Memorial Hospital is a 95-bed ACH with a 14-bed closed-door adult BHU located on the fifth floor. Two cases each of hospital-acquired influenza were identified in our BHU during 2016 and 2017. In January 2018, however, hospital-acquired influenza cases in the BHU spilled over to the adjacent ACH to cause an outbreak. A case was defined as a patient with fever of >100.4°F, presence of influenza-like illness, and a positive influenza test >72 hours after admission. Outbreak control measures included twice daily fever screening, enhanced droplet precautions, visitor restrictions, discontinuing community activities, enforcing hand hygiene at all hospital entrances, and hospital-wide chemoprophylaxis with oseltamivir. Results On January 15, 2018, the index patient developed influenza in the BHU followed by a second case in BHU 4-days later. Over the next 10 days, five more patients on the third and fourth floors of ACH tested positive. Attack rate was 3% and average length of stay was 8.9 days. Chemoprophylaxis with oseltamivir 75 mg orally once a day was given to 71% of all eligible hospitalized patients for a week (at a cost of $17,000). All seven patients yielded influenza A, subtype H3N2 and were successfully treated with oseltamivir 75 mg orally twice a day for 7 days. The outbreak lasted 11 days. Figure 1 shows the epidemiologic curve. Conclusion Special attention should be paid to influenza prevention in the BHUs due to the risk of spillover effect to sicker patients in the adjacent ACH. A short, 7-day course of hospital-wide oseltamivir chemoprophylaxis, in addition to promptly implementing the infection prevention measures was effective in controlling the outbreak. Disclosures All authors: No reported disclosures.

scholarly journals Predictive validity of the INTEGRARE scale in identifying the risk of hospital-acquired pressure ulcers in acute care hospital settings

2022 ◽  
Author(s):  
Ana María Porcel-Gálvez ◽  
Regina Allande-Cussó ◽  
Elena Fernández-García ◽  
Alonso Naharro-Álvarez ◽  
Sergio Barrientos-Trigo
Keyword(s):  
Acute Care ◽  
Predictive Validity ◽  
Pressure Ulcers ◽  
Acute Care Hospital ◽  
Care Hospital ◽  
Hospital Acquired

Antimicrobial Stewardship in a Long-Term Acute Care Hospital Using Offsite Electronic Medical Record Audit

2016 ◽  
Vol 37 (4) ◽  
pp. 433-439 ◽  
Author(s):  
Kirthana Beaulac ◽  
Silvia Corcione ◽  
Lauren Epstein ◽  
Lisa E. Davidson ◽  
Shira Doron
Keyword(s):  
Incidence Rate ◽  
Acute Care ◽  
Antimicrobial Stewardship ◽  
Rate Ratio ◽  
Incidence Rate Ratio ◽  
Acute Care Hospital ◽  
Antimicrobial Use ◽  
Care Hospital ◽  
Hospital Acquired

OBJECTIVETo offer antimicrobial stewardship to a long-term acute care hospital using telemedicine.METHODSWe conducted an uninterrupted time-series analysis to measure the impact of antimicrobial stewardship on hospital-acquired Clostridium difficile infection (CDI) rates and antimicrobial use. Simple linear regression was used to analyze changes in antimicrobial use; Poisson regression was used to estimate the incidence rate ratio in CDI rates. The preimplementation period was April 1, 2010–March 31, 2011; the postimplementation period was April 1, 2011–March 31, 2014.RESULTSDuring the preimplementation period, total antimicrobial usage was 266 defined daily doses (DDD)/1,000 patient-days (PD); it rose 4.54 (95% CI, −0.19 to 9.28) per month then significantly decreased from preimplementation to postimplementation (−6.58 DDD/1,000 PD [95% CI, −11.48 to −1.67]; P=.01). The same trend was observed for antibiotics against methicillin-resistant Staphylococcus aureus (−2.97 DDD/1,000 PD per month [95% CI, −5.65 to −0.30]; P=.03). There was a decrease in usage of anti-CDI antibiotics by 50.4 DDD/1,000 PD per month (95% CI, −71.4 to −29.2; P<.001) at program implementation that was maintained afterwards. Anti-Pseudomonas antibiotics increased after implementation (30.6 DDD/1,000 PD per month [95% CI, 4.9–56.3]; P=.02) but with ongoing education this trend reversed. Intervention was associated with a decrease in hospital-acquired CDI (incidence rate ratio, 0.57 [95% CI, 0.35–0.92]; P=.02).CONCLUSIONAntimicrobial stewardship using an electronic medical record via remote access led to a significant decrease in antibacterial usage and a decrease in CDI rates.Infect. Control Hosp. Epidemiol. 2016;37(4):433–439

scholarly journals Computer-assisted, high-frequency, hospital-wide point prevalence surveys of hospital-acquired infections in a tertiary care hospital, the Netherlands, 2013 to 2014

2019 ◽  
Vol 24 (13) ◽  
Author(s):  
H Roel A Streefkerk ◽  
Sten P Willemsen ◽  
Conrad P van der Hoeven ◽  
Margreet C Vos ◽  
Roel PAJ Verkooijen ◽  
...  
Keyword(s):  
The Netherlands ◽  
High Frequency ◽  
Statistical Significance ◽  
Tertiary Care ◽  
Point Prevalence ◽  
Computer Assisted ◽  
Care Hospital ◽  
Strongly Correlated ◽  
Hospital Acquired Infections ◽  
Hospital Acquired

Background Surveillance of hospital-acquired infections (HAI) often relies on point prevalence surveys (PPS) to detect major deviations in the occurrence of HAI, supplemented with incidence measurements when more detailed information is needed. In a 1,320-bed university medical centre in the Netherlands, we evaluated an electronically assisted surveillance system based on frequently performed computer-assisted PPS (CAPPS). Aim The primary goals were to evaluate the performance of this method to detect trends and to determine how adjustments in the frequency with which the CAPPS are performed would affect this performance. A secondary goal was to evaluate the performance of the algorithm (nosocomial infection index (Nii)) used. Methods We analysed the data of 77 hospital-wide PPS, performed over a 2-year period (2013 and 2014) and including 25,056 patients. Results Six trends with statistical significance were detected. The probability to detect such trends rapidly decreased when PPS are performed at a lower frequency. The Nii and its dynamics strongly correlated with the presence of HAI. Conclusion Performing computer-assisted, high frequency hospital-wide PPS, is a feasible method that will detect even subtle changes in HAI prevalence over time.

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