scholarly journals Multistate Point-Prevalence Survey of Health Care–Associated Infections

2014 ◽  
Vol 370 (13) ◽  
pp. 1198-1208 ◽  
Author(s):  
Shelley S. Magill ◽  
Jonathan R. Edwards ◽  
Wendy Bamberg ◽  
Zintars G. Beldavs ◽  
Ghinwa Dumyati ◽  
...  
Keyword(s):  
Health Care ◽  
Point Prevalence ◽  
Prevalence Survey ◽  
Point Prevalence Survey ◽  
Health Care Associated Infections

A point prevalence survey of health care-associated infections in Canadian pediatric inpatients

2012 ◽  
Vol 40 (6) ◽  
pp. 491-496 ◽  
Author(s):  
Katie Rutledge-Taylor ◽  
Anne Matlow ◽  
Denise Gravel ◽  
Joanne Embree ◽  
Nicole Le Saux ◽  
...  
Keyword(s):  
Health Care ◽  
Point Prevalence ◽  
Prevalence Survey ◽  
Point Prevalence Survey ◽  
Health Care Associated Infections

scholarly journals Intravascular device use, management, documentation and complications: a point prevalence survey

2014 ◽  
Vol 38 (3) ◽  
pp. 345 ◽  
Author(s):  
Karen A. New ◽  
Joan Webster ◽  
Nicole M. Marsh ◽  
Barbara Hewer
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Clinical Care ◽  
Bloodstream Infections ◽  
Point Prevalence ◽  
Healthcare Associated Infection ◽  
Prevalence Survey ◽  
Point Prevalence Survey ◽  
Intravascular Devices

Objective To examine the use, management, documentation and complications for intravascular devices in cardiac, medical and surgical inpatients. Methods A point prevalence survey was undertaken in a large tertiary hospital in Queensland. Descriptive statistics were used to analyse data. Results Of the 327 patients assessed, 192 (58.7%) had one or more devices in situ. Of the 220 devices, 190 (86.4%) were peripheral venous catheters, 25 (11.4%) were peripherally inserted central catheters and five (2.3%) were central venous catheters. Sixty-two of 220 devices (28.2%) were in situ without a clear purpose, whereas 54 (24.7%) had one or more complications, such as redness, pain, tracking, oedema or oozing. There was no documentation on the daily patient care record to indicate that a site assessment had occurred within the past 8 h for 25% of the devices in situ. Conclusions The present study identified several problems and highlighted areas for improvement in the management and documentation for intravascular devices. Ongoing education, promoting good clinical practice and reauditing, can be applied to improve the management of devices. What is known about the topic? Intravascular devices are associated with health care-related infections, including rare but serious bloodstream infections Measures for reducing healthcare-associated infection related to devices include surveillance with feedback. What does this paper add? This paper complements other surveillance data undertaken in similar-sized institutions with similar patients. Ongoing surveillance and education is required to maintain best clinical practice and management of devices. What are the implications for practitioners? Health care-associated infections are a serious problem and have negative outcomes for both patients and organisations. Intravascular devices may be associated with bloodstream infections, so prudent clinical care and management of devices is important. All devices should be assessed at least daily for their continued need and removed promptly if no longer required.

scholarly journals Point Prevalence Survey of Antimicrobial Utilization in Ghana’s Premier Hospital: Implications for Antimicrobial Stewardship

Antibiotics ◽  
2021 ◽  
Vol 10 (12) ◽  
pp. 1528
Author(s):  
Daniel Ankrah ◽  
Helena Owusu ◽  
Asiwome Aggor ◽  
Anthony Osei ◽  
Agneta Ampomah ◽  
...  
Keyword(s):  
Antimicrobial Stewardship ◽  
Point Prevalence ◽  
Soft Tissue Infections ◽  
Beta Lactam ◽  
Prevalence Survey ◽  
Antimicrobial Prescribing ◽  
Point Prevalence Survey ◽  
Antimicrobial Utilization ◽  
Health Care Associated Infections ◽  
Systemic Antibiotics

The first comprehensive point prevalence survey at the Korle Bu Teaching Hospital (KBTH) was performed as part of the 2019 Global Point Prevalence Survey (Global-PPS) on antimicrobials. The aim was to establish a PPS baseline for the whole hospital and to identify required stewardship interventions. The PPS was conducted over three days in June 2019 using the GLOBAL-PPS standardized method for surveillance of antimicrobial utilization in hospitals to evaluate antimicrobial prescribing. In all, 988 patients were admitted to 69 wards. Overall antimicrobial prevalence was 53.3%. More community-acquired infections (CAI) were treated empirically compared to health-care associated infections (94.0% vs. 86.1% respectively, p = 0.002). Main indications for prescribing antimicrobials were pneumonia (18.4%), skin and soft tissue infections (11.4%) and sepsis (11.1%). Among antimicrobials, systemic antibiotics accounted for 83.5%, of which amoxicillin with beta-lactam inhibitor (17.5%), metronidazole (11.8%) and ceftriaxone (11.5%) dominated. Guideline compliance was 89.0%. Stop/review dates were completed in 33.4% and documented reason was recorded in 53.0% of all prescriptions. If the findings in this PPS can be addressed antimicrobial stewardship at the KBTH stands to improve significantly.

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