Sustained reduction in antimicrobial use and decrease in methicillin-resistant Staphylococcus aureus and Clostridium difficile infections following implementation of an electronic medical record at a tertiary-care teaching hospital

2010 ◽  
Vol 66 (1) ◽  
pp. 205-209 ◽  
Author(s):  
P. P. Cook ◽  
S. Rizzo ◽  
M. Gooch ◽  
M. Jordan ◽  
X. Fang ◽  
...  
2018 ◽  
Vol 147 ◽  
Author(s):  
Yi-Le Wu ◽  
Xi-Yao Yang ◽  
Meng-Shu Pan ◽  
Ruo-Jie Li ◽  
Xiao-Qian Hu ◽  
...  

AbstractHealthcare-associated infections (HAIs) are a major worldwide public-health problem, but less data are available on the long-term trends of HAIs and antimicrobial use in Eastern China. This study describes the prevalence and long-term trends of HAIs and antimicrobial use in a tertiary care teaching hospital in Hefei, Anhui, China from 2010 to 2017 based on annual point-prevalence surveys. A total of 12 505 inpatients were included; 600 HAIs were recorded in 533 patients, with an overall prevalence of 4.26% and a frequency of 4.80%. No evidence was found for an increasing or decreasing trend in prevalence of HAI over 8 years (trend χ2 = 2.15, P = 0.143). However, significant differences in prevalence of HAI were evident between the surveys (χ2 = 21.14, P < 0.001). The intensive care unit had the highest frequency of HAIs (24.36%) and respiratory tract infections accounted for 62.50% of all cases; Escherichia coli was the most common pathogen (16.67%). A 44.13% prevalence of antimicrobial use with a gradually decreasing trend over time was recorded. More attention should be paid to potential high-risk clinical departments and HAI types with further enhancement of rational antimicrobial use.


2016 ◽  
Vol 5 (19) ◽  
pp. 959-963
Author(s):  
Surendran Kalale Appaiah Kumaraswamy ◽  
Naveen Kikkeri Hanumantha Setty ◽  
Manjunatha Shimoga Nagaraja ◽  
Nanjundaswamy Bisalavadi Lingaiah ◽  
Saleemath Alappadimmal ◽  
...  

1999 ◽  
Vol 20 (03) ◽  
pp. 202-205 ◽  
Author(s):  
Lindsay E. Nicolle ◽  
Brenda Dyck ◽  
Genevieve Thompson ◽  
Susan Roman ◽  
Amin Kabani ◽  
...  

AbstractA methicillin-resistantStaphylococcus aureus(MRSA) strain introduced into the largest tertiary-care teaching hospital in Manitoba in 1993 led to a sustained outbreak with secondary outbreaks at one community hospital, two large long-term-care facilities, and nosocomial transmission at a second teaching hospital. Control measures were consistent at each institution and were coordinated on a province-wide basis. MRSA is not currently endemic in any facility in the province.


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