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- Title
An 8-year point-prevalence surveillance of healthcare-associated infections and antimicrobial use in a tertiary care teaching hospital in China.
- Authors
Wu, Yi-Le; Yang, Xi-Yao; Pan, Meng-Shu; Li, Ruo-Jie; Hu, Xiao-Qian; Zhang, Jing-Jing; Yang, Li-Qi
- Abstract
Healthcare-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.
- Subjects
CHINA; VENTILATOR-associated pneumonia; INFECTION; RESPIRATORY infections; TEACHING hospitals; HOSPITAL care
- Publication
Epidemiology & Infection, 2019, Vol 147, pN.PAG
- ISSN
0950-2688
- Publication type
journal article
- DOI
10.1017/S0950268818002856