Point prevalence survey is useful for introducing effective surveillance of healthcare-associated infections

Summary: Background: In Finland, the surveillance of healthcare-associated infections (HAI) became obligatory by the renewed Communicable Diseases Act on the 1st March 2017. Aim: To introduce HAI surveillance protocol (HALT-2 by ECDC) in primary care hospitals in the largest hospital district in Fi...

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Autores principales:	Marjaana Pitkäpaasi, Jaana-Marija Lehtinen, Mari Kanerva
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Healthcare-associated infections Antimicrobial use Point prevalence survey HALT-2 Surveillance Primary healthcare wards Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/85c62498244e48dc928f5c1a5bb53f7a
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spelling	oai:doaj.org-article:85c62498244e48dc928f5c1a5bb53f7a2021-11-24T04:34:01ZPoint prevalence survey is useful for introducing effective surveillance of healthcare-associated infections2590-088910.1016/j.infpip.2021.100182https://doaj.org/article/85c62498244e48dc928f5c1a5bb53f7a2021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2590088921000718https://doaj.org/toc/2590-0889Summary: Background: In Finland, the surveillance of healthcare-associated infections (HAI) became obligatory by the renewed Communicable Diseases Act on the 1st March 2017. Aim: To introduce HAI surveillance protocol (HALT-2 by ECDC) in primary care hospitals in the largest hospital district in Finland, and to measure the burden of HAIs and antimicrobial use patterns for improvement. Methods: Two identical point prevalence surveys (PPS) were organized in autumn 2015 and in spring 2017. The infection control persons (ICP) in the hospitals were inducted to the HAI definitions and the study protocol to collect the data with questionnaires on the study days. The data were checked and analyzed by the areal infection control unit. The hospitals were provided feedback of the results and HAI prevention methods. Findings: In 2015, 2218 patients from 22 hospitals and in 2017, 2343 patients from 25 hospitals were studied. The prevalence of HAI was 11% in both surveys (ranges per hospital 4–24% and 4–31%, respectively). Of all HAIs, 37% originated from referring hospitals. Respiratory tract, urinary tract and skin were the most frequent sites of infection. One fourth of all patients received at least one systemic antimicrobial. The process showed that recognition of HAIs may be difficult for non-experienced ICPs. Conclusions: The HALT-2 protocol proved useful in introducing HAI surveillance and prevention in primary care hospitals with active patient transfer from other hospitals and relatively high prevalence of HAI and antimicrobial use. For annually repeated surveys, slightly shorter electronic questionnaires are essential.Marjaana PitkäpaasiJaana-Marija LehtinenMari KanervaElsevierarticleHealthcare-associated infectionsAntimicrobial usePoint prevalence surveyHALT-2SurveillancePrimary healthcare wardsInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENInfection Prevention in Practice, Vol 3, Iss 4, Pp 100182- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Healthcare-associated infections Antimicrobial use Point prevalence survey HALT-2 Surveillance Primary healthcare wards Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	Healthcare-associated infections Antimicrobial use Point prevalence survey HALT-2 Surveillance Primary healthcare wards Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Marjaana Pitkäpaasi Jaana-Marija Lehtinen Mari Kanerva Point prevalence survey is useful for introducing effective surveillance of healthcare-associated infections
description	Summary: Background: In Finland, the surveillance of healthcare-associated infections (HAI) became obligatory by the renewed Communicable Diseases Act on the 1st March 2017. Aim: To introduce HAI surveillance protocol (HALT-2 by ECDC) in primary care hospitals in the largest hospital district in Finland, and to measure the burden of HAIs and antimicrobial use patterns for improvement. Methods: Two identical point prevalence surveys (PPS) were organized in autumn 2015 and in spring 2017. The infection control persons (ICP) in the hospitals were inducted to the HAI definitions and the study protocol to collect the data with questionnaires on the study days. The data were checked and analyzed by the areal infection control unit. The hospitals were provided feedback of the results and HAI prevention methods. Findings: In 2015, 2218 patients from 22 hospitals and in 2017, 2343 patients from 25 hospitals were studied. The prevalence of HAI was 11% in both surveys (ranges per hospital 4–24% and 4–31%, respectively). Of all HAIs, 37% originated from referring hospitals. Respiratory tract, urinary tract and skin were the most frequent sites of infection. One fourth of all patients received at least one systemic antimicrobial. The process showed that recognition of HAIs may be difficult for non-experienced ICPs. Conclusions: The HALT-2 protocol proved useful in introducing HAI surveillance and prevention in primary care hospitals with active patient transfer from other hospitals and relatively high prevalence of HAI and antimicrobial use. For annually repeated surveys, slightly shorter electronic questionnaires are essential.
format	article
author	Marjaana Pitkäpaasi Jaana-Marija Lehtinen Mari Kanerva
author_facet	Marjaana Pitkäpaasi Jaana-Marija Lehtinen Mari Kanerva
author_sort	Marjaana Pitkäpaasi
title	Point prevalence survey is useful for introducing effective surveillance of healthcare-associated infections
title_short	Point prevalence survey is useful for introducing effective surveillance of healthcare-associated infections
title_full	Point prevalence survey is useful for introducing effective surveillance of healthcare-associated infections
title_fullStr	Point prevalence survey is useful for introducing effective surveillance of healthcare-associated infections
title_full_unstemmed	Point prevalence survey is useful for introducing effective surveillance of healthcare-associated infections
title_sort	point prevalence survey is useful for introducing effective surveillance of healthcare-associated infections
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/85c62498244e48dc928f5c1a5bb53f7a
work_keys_str_mv	AT marjaanapitkapaasi pointprevalencesurveyisusefulforintroducingeffectivesurveillanceofhealthcareassociatedinfections AT jaanamarijalehtinen pointprevalencesurveyisusefulforintroducingeffectivesurveillanceofhealthcareassociatedinfections AT marikanerva pointprevalencesurveyisusefulforintroducingeffectivesurveillanceofhealthcareassociatedinfections
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Point prevalence survey is useful for introducing effective surveillance of healthcare-associated infections

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