Burden of Healthcare-Associated Infections in Sicily, Italy: Estimates from the Regional Point Prevalence Surveys 2016–2018

An assessment of the burden of healthcare-associated infections (HAIs) in terms of disability-adjusted life years (DALYs) is useful for comparing and ranking HAIs and to support infection prevention and control strategies. We estimated the burden of healthcare-associated pneumoniae (HAP), bloodstrea...

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Autores principales: Martina Barchitta, Andrea Maugeri, Maria Clara La Rosa, Claudia La Mastra, Giuseppe Murolo, Giovanni Corrao, Antonella Agodi
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:a4e5343ec6d44bfea28c2063c09b5e3a2021-11-25T16:23:36ZBurden of Healthcare-Associated Infections in Sicily, Italy: Estimates from the Regional Point Prevalence Surveys 2016–201810.3390/antibiotics101113602079-6382https://doaj.org/article/a4e5343ec6d44bfea28c2063c09b5e3a2021-11-01T00:00:00Zhttps://www.mdpi.com/2079-6382/10/11/1360https://doaj.org/toc/2079-6382An assessment of the burden of healthcare-associated infections (HAIs) in terms of disability-adjusted life years (DALYs) is useful for comparing and ranking HAIs and to support infection prevention and control strategies. We estimated the burden of healthcare-associated pneumoniae (HAP), bloodstream infection (HA BSI), urinary tract infection (HA UTI), and surgical site infection (SSI) in Sicily, Italy. We used data from 15,642 patients aged 45 years and above, identified during three repeated point prevalence surveys (PPSs) conducted from 2016 to 2018 according to the European Centre for Disease Prevention and Control protocol. The methodology of the Burden of Communicable Diseases in Europe project was employed. The selected HAIs accounted for 8424 DALYs (95% uncertainty interval (UI): 7394–9605) annually in Sicily, corresponding to 344 DALYs per 100,000 inhabitants aged 45 years and above (95% UI: 302–392). Notably, more than 60% of the burden was attributable to HAP, followed by HA BSI, SSI, and HA UTI. The latter had the lowest burden despite a relatively high incidence, whereas HA BSI generated a high burden even through a relatively low incidence. Differences between our estimates and those of European and Italian PPSs encourage the estimation of the burden of HAIs region by region.Martina BarchittaAndrea MaugeriMaria Clara La RosaClaudia La MastraGiuseppe MuroloGiovanni CorraoAntonella AgodiMDPI AGarticleDALYshospital-acquired infectionsprevalence studypneumoniaebloodstream infectionsurgical site infectionTherapeutics. PharmacologyRM1-950ENAntibiotics, Vol 10, Iss 1360, p 1360 (2021)
institution DOAJ
collection DOAJ
language EN
topic DALYs
hospital-acquired infections
prevalence study
pneumoniae
bloodstream infection
surgical site infection
Therapeutics. Pharmacology
RM1-950
spellingShingle DALYs
hospital-acquired infections
prevalence study
pneumoniae
bloodstream infection
surgical site infection
Therapeutics. Pharmacology
RM1-950
Martina Barchitta
Andrea Maugeri
Maria Clara La Rosa
Claudia La Mastra
Giuseppe Murolo
Giovanni Corrao
Antonella Agodi
Burden of Healthcare-Associated Infections in Sicily, Italy: Estimates from the Regional Point Prevalence Surveys 2016–2018
description An assessment of the burden of healthcare-associated infections (HAIs) in terms of disability-adjusted life years (DALYs) is useful for comparing and ranking HAIs and to support infection prevention and control strategies. We estimated the burden of healthcare-associated pneumoniae (HAP), bloodstream infection (HA BSI), urinary tract infection (HA UTI), and surgical site infection (SSI) in Sicily, Italy. We used data from 15,642 patients aged 45 years and above, identified during three repeated point prevalence surveys (PPSs) conducted from 2016 to 2018 according to the European Centre for Disease Prevention and Control protocol. The methodology of the Burden of Communicable Diseases in Europe project was employed. The selected HAIs accounted for 8424 DALYs (95% uncertainty interval (UI): 7394–9605) annually in Sicily, corresponding to 344 DALYs per 100,000 inhabitants aged 45 years and above (95% UI: 302–392). Notably, more than 60% of the burden was attributable to HAP, followed by HA BSI, SSI, and HA UTI. The latter had the lowest burden despite a relatively high incidence, whereas HA BSI generated a high burden even through a relatively low incidence. Differences between our estimates and those of European and Italian PPSs encourage the estimation of the burden of HAIs region by region.
format article
author Martina Barchitta
Andrea Maugeri
Maria Clara La Rosa
Claudia La Mastra
Giuseppe Murolo
Giovanni Corrao
Antonella Agodi
author_facet Martina Barchitta
Andrea Maugeri
Maria Clara La Rosa
Claudia La Mastra
Giuseppe Murolo
Giovanni Corrao
Antonella Agodi
author_sort Martina Barchitta
title Burden of Healthcare-Associated Infections in Sicily, Italy: Estimates from the Regional Point Prevalence Surveys 2016–2018
title_short Burden of Healthcare-Associated Infections in Sicily, Italy: Estimates from the Regional Point Prevalence Surveys 2016–2018
title_full Burden of Healthcare-Associated Infections in Sicily, Italy: Estimates from the Regional Point Prevalence Surveys 2016–2018
title_fullStr Burden of Healthcare-Associated Infections in Sicily, Italy: Estimates from the Regional Point Prevalence Surveys 2016–2018
title_full_unstemmed Burden of Healthcare-Associated Infections in Sicily, Italy: Estimates from the Regional Point Prevalence Surveys 2016–2018
title_sort burden of healthcare-associated infections in sicily, italy: estimates from the regional point prevalence surveys 2016–2018
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/a4e5343ec6d44bfea28c2063c09b5e3a
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