Spatial Patterns in Hospital-Acquired Infections in Portugal (2014-2017)

Detalhes bibliográficos
Autor(a) principal: Teixeira, Hugo
Data de Publicação: 2021
Outros Autores: Freitas, Alberto, Sarmento, António, Nossa, Paulo, Gonçalves, Hernâni, Pina, Maria de Fátima
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/57707
Resumo: University of Porto. Faculty of Medicine. Department of Community Medicine, Information and Health Decision Sciences. Porto, Portugal / University of Porto. Faculty of Medicine. Center for Health Technology and Services Research. Porto, Portugal / Universidade do Porto. Instituto de Engenharia Biomédica. Porto, Portugal / Universidade do Porto. Instituto de Investigação e Inovação em Saúde. Porto, Portugal.
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spelling Teixeira, HugoFreitas, AlbertoSarmento, AntónioNossa, PauloGonçalves, HernâniPina, Maria de Fátima2023-04-06T19:32:50Z2023-04-06T19:32:50Z2021TEIXEIRA, Hugo et al. Spatial Patterns in Hospital-Acquired Infections in Portugal (2014–2017). International Journal of Environmental Research and Public Health, v. 18, n. 5, p. 1-18, 2021.1661-7827https://www.arca.fiocruz.br/handle/icict/5770710.3390/ijerph18094703engPublisher of Open Access JournalsSpatial Patterns in Hospital-Acquired Infections in Portugal (2014-2017)info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleUniversity of Porto. Faculty of Medicine. Department of Community Medicine, Information and Health Decision Sciences. Porto, Portugal / University of Porto. Faculty of Medicine. Center for Health Technology and Services Research. Porto, Portugal / Universidade do Porto. Instituto de Engenharia Biomédica. Porto, Portugal / Universidade do Porto. Instituto de Investigação e Inovação em Saúde. Porto, Portugal.University of Porto. Faculty of Medicine. Department of Community Medicine, Information and Health Decision Sciences. Porto, Portugal / University of Porto. Faculty of Medicine. Center for Health Technology and Services Research. Porto, Portugal.Universidade do Porto. Instituto de Engenharia Biomédica. Porto, Portugal / Universidade do Porto. Instituto de Investigação e Inovação em Saúde. Porto, Portugal / Universitário de São João. Centro Hospitalar. Department of Infectious Diseases. Porto, Portugal.University of Coimbra. Centre of Studies in Geography and Spatial Planning. Coimbra, Portugal / University of Coimbra. Department of Geography and Tourism. Coimbra, Portugal.University of Porto. Faculty of Medicine. Department of Community Medicine, Information and Health Decision Sciences. Porto, Portugal / University of Porto. Faculty of Medicine. Center for Health Technology and Services Research. Porto, Portugal.Universidade do Porto. Instituto de Engenharia Biomédica. Porto, Portugal / Universidade do Porto. Instituto de Investigação e Inovação em Saúde. Porto, Portugal / Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil.Background: Hospital-Acquired Infections (HAIs) represent the most frequent adverse event associated with healthcare delivery and result in prolonged hospital stays and deaths worldwide. Aim: To analyze the spatial patterns of HAI incidence from 2014 to 2017 in Portugal. Methods: Data from the Portuguese Discharge Hospital Register were used. We selected episodes of patients with no infection on admission and with any of the following HAI diagnoses: catheter-related bloodstream infections, intestinal infections by Clostridium difficile, nosocomial pneumonia, surgical site infections, and urinary tract infections. We calculated age-standardized hospitalization rates (ASHR) by place of patient residence. We used empirical Bayes estimators to smooth the ASHR. The Moran Index and Local Index of Spatial Autocorrelation (LISA) were calculated to identify spatial clusters. Results: A total of 318,218 HAIs were registered, with men accounting for 49.8% cases. The median length of stay (LOS) was 9.0 days, and 15.7% of patients died during the hospitalization. The peak of HAIs (n = 81,690) occurred in 2015, representing 9.4% of the total hospital admissions. Substantial spatial inequalities were observed, with the center region presenting three times the ASHR of the north. A slight decrease in ASHR was observed after 2015. Pneumonia was the most frequent HAI in all age groups. Conclusion: The incidence of HAI is not randomly distributed in the space; clusters of high risk in the central region were seen over the entire study period. These findings may be useful to support healthcare policymakers and to promote a revision of infection control policies, providing insights for improved implementation.Hospital-acquired infectionsSpatial epidemiologyAge-standardized hospitalization ratesSpatial autocorrelationPortugalinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/57707/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALva_Teixeira_Hugo_ICICT_2021.pdfva_Teixeira_Hugo_ICICT_2021.pdfapplication/pdf6834059https://www.arca.fiocruz.br/bitstream/icict/57707/2/va_Teixeira_Hugo_ICICT_2021.pdf7f340c66824389a890f86108039a2f54MD52icict/577072023-10-27 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dc.title.en_US.fl_str_mv Spatial Patterns in Hospital-Acquired Infections in Portugal (2014-2017)
title Spatial Patterns in Hospital-Acquired Infections in Portugal (2014-2017)
spellingShingle Spatial Patterns in Hospital-Acquired Infections in Portugal (2014-2017)
Teixeira, Hugo
Hospital-acquired infections
Spatial epidemiology
Age-standardized hospitalization rates
Spatial autocorrelation
Portugal
title_short Spatial Patterns in Hospital-Acquired Infections in Portugal (2014-2017)
title_full Spatial Patterns in Hospital-Acquired Infections in Portugal (2014-2017)
title_fullStr Spatial Patterns in Hospital-Acquired Infections in Portugal (2014-2017)
title_full_unstemmed Spatial Patterns in Hospital-Acquired Infections in Portugal (2014-2017)
title_sort Spatial Patterns in Hospital-Acquired Infections in Portugal (2014-2017)
author Teixeira, Hugo
author_facet Teixeira, Hugo
Freitas, Alberto
Sarmento, António
Nossa, Paulo
Gonçalves, Hernâni
Pina, Maria de Fátima
author_role author
author2 Freitas, Alberto
Sarmento, António
Nossa, Paulo
Gonçalves, Hernâni
Pina, Maria de Fátima
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Teixeira, Hugo
Freitas, Alberto
Sarmento, António
Nossa, Paulo
Gonçalves, Hernâni
Pina, Maria de Fátima
dc.subject.en.en_US.fl_str_mv Hospital-acquired infections
Spatial epidemiology
Age-standardized hospitalization rates
Spatial autocorrelation
Portugal
topic Hospital-acquired infections
Spatial epidemiology
Age-standardized hospitalization rates
Spatial autocorrelation
Portugal
description University of Porto. Faculty of Medicine. Department of Community Medicine, Information and Health Decision Sciences. Porto, Portugal / University of Porto. Faculty of Medicine. Center for Health Technology and Services Research. Porto, Portugal / Universidade do Porto. Instituto de Engenharia Biomédica. Porto, Portugal / Universidade do Porto. Instituto de Investigação e Inovação em Saúde. Porto, Portugal.
publishDate 2021
dc.date.issued.fl_str_mv 2021
dc.date.accessioned.fl_str_mv 2023-04-06T19:32:50Z
dc.date.available.fl_str_mv 2023-04-06T19:32:50Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv TEIXEIRA, Hugo et al. Spatial Patterns in Hospital-Acquired Infections in Portugal (2014–2017). International Journal of Environmental Research and Public Health, v. 18, n. 5, p. 1-18, 2021.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/57707
dc.identifier.issn.en_US.fl_str_mv 1661-7827
dc.identifier.doi.none.fl_str_mv 10.3390/ijerph18094703
identifier_str_mv TEIXEIRA, Hugo et al. Spatial Patterns in Hospital-Acquired Infections in Portugal (2014–2017). International Journal of Environmental Research and Public Health, v. 18, n. 5, p. 1-18, 2021.
1661-7827
10.3390/ijerph18094703
url https://www.arca.fiocruz.br/handle/icict/57707
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Publisher of Open Access Journals
publisher.none.fl_str_mv Publisher of Open Access Journals
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
bitstream.url.fl_str_mv https://www.arca.fiocruz.br/bitstream/icict/57707/1/license.txt
https://www.arca.fiocruz.br/bitstream/icict/57707/2/va_Teixeira_Hugo_ICICT_2021.pdf
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repository.name.fl_str_mv Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv repositorio.arca@fiocruz.br
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