Multi-state survey of healthcare-associated infections in acute care hospitals in Brazil
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1016/j.jhin.2017.03.024 http://hdl.handle.net/11449/231397 |
Resumo: | Background Healthcare-associated infections (HCAIs) challenge public health in developing countries such as Brazil, which harbour social inequalities and variations in the complexity of healthcare and regional development. Aim To describe the prevalence of HCAIs in hospitals in a sample of hospitals in Brazil. Methods A prevalence survey conducted in 2011–13 enrolled 152 hospitals from the five macro-regions in Brazil. Hospitals were classified as large (≥200 beds), medium (50–199 beds) or small sized (<50 beds). Settings were randomly selected from a governmental database, except for 11 reference university hospitals. All patients with >48 h of admission to the study hospitals at the time of the survey were included. Trained epidemiologist nurses visited each hospital and collected data on HCAIs, subjects' demographics, and invasive procedures. Univariate and multivariate techniques were used for data analysis. Findings The overall HCAI prevalence was 10.8%. Most frequent infection sites were pneumonia (3.6%) and bloodstream infections (2.8%). Surgical site infections were found in 1.5% of the whole sample, but in 9.8% of subjects who underwent surgical procedures. The overall prevalence was greater for reference (12.6%) and large hospitals (13.5%), whereas medium- and small-sized hospitals presented rates of 7.7% and 5.5%, respectively. Only minor differences were noticed among hospitals from different macro-regions. Patients in intensive care units, using invasive devices or at extremes of age were at greater risk for HCAIs. Conclusion Prevalence rates were high in all geographic regions and hospital sizes. HCAIs must be a priority in the public health agenda of developing countries. |
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Multi-state survey of healthcare-associated infections in acute care hospitals in BrazilBrazilEpidemiologyHealthcare-associated infectionsPrevalence surveyBackground Healthcare-associated infections (HCAIs) challenge public health in developing countries such as Brazil, which harbour social inequalities and variations in the complexity of healthcare and regional development. Aim To describe the prevalence of HCAIs in hospitals in a sample of hospitals in Brazil. Methods A prevalence survey conducted in 2011–13 enrolled 152 hospitals from the five macro-regions in Brazil. Hospitals were classified as large (≥200 beds), medium (50–199 beds) or small sized (<50 beds). Settings were randomly selected from a governmental database, except for 11 reference university hospitals. All patients with >48 h of admission to the study hospitals at the time of the survey were included. Trained epidemiologist nurses visited each hospital and collected data on HCAIs, subjects' demographics, and invasive procedures. Univariate and multivariate techniques were used for data analysis. Findings The overall HCAI prevalence was 10.8%. Most frequent infection sites were pneumonia (3.6%) and bloodstream infections (2.8%). Surgical site infections were found in 1.5% of the whole sample, but in 9.8% of subjects who underwent surgical procedures. The overall prevalence was greater for reference (12.6%) and large hospitals (13.5%), whereas medium- and small-sized hospitals presented rates of 7.7% and 5.5%, respectively. Only minor differences were noticed among hospitals from different macro-regions. Patients in intensive care units, using invasive devices or at extremes of age were at greater risk for HCAIs. Conclusion Prevalence rates were high in all geographic regions and hospital sizes. HCAIs must be a priority in the public health agenda of developing countries.Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Faculdade de Medicina de BotucatuEscola de Enfermagem (School of Nursing) Universidade de São Paulo (USP)Escola Paulista de Medicina (São Paulo School of Medicine) Universidade Federal de São Paulo (UNIFESP)Universidade Federal do Rio Grande do Sul (UFRGS)Universidade Federal do Pará (UFPA)Hospital Pequeno Príncipe (HPP)Universidade Federal do CearáUniversidade Federal da Paraíba (UFPB)Instituto Medicina Integral Prof. Fernando Figueira (IMIP)Pontifícia Universidade Católica (PUC) – GoiásUniversidade Federal de Uberlândia (UFU)Fundação Instituto Oswaldo Cruz (FiOCruz)Faculdade de Medicina de BotucatuCNPq: 563225/2010-6Universidade Estadual Paulista (UNESP)Universidade de São Paulo (USP)Universidade Federal de São Paulo (UNIFESP)Universidade Federal do Rio Grande do Sul (UFRGS)Universidade Federal do Pará (UFPA)Hospital Pequeno Príncipe (HPP)Universidade Federal do CearáUniversidade Federal da Paraíba (UFPB)Instituto Medicina Integral Prof. Fernando Figueira (IMIP)Pontifícia Universidade Católica (PUC) – GoiásUniversidade Federal de Uberlândia (UFU)Fundação Instituto Oswaldo Cruz (FiOCruz)Fortaleza, C. Magno Castelo Branco [UNESP]Padoveze, M. C.Kiffer, C.R. VeigaBarth, A. L.Carneiro, Irna C. do Rosário SouzaGiamberardino, H.I. GarciaRodrigues, J.L. NobreSantos Filho, L.de Mello, M.J. GonçalvesPereira, M. SeverinoGontijo Filho, P. PintoRocha, M.Servolo de Medeiros, E. A.Pignatari, A.C. Campos2022-04-29T08:45:05Z2022-04-29T08:45:05Z2017-06-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article139-144http://dx.doi.org/10.1016/j.jhin.2017.03.024Journal of Hospital Infection, v. 96, n. 2, p. 139-144, 2017.1532-29390195-6701http://hdl.handle.net/11449/23139710.1016/j.jhin.2017.03.0242-s2.0-85017515692Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengJournal of Hospital Infectioninfo:eu-repo/semantics/openAccess2022-04-29T08:45:05Zoai:repositorio.unesp.br:11449/231397Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462022-04-29T08:45:05Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Multi-state survey of healthcare-associated infections in acute care hospitals in Brazil |
title |
Multi-state survey of healthcare-associated infections in acute care hospitals in Brazil |
spellingShingle |
Multi-state survey of healthcare-associated infections in acute care hospitals in Brazil Fortaleza, C. Magno Castelo Branco [UNESP] Brazil Epidemiology Healthcare-associated infections Prevalence survey |
title_short |
Multi-state survey of healthcare-associated infections in acute care hospitals in Brazil |
title_full |
Multi-state survey of healthcare-associated infections in acute care hospitals in Brazil |
title_fullStr |
Multi-state survey of healthcare-associated infections in acute care hospitals in Brazil |
title_full_unstemmed |
Multi-state survey of healthcare-associated infections in acute care hospitals in Brazil |
title_sort |
Multi-state survey of healthcare-associated infections in acute care hospitals in Brazil |
author |
Fortaleza, C. Magno Castelo Branco [UNESP] |
author_facet |
Fortaleza, C. Magno Castelo Branco [UNESP] Padoveze, M. C. Kiffer, C.R. Veiga Barth, A. L. Carneiro, Irna C. do Rosário Souza Giamberardino, H.I. Garcia Rodrigues, J.L. Nobre Santos Filho, L. de Mello, M.J. Gonçalves Pereira, M. Severino Gontijo Filho, P. Pinto Rocha, M. Servolo de Medeiros, E. A. Pignatari, A.C. Campos |
author_role |
author |
author2 |
Padoveze, M. C. Kiffer, C.R. Veiga Barth, A. L. Carneiro, Irna C. do Rosário Souza Giamberardino, H.I. Garcia Rodrigues, J.L. Nobre Santos Filho, L. de Mello, M.J. Gonçalves Pereira, M. Severino Gontijo Filho, P. Pinto Rocha, M. Servolo de Medeiros, E. A. Pignatari, A.C. Campos |
author2_role |
author author author author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (UNESP) Universidade de São Paulo (USP) Universidade Federal de São Paulo (UNIFESP) Universidade Federal do Rio Grande do Sul (UFRGS) Universidade Federal do Pará (UFPA) Hospital Pequeno Príncipe (HPP) Universidade Federal do Ceará Universidade Federal da Paraíba (UFPB) Instituto Medicina Integral Prof. Fernando Figueira (IMIP) Pontifícia Universidade Católica (PUC) – Goiás Universidade Federal de Uberlândia (UFU) Fundação Instituto Oswaldo Cruz (FiOCruz) |
dc.contributor.author.fl_str_mv |
Fortaleza, C. Magno Castelo Branco [UNESP] Padoveze, M. C. Kiffer, C.R. Veiga Barth, A. L. Carneiro, Irna C. do Rosário Souza Giamberardino, H.I. Garcia Rodrigues, J.L. Nobre Santos Filho, L. de Mello, M.J. Gonçalves Pereira, M. Severino Gontijo Filho, P. Pinto Rocha, M. Servolo de Medeiros, E. A. Pignatari, A.C. Campos |
dc.subject.por.fl_str_mv |
Brazil Epidemiology Healthcare-associated infections Prevalence survey |
topic |
Brazil Epidemiology Healthcare-associated infections Prevalence survey |
description |
Background Healthcare-associated infections (HCAIs) challenge public health in developing countries such as Brazil, which harbour social inequalities and variations in the complexity of healthcare and regional development. Aim To describe the prevalence of HCAIs in hospitals in a sample of hospitals in Brazil. Methods A prevalence survey conducted in 2011–13 enrolled 152 hospitals from the five macro-regions in Brazil. Hospitals were classified as large (≥200 beds), medium (50–199 beds) or small sized (<50 beds). Settings were randomly selected from a governmental database, except for 11 reference university hospitals. All patients with >48 h of admission to the study hospitals at the time of the survey were included. Trained epidemiologist nurses visited each hospital and collected data on HCAIs, subjects' demographics, and invasive procedures. Univariate and multivariate techniques were used for data analysis. Findings The overall HCAI prevalence was 10.8%. Most frequent infection sites were pneumonia (3.6%) and bloodstream infections (2.8%). Surgical site infections were found in 1.5% of the whole sample, but in 9.8% of subjects who underwent surgical procedures. The overall prevalence was greater for reference (12.6%) and large hospitals (13.5%), whereas medium- and small-sized hospitals presented rates of 7.7% and 5.5%, respectively. Only minor differences were noticed among hospitals from different macro-regions. Patients in intensive care units, using invasive devices or at extremes of age were at greater risk for HCAIs. Conclusion Prevalence rates were high in all geographic regions and hospital sizes. HCAIs must be a priority in the public health agenda of developing countries. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-06-01 2022-04-29T08:45:05Z 2022-04-29T08:45:05Z |
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.uri.fl_str_mv |
http://dx.doi.org/10.1016/j.jhin.2017.03.024 Journal of Hospital Infection, v. 96, n. 2, p. 139-144, 2017. 1532-2939 0195-6701 http://hdl.handle.net/11449/231397 10.1016/j.jhin.2017.03.024 2-s2.0-85017515692 |
url |
http://dx.doi.org/10.1016/j.jhin.2017.03.024 http://hdl.handle.net/11449/231397 |
identifier_str_mv |
Journal of Hospital Infection, v. 96, n. 2, p. 139-144, 2017. 1532-2939 0195-6701 10.1016/j.jhin.2017.03.024 2-s2.0-85017515692 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Journal of Hospital Infection |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
139-144 |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
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1797789364794687488 |