Repeated Point Prevalence Survey of Nosocomial Infections in a Greek University Hospital
Journal of ChemotherapyPublished 1 January 2002
Ioannis Starakis, Markos Marangos, Achilleas Gikas, I. Pediaditis, Harry P. Bassaris
Citations16
SJR quartileQ3
SJR score0.48
SNIP0.58
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
A nationwide network of surveillance of NIs in Greece is now being developed using these experiences, emphasizing the need for rational antibiotic usage to decrease pharmacy expenses and discourage the development of resistant microorganisms.
Abstract
Two point prevalence surveys of nosocomial infections (NIs) were carried out in a Greek University hospital on an annual basis in 1998 and 1999. The overall prevalence of NIs was 9.5% and 9.1% in the first and second study, respectively. The average length of stay of patients in the hospital (ALOS) was 7.7 and 9.6 days in these two studies, respectively. Of the 97 NIs detected, the most frequent were lower respiratory tract infections (36%). Urinary tract infections, bloodstream infections, surgical site infections, and gastrointestinal infections were found in 25.8%, 19.6%, 7.2% and 4.1% of patients, respectively. The prevalence of antibiotic usage was 55.6% in 1998 and 54.1% in 1999. Empiric antibiotic therapy prevailed over prophylactic and rational therapies. These percentages are higher than those reported from other countries, emphasizing the need for rational antibiotic usage to decrease pharmacy expenses and discourage the development of resistant microorganisms. A nationwide network of surveillance of NIs in Greece is now being developed using these experiences.
Keywords
Immunology and MicrobiologyMedicineBiochemistry, Genetics and Molecular Biology
American Journal of Infection ControlCDC definitions for nosocomial infections, 1988
5,776 Citations1988Julia S. Garner, William R. Jarvis +3 more
The Centers for Disease Control (CDC) has developed a new set of definitions for surveillance of nosocomial infections that combine specific clinical findings with results of laboratory and other tests that include recent advances in diagnostic technology.
American Journal of Infection ControlCDC definitions of nosocomial surgical site infections, 1992: A modification of CDC definitions of surgical wound infections
2,612 Citations1992T A Horan, R. P. Gaynes +3 more
The definition of surgical wound infection was slightly modified and the name was changed to surgical site infection (SSI), which should be used by hospitals wishing to compare their SSI data with NNIS System data.
American Journal of EpidemiologyTHE EFFICACY OF INFECTION SURVEILLANCE AND CONTROL PROGRAMS IN PREVENTING NOSOCOMIAL INFECTIONS IN US HOSPITALS
2,085 Citations1985Robert W. Haley, David H. Culver +5 more
It is found that the establishment of intensive infection surveillance and control programs was strongly associated with reductions in rates of nosocomial urinary tract infection, surgical wound infection, pneumonia, and bacteremia between 1970 and 1975-1976, after controlling for other characteristics of the hospitals and their patients.
Clinical Infectious DiseasesNosocomial Bloodstream Infections in United States Hospitals: A Three‐Year Analysis
1,387 Citations1999Michael B. Edmond, Sarah E. Wallace +4 more
Concurrent surveillance for nosocomial bloodstream infections at 49 hospitals over a 3-year period detected >10,000 infections, and coagulase-negative staphylococci were the most common pathogens on all clinical services except obstetrics, where Escherichia coli was most common.
Archives of Internal MedicineNosocomial Bloodstream Infections
507 Citations1995Didier Pittet
The incidence, the etiologic fraction, and the population-attributable risk for death among patients experiencing nosocomial bloodstream infections increased progressively during the last decade.
The American Journal of MedicineExtra charges and prolongation of stay attributable to nosocomial infections: A prospective interhospital comparison
343 Citations1981Robert W. Haley, Dennis R. Schaberg +3 more
The economic consequences of nosocomial infection in three hospitals that differed in size, administrative characteristics and patients' economic status were influenced more by site of infection than by differences among hospitals, and their magnitude emphasizes the need for continued preventive efforts.
Journal of Hospital InfectionThe Second National Prevalence Survey of Infection in Hospitals—overview of the results
341 Citations1996A.M. Emmerson, J.E. Enstone +3 more
Assessment of the overall prevalence of infection among the patients in hospitals in the UK and the Republic of Ireland found that HAI rates were higher in teaching hospitals (11.2%) than in non-teaching hospitals (8.4%) P < 0.001.
Annals of SurgeryPostoperative Wound Infection
244 Citations1977John W. Green, Richard P. Wenzel
The increased hospital stay and direct cost of hospitalization that resulted from a postoperative wound infection (presence of pus at the incision site) after each of 6 common operations were evaluated.
Journal of Hospital InfectionAn international survey of the prevalence of hospital-acquired infection
235 Citations1988R.T. Mayon-White, G Ducel +2 more
Evidence is established that hospital infection is a common and serious problem throughout the world and in children the commonest infections were of the lower respiratory tract, of the skin and gastroenteritis, and in the elderly, urinary-tract infections predominated.
Clinical Infectious DiseasesAntimicrobial Resistance in Key Bloodstream Bacterial Isolates: Electronic Surveillance with The Surveillance Network Database‐‐USA
212 Citations1999Daniel F. Sahm, Mark K. Marsilio +1 more
Although antimicrobial resistance is low overall for isolates of Escherichia coli from blood, the prevalence of cefoxitin resistance among ceftazidime-resistant strains suggests the action of mechanisms other than extended-spectrum beta-lactamase.
The Journal of Infectious DiseasesAdverse Effects of Nosocomial Infection
143 Citations1979Jonathan Freeman, Bernard Rosner +1 more
The effects of noscomial infection on duration of hospital stay and outcome of hospitalization were measured by matching two control patients to each of 85 patients found to have qctive nosocomial infection during a prevalence survey at Boston City Hospital in 1973.
Journal of Hospital InfectionNational prevalence survey of hospital-acquired infections in Italy, 1983
115 Citations1986Maria Luisa Moro
In 1983 a national prevalence survey was conducted in Italy to discover the general distribution of infection among patients in public hospitals, finding hospital-acquired infections were more frequent in intensive care units and in geriatric, orthopaedic and surgical wards.
The LancetREPEATED PREVALENCE SURVEYS FOR MONITORING EFFECTIVENESS OF HOSPITAL INFECTION CONTROL
106 Citations1989G.L. French, S. L. Wong +2 more
In a 1400-bedded teaching hospital single-day prevalence surveys of hospital infection, infection control policies can have substantial impact on the prevalence of hospital-acquired infection, and their effectiveness can readily be measured by repeated prevalence surveys.
Journal of Hospital InfectionPrevalence of hospital-acquired infections in Spain
83 Citations1992
The following procedures were shown to be significantly associated with hospital-acquired infections: urinary catheterization, parenteral nutrition, mechanical ventilation and tracheostomy, and the degree of contamination during surgery was also a significantly associated risk factor.
American Journal of Infection ControlConsensus paper on the surveillance of surgical wound infections
78 Citations1992Robert J. Sherertz, Richard A. Garibaldi +10 more
Clinical Infectious DiseasesMethicillin-Resistant Staphylococcus aureus as a Causative Agent of Postoperative Intra-abdominal Infection: Relation to Nasal Colonization
78 Citations1999Lisiane Fierobe, Dominique Decré +5 more
It is concluded that MRSA may be a causative pathogen in pIAI and may be related to nasal colonization.
Journal of Hospital InfectionThe national prevalence survey of nosocomial infections in Belgium, 1984
76 Citations1987Renato Mertens, Guy Kegels +10 more
A national one-day prevalence survey of nosocomial infections was carried out in March 1984 in 106 Belgian acute-care hospitals involving 8723 patients of whom 6130 had undergone surgery and found no association between perioperative antibiotic prophylaxis and the prevalence of the infections studied.
Journal of Hospital InfectionPrevalence of nosocomial infection and infection control in Denmark
73 Citations1980O.B. Jepsen, Nikolaj Mortensen
Two centrally planned cross-sectional prevalence surveys were conducted in several Danish hospitals to estimate rates of nosocomial and community-acquired infection, and antibiotic consumption, and there was a need for a further study on the use of bacteriological reports for the surveillance of Nosocomial infection in this country.
Journal of Hospital InfectionRepeated multi-centre prevalence surveys of hospital-acquired infection in Greek hospitals
58 Citations1999Achilleas Gikas, I. Pediaditis +5 more
Three prevalence studies for the estimation of hospital-acquired infections (HAIs) were carried out in eight Greek hospitals on an annual basis during the years 1994-1996, finding the prevalence of HAI was 6.8, 5.5 and 5.9% for the three years, respectively.
Scandinavian Journal of Infectious DiseasesPrevalence of Hospital-Associated Infections in Five Swedish Hospitals in November 1975
58 Citations1978Sverker Bernander, Anna Hambræus +3 more
A prevalence study of this order of size seems adequate to assess the overall rate of hospital-associated infections in Sweden as compared to other countries, however, differences in prevalence rates between hospitals and clinics should be interpreted with great care.
Journal of Hospital InfectionAnalysis of risk factors for nosocomial infections—results from the first national prevalence survey in Germany (NIDEP study, part 1)
47 Citations1997Günter Kampf
The results support stratification of NI for routine surveillance after using data from the first national prevalence survey on NI in Germany to analyse risk factors for nosocomial infections.
Journal of Hospital InfectionEfficacy of hospital infection control in Thailand 1988–1992
33 Citations1996Somwang Danchaivijitr, T Tangtrakool +2 more
Two national prevalence studies of hospital acquired infection (HAI) were undertaken in Thailand; the HAI prevalence rate in 1988 was 11.7%; this was reduced to 7.3% four years later.
Journal of Hospital InfectionPrevalence of lower respiratory tract infections in hospitalized patients in the United Kingdom and Eire – results from the Second National Prevalence Survey
30 Citations2000M.C. Kelsey, Colin Mitchell +3 more
During 1993 and 1994, the Hospital Infection Society conducted its Second National Prevalence Survey of infections in patients in British hospitals, and results of multivariable logistic regression analysis showed an increased risk of HA-LRTIs in patients who had a nasogastric tube and smokers.
Journal of Hospital InfectionPrevalence surveys of nosocomial infections using a random sampling method in Marseille hospitals
27 Citations1995Catherine Sartor, Roland Sambuc +3 more
This study allowed us to direct resources towards high risk units and clean surgical procedures and based on the results, prospective surveillance was implemented in units of the clean surgery group.
PubMedA national prevalence study on nosocomial infections 1988.
25 Citations1989Somwang Danchaivijitr, S Chokloikaew +5 more
It is concluded that N.I. are the main health problems affecting more than 200,000 patients annually in Thailand and urgent studies and interventions are clearly needed.
Clinical Microbiology and InfectionStomatococcus mucilaginosus septicemia in leukemic patients
17 Citations1996Margareta Granlund, Mats Linderholm +4 more
The appearance of resistant strains during ciprofloxacin prophylaxis may be a predisposing factor for S. mucilaginosus septicemia, as well as being of diverse genetic origin as determined by RFLP.