The value of intermittent point-prevalence surveys of healthcare-associated infections for evaluating infection control interventions at Angkor Hospital for Children, Siem Reap, Cambodia.
BACKGROUND: There are limited data on the epidemiology of paediatric healthcare-associated infection (HCAI) and infection control in low-income countries. We describe the value of intermittent point-prevalence surveys for monitoring HCAI and evaluating infection control interventions in a Cambodian...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Journal article |
| Language: | English |
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2013
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| _version_ | 1797052470674849792 |
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| author | Stoesser, N Emary, K Soklin, S Peng An, K Sophal, S Chhomrath, S Day, N Limmathurotsakul, D Nget, P Pangnarith, Y Sona, S Kumar, V Moore, C Chanpheaktra, N Parry, C |
| author_facet | Stoesser, N Emary, K Soklin, S Peng An, K Sophal, S Chhomrath, S Day, N Limmathurotsakul, D Nget, P Pangnarith, Y Sona, S Kumar, V Moore, C Chanpheaktra, N Parry, C |
| author_sort | Stoesser, N |
| collection | OXFORD |
| description | BACKGROUND: There are limited data on the epidemiology of paediatric healthcare-associated infection (HCAI) and infection control in low-income countries. We describe the value of intermittent point-prevalence surveys for monitoring HCAI and evaluating infection control interventions in a Cambodian paediatric hospital. METHODS: Hospital-wide, point-prevalence surveys were performed monthly in 2011. Infection control interventions introduced during this period included a hand hygiene programme and a ventilator-associated pneumonia (VAP) care bundle. RESULTS: Overall HCAI prevalence was 13.8/100 patients at-risk, with a significant decline over time. The highest HCAI rates (50%) were observed in critical care; the majority of HCAIs were respiratory (61%). Klebsiella pneumoniae was most commonly isolated and antimicrobial resistance was widespread. Hand hygiene compliance doubled to 51.6%, and total VAP cases/1000 patient-ventilator days fell from 30 to 10. CONCLUSION: Rates of HCAI were substantial in our institution, and antimicrobial resistance a major concern. Point-prevalence surveys are effective for HCAI surveillance, and in monitoring trends in response to infection control interventions. |
| first_indexed | 2024-03-06T18:32:02Z |
| format | Journal article |
| id | oxford-uuid:09f9db4c-55dc-4f5e-a4e1-d7908d1e75b7 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-06T18:32:02Z |
| publishDate | 2013 |
| record_format | dspace |
| spelling | oxford-uuid:09f9db4c-55dc-4f5e-a4e1-d7908d1e75b72022-03-26T09:21:19ZThe value of intermittent point-prevalence surveys of healthcare-associated infections for evaluating infection control interventions at Angkor Hospital for Children, Siem Reap, Cambodia.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:09f9db4c-55dc-4f5e-a4e1-d7908d1e75b7EnglishSymplectic Elements at Oxford2013Stoesser, NEmary, KSoklin, SPeng An, KSophal, SChhomrath, SDay, NLimmathurotsakul, DNget, PPangnarith, YSona, SKumar, VMoore, CChanpheaktra, NParry, CBACKGROUND: There are limited data on the epidemiology of paediatric healthcare-associated infection (HCAI) and infection control in low-income countries. We describe the value of intermittent point-prevalence surveys for monitoring HCAI and evaluating infection control interventions in a Cambodian paediatric hospital. METHODS: Hospital-wide, point-prevalence surveys were performed monthly in 2011. Infection control interventions introduced during this period included a hand hygiene programme and a ventilator-associated pneumonia (VAP) care bundle. RESULTS: Overall HCAI prevalence was 13.8/100 patients at-risk, with a significant decline over time. The highest HCAI rates (50%) were observed in critical care; the majority of HCAIs were respiratory (61%). Klebsiella pneumoniae was most commonly isolated and antimicrobial resistance was widespread. Hand hygiene compliance doubled to 51.6%, and total VAP cases/1000 patient-ventilator days fell from 30 to 10. CONCLUSION: Rates of HCAI were substantial in our institution, and antimicrobial resistance a major concern. Point-prevalence surveys are effective for HCAI surveillance, and in monitoring trends in response to infection control interventions. |
| spellingShingle | Stoesser, N Emary, K Soklin, S Peng An, K Sophal, S Chhomrath, S Day, N Limmathurotsakul, D Nget, P Pangnarith, Y Sona, S Kumar, V Moore, C Chanpheaktra, N Parry, C The value of intermittent point-prevalence surveys of healthcare-associated infections for evaluating infection control interventions at Angkor Hospital for Children, Siem Reap, Cambodia. |
| title | The value of intermittent point-prevalence surveys of healthcare-associated infections for evaluating infection control interventions at Angkor Hospital for Children, Siem Reap, Cambodia. |
| title_full | The value of intermittent point-prevalence surveys of healthcare-associated infections for evaluating infection control interventions at Angkor Hospital for Children, Siem Reap, Cambodia. |
| title_fullStr | The value of intermittent point-prevalence surveys of healthcare-associated infections for evaluating infection control interventions at Angkor Hospital for Children, Siem Reap, Cambodia. |
| title_full_unstemmed | The value of intermittent point-prevalence surveys of healthcare-associated infections for evaluating infection control interventions at Angkor Hospital for Children, Siem Reap, Cambodia. |
| title_short | The value of intermittent point-prevalence surveys of healthcare-associated infections for evaluating infection control interventions at Angkor Hospital for Children, Siem Reap, Cambodia. |
| title_sort | value of intermittent point prevalence surveys of healthcare associated infections for evaluating infection control interventions at angkor hospital for children siem reap cambodia |
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