OcrV1, Main, Merge, bibRecord, 000166

Nosocomial Infection and Antibiotic Use

Identifieur interne : 000166 ( Main/Merge ); précédent : 000165; suivant : 000167

Nosocomial Infection and Antibiotic Use

Auteurs : Michael Behnke ; Sonja Hansen ; Rasmus Leistner ; Luis Alberto Pe A Diaz ; Alexander Gropmann ; Dorit Sohr ; Petra Gastmeier ; Brar Piening

Source :

Deutsches Ärzteblatt International [ 1866-0452 ] ; 2013.

RBID : PMC:3796357

Abstract

Background

In 2011, seventeen years after the first national study on the prevalence of nosocomial infections and antibiotic use in German hospitals, a second national prevalence study was carried out according to the specifications of the European Centre for Disease Prevention and Control (ECDC).

Methods

The ECDC protocol, containing uniform surveillance definitions and ascertainment methods, was implemented. The only infections counted were those that were active or under treatment with antibiotics on the day of the study. In addition to the representative sample required by the ECDC, which consisted of 46 hospitals, further hospitals participated on a voluntary basis.

Results

Data on 41 539 patients in 132 hospitals were analyzed. The prevalence of infections that had arisen during the current hospital stay was 3.8% in the overall group and 3.4% in the representative sample of 9626 patients in 46 hospitals. The prevalence of all nosocomial infections, including those acquired before the current hospital stay and still present upon admission, was 5.1% in both the overall group and the representative sample. The prevalence of antibiotic use on the day of the study was 25.5% and 23.3% in the two groups, respectively.

Conclusion

The prevalence of nosocomial infection has not changed since 1994, but the prevalence of antibiotic use has increased. In interpreting these findings, one should bear in mind that confounders may have influenced them in different directions: The mean length of hospital stay is now shorter than in 1994, but the mean age of hospitalized patients is higher.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3796357

DOI: 10.3238/arztebl.2013.0627
PubMed: 24133543
PubMed Central: 3796357

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PMC:3796357

Le document en format XML

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<author><name sortKey="Behnke, Michael" sort="Behnke, Michael" uniqKey="Behnke M" first="Michael" last="Behnke">Michael Behnke</name>
<affiliation><nlm:aff id="AFF1">Institute of Hygiene and Environmental Medicine, Charité – Universitätsmedizin Berlin</nlm:aff>
<wicri:noCountry code="subfield">Charité – Universitätsmedizin Berlin</wicri:noCountry>
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<author><name sortKey="Hansen, Sonja" sort="Hansen, Sonja" uniqKey="Hansen S" first="Sonja" last="Hansen">Sonja Hansen</name>
<affiliation><nlm:aff id="AFF1">Institute of Hygiene and Environmental Medicine, Charité – Universitätsmedizin Berlin</nlm:aff>
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<author><name sortKey="Piening, Brar" sort="Piening, Brar" uniqKey="Piening B" first="Brar" last="Piening">Brar Piening</name>
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<author><name sortKey="Diaz, Luis Alberto Pe A" sort="Diaz, Luis Alberto Pe A" uniqKey="Diaz L" first="Luis Alberto Pe A" last="Diaz">Luis Alberto Pe A Diaz</name>
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<front><div type="abstract" xml:lang="en"><sec id="st1"><title>Background</title>
<p>In 2011, seventeen years after the first national study on the prevalence of nosocomial infections and antibiotic use in German hospitals, a second national prevalence study was carried out according to the specifications of the European Centre for Disease Prevention and Control (ECDC).</p>
</sec>
<sec id="st2"><title>Methods</title>
<p>The ECDC protocol, containing uniform surveillance definitions and ascertainment methods, was implemented. The only infections counted were those that were active or under treatment with antibiotics on the day of the study. In addition to the representative sample required by the ECDC, which consisted of 46 hospitals, further hospitals participated on a voluntary basis.</p>
</sec>
<sec id="st3"><title>Results</title>
<p>Data on 41 539 patients in 132 hospitals were analyzed. The prevalence of infections that had arisen during the current hospital stay was 3.8% in the overall group and 3.4% in the representative sample of 9626 patients in 46 hospitals. The prevalence of all nosocomial infections, including those acquired before the current hospital stay and still present upon admission, was 5.1% in both the overall group and the representative sample. The prevalence of antibiotic use on the day of the study was 25.5% and 23.3% in the two groups, respectively.</p>
</sec>
<sec id="st4"><title>Conclusion</title>
<p>The prevalence of nosocomial infection has not changed since 1994, but the prevalence of antibiotic use has increased. In interpreting these findings, one should bear in mind that confounders may have influenced them in different directions: The mean length of hospital stay is now shorter than in 1994, but the mean age of hospitalized patients is higher.</p>
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Nosocomial Infection and Antibiotic Use

Nosocomial Infection and Antibiotic Use

Source :

Abstract

Links toward previous steps (curation, corpus...)

Links to Exploration step

Le document en format XML

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Pour générer des pages wiki