Smith Mary, Atkins Sue, Worth Leon, Richards Michael, Bennett Noleen
Department of Health, Grampians Region, 21 McLachlan Street, Horsham, Vic. 3400, Australia.
Aust Health Rev. 2013 Sep;37(4):529-34. doi: 10.1071/AH12007.
In July 2011, 29 residential aged care facilities (RACF) located in the Grampians rural region, Victoria, participated in the Grampians healthcare-associated infection (HAI) and antimicrobial use point prevalence study.
On a single day, trained infection control consultants collected data using two surveys. The RACF survey enabled collection of information (e.g. occupancy levels) about each RACF and its residents. The resident survey was completed for eligible high-level care residents who presented with signs and symptoms of a HAI and/or were prescribed an antimicrobial. A literature review was undertaken so comparisons could be made against similar studies.
The Grampians prevalence of residents presenting with ≥1 HAI (3.8%) was higher than the pooled prevalence (2.3%) for four international studies (P=0.01). The Grampians prevalence of residents prescribed ≥1 antimicrobial (8.3%) was higher than the pooled prevalence (5.8%) for eight international studies (P=0.009).
The prevalence of the Grampians residents presenting with ≥1 HAI and residents prescribed ≥1 antimicrobial were both observed to be significantly higher than pooled data from similar international studies.
2011年7月，位于维多利亚州格兰扁山区农村地区的29家老年护理机构（RACF）参与了格兰扁山区医疗相关感染（HAI）及抗菌药物使用现况调查研究。
在同一天，经过培训的感染控制顾问通过两项调查收集数据。RACF调查能够收集有关每个RACF及其居民的信息（如入住率）。针对出现HAI体征和症状及/或正在接受抗菌药物治疗的符合条件的高级护理居民完成居民调查。进行了文献综述以便能与类似研究进行比较。
格兰扁山区出现≥1次HAI的居民患病率（3.8%）高于四项国际研究的合并患病率（2.3%）（P = 0.01）。格兰扁山区接受≥1种抗菌药物治疗的居民患病率（8.3%）高于八项国际研究的合并患病率（5.8%）（P = 0.009）。
观察到格兰扁山区出现≥1次HAI的居民患病率以及接受≥1种抗菌药物治疗的居民患病率均显著高于类似国际研究的汇总数据。
