Infection Control Programme and WHO Collaborating Centre on Patient Safety, University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland.
These authors contributed equally.
Euro Surveill. 2019 Aug;24(32). doi: 10.2807/1560-7917.ES.2019.24.32.1800603.
BackgroundAs a part of the national strategy on the prevention of healthcare-associated infections (HAI), a point prevalence survey (PPS) was conducted in acute care hospitals in Switzerland.AimOur objective was to assess the burden of HAI in Swiss acute care hospitals.MethodsAll acute care hospitals were invited to participate in this cross-sectional survey during the second quarter of 2017. The protocol by the European Centre for Disease Prevention and Control was applied. Patients of all ages, hospitalised on the day of survey were included, except when admitted to outpatient clinics, emergency and psychiatry.ResultsNinety-six acute care hospitals (79% of all hospitals ≥ 100 beds) provided data on 12,931 patients. Pooled and randomised HAI prevalences were 5.9% (95% confidence interval (CI): 5.5-6.3) and 5.4% (95% CI: 4.8-6.0), respectively. The HAI incidence was estimated at 4.5 (95% CI: 4.0-5.0). The most common type of HAI was surgical site infection (29.0%), followed by lower respiratory tract (18.2%), urinary tract (14.9%) and bloodstream (12.8%) infections. The highest prevalence was identified in intensive care (20.6%), in large hospitals > 650 beds (7.8%), among elderly patients (7.4%), male patients (7.2%) and patients with an ultimately (9.3%) or rapidly (10.6%) fatal McCabe score.DiscussionThis is the first national PPS of Switzerland allowing direct comparison with other European countries. The HAI prevalence was at European Union average (5.9% in 2016 and 2017), but higher than in some countries neighbouring Switzerland. Based on the limited information from previous surveys, HAI appear not to decrease.
背景
作为国家预防医源性感染（HAI）战略的一部分，在瑞士的急性护理医院进行了一项时点患病率调查（PPS）。
目的
我们的目的是评估瑞士急性护理医院的 HAI 负担。
方法
所有急性护理医院都被邀请在 2017 年第二季度参加这项横断面调查。采用欧洲疾病预防控制中心的方案。除了门诊、急诊和精神病科外，所有在调查当天住院的所有年龄的患者都被包括在内。
结果
96 家急性护理医院（≥100 张病床的所有医院的 79%）提供了 12931 名患者的数据。汇总和随机 HAI 患病率分别为 5.9%（95%置信区间（CI）：5.5-6.3）和 5.4%（95%CI：4.8-6.0）。HAI 发病率估计为 4.5（95%CI：4.0-5.0）。最常见的 HAI 类型是手术部位感染（29.0%），其次是下呼吸道（18.2%）、尿路感染（14.9%）和血流感染（12.8%）。在重症监护病房（20.6%）、大型医院（＞650 张病床）（7.8%）、老年患者（7.4%）、男性患者（7.2%）和最终（9.3%）或快速（10.6%）致命 McCabe 评分的患者中，患病率最高。
讨论
这是瑞士首次进行全国性的 PPS，允许与其他欧洲国家进行直接比较。HAI 患病率处于欧盟平均水平（2016 年和 2017 年为 5.9%），但高于瑞士一些邻国。根据以前调查的有限信息，HAI 似乎没有减少。
