Department of Medicine and Health Sciences "Vincenzo Tiberio", University of Molise, Campobasso, Italy.
Molise Regional Health Authority, "Antonio Cardarelli" Hospital, Campobasso, Italy.
Hosp Top. 2021 Jul-Sep;99(3):140-150. doi: 10.1080/00185868.2021.1902758. Epub 2021 Apr 1.
This study compares healthcare-associated infections (HAIs) prevalence and antimicrobial consumption (AMC) from surveys conducted in 2016 and 2019 in an Italian hospital for acute care. HAIs prevalence was 7.1% in both surveys, while patients were under antibiotic treatment slightly increased from 2016 to 2019, from 42.6% to 43.7%, respectively. In the survey of 2016, HAIs risk factors were fatal McCabe score and hospitalization longer than two weeks, while CVC and urinary catheter in that conducted in 2019. In both surveys, CVC and peripheral venous catheter resulted associated to AMC. HAIs and AMC remained stable although the hospital undergone a complexity reduction in the second survey, remarking that critical actions are strictly required implementing infection control practices and antimicrobial stewardship.
本研究比较了 2016 年和 2019 年在意大利一家急性护理医院进行的两次调查中与医疗保健相关的感染 (HAI) 患病率和抗菌药物使用量 (AMC)。两次调查的 HAI 患病率均为 7.1%，而接受抗生素治疗的患者人数从 2016 年到 2019 年略有增加，分别从 42.6%增加到 43.7%。在 2016 年的调查中，HAI 的危险因素是致命的 McCabe 评分和住院时间超过两周，而在 2019 年的调查中则是 CVC 和导尿管。在两次调查中，CVC 和外周静脉导管与 AMC 相关。尽管医院在第二次调查中经历了复杂性降低，但 HAI 和 AMC 仍然保持稳定，这表明需要采取严格的关键行动来实施感染控制实践和抗菌药物管理。
