MENU ▼
Read by QxMD icon Read
search
OPEN IN READ APP
JOURNAL ARTICLE

Prevalence of healthcare-associated infections and antimicrobial resistance in Kyiv acute care hospitals, Ukraine

A Salmanov, S Vozianov, V Kryzhevsky, O Litus, A Drozdova, I Vlasenko
Journal of Hospital Infection 2019 March 22
30910424

BACKGROUND: Healthcare-associated infections (HAIs) are one of the commonest adverse events in patient care and account for substantial morbidity and mortality.

AIM: To obtain the first estimates of the current prevalence of HAIs and antimicrobial resistance in acute care hospitals in Kyiv, Ukraine.

METHODS: Prospective surveillance was conducted from January 2014 to December 2016 in five Kyiv acute care hospitals. Definitions of HAIs were adapted from the Centers for Disease Control and Prevention's National Healthcare Safety Network.

FINDINGS: Among 53,884 patients, 3,753 (7%) HAIs were observed. The most frequently reported HAI types were respiratory tract infections (pneumonia 19.4%; lower respiratory tract 4.1%), surgical site infections (19.6%), urinary tract infections (17.5%) and bloodstream infections (10.6%). Death during hospitalization was reported in 7.2% HAI cases. The microorganisms most frequently isolated from HAIs were Escherichia coli (15.9%), Staphylococcus aureus (14.8%), Enterococcus spp. (10.2%), Pseudomonas aeruginosa (8.9%) and Klebsiella spp. (8.9%). Meticillin resistance was reported in 28.2% of S. aureus. 14.2% of enterococci were vancomycin-resistant. 35.1% of all Enterobacteriaceae were resistant to third-generation cephalosporins, with the highest resistance rates in K. pneumoniae (53.8%) and E. coli (32.1%).

CONCLUSIONS: Infection control priorities in hospitals should include preventing surgical site infections, pneumonia, bloodstream infections, and urinary tract infections. These results may help to delineate the requirements for infection prevention and control in acute care hospitals.

Comments

You need to log in or sign up for an account to be able to comment.

No comments yet, be the first to post one!

Related Papers

Available on the App Store

Available on the Play Store
Remove bar
Read by QxMD icon Read
30910424
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"