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Point prevalence survey of healthcare-associated infections and antimicrobial use in Kosovo hospitals

Health care-associated infections (HAIs) and antimicrobial resistance constitute a major public health challenge. The aim of this study was to assess the prevalence rate of HAIs and antimicrobial use in acute care hospitals in Kosovo. A multicenter study was performed in all hospitals in Kosovo. The...

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Autores principales: Raka, Lul, Spahija, Gazmend, Gashi-Gecaj, Agreta, Hamza, Astrit, Haxhiu, Edita, Rashiti, Albiona, Rrahimi, Gëzim, Hyseni, Selvete, Petrosillo, Nicola
Formato: Online Artículo Texto
Lenguaje:English
Publicado: PAGEPress Publications, Pavia, Italy 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444376/
https://www.ncbi.nlm.nih.gov/pubmed/30996847
http://dx.doi.org/10.4081/idr.2019.7975
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author Raka, Lul
Spahija, Gazmend
Gashi-Gecaj, Agreta
Hamza, Astrit
Haxhiu, Edita
Rashiti, Albiona
Rrahimi, Gëzim
Hyseni, Selvete
Petrosillo, Nicola
author_facet Raka, Lul
Spahija, Gazmend
Gashi-Gecaj, Agreta
Hamza, Astrit
Haxhiu, Edita
Rashiti, Albiona
Rrahimi, Gëzim
Hyseni, Selvete
Petrosillo, Nicola
author_sort Raka, Lul
collection PubMed
description Health care-associated infections (HAIs) and antimicrobial resistance constitute a major public health challenge. The aim of this study was to assess the prevalence rate of HAIs and antimicrobial use in acute care hospitals in Kosovo. A multicenter study was performed in all hospitals in Kosovo. The standardized protocol for Point Prevalence Survey (PPS) on HAIs and antimicrobial use developed by European Center for Disease Control and Prevention (ECDC) was used for this survey. A total of 915 patients were included in PPS. Countrywide prevalence rate of HAIs was 4.9%. The highest rate was noticed in tertiary care level in University Clinical Centre of Kosovo (UCCK) (7.2%). The most common type of HAI was surgical site infection, representing 35.5% of all reported HAIs. Prevalence of HAIs was highest in surgical departments (46.6%). The median length of stay before onset of HAI was 11 days (range: 3-27 days). Gram negative bacteria were the predominant microorganisms (61% of cases). From all patients, 520 (56.8%) of them were using at least one antibiotic. Ceftriaxone was the most prescribed antibiotic with 40.3%. Antibiotics were administered mainly through parenteral route (93.8%). Empiric treatment was the physician’s choice for prescribing in 87.1%. The main reason for antibiotic treatment was pneumonia (19.8%). Medical prophylaxis was reported in 10% of antibiotic prescriptions. Key recommendations driven by this study are to improve surveillance systems of HAI and antibiotic use, enhance infection prevention and control and establish antimicrobial stewardship program.
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spelling pubmed-64443762019-04-17 Point prevalence survey of healthcare-associated infections and antimicrobial use in Kosovo hospitals Raka, Lul Spahija, Gazmend Gashi-Gecaj, Agreta Hamza, Astrit Haxhiu, Edita Rashiti, Albiona Rrahimi, Gëzim Hyseni, Selvete Petrosillo, Nicola Infect Dis Rep Article Health care-associated infections (HAIs) and antimicrobial resistance constitute a major public health challenge. The aim of this study was to assess the prevalence rate of HAIs and antimicrobial use in acute care hospitals in Kosovo. A multicenter study was performed in all hospitals in Kosovo. The standardized protocol for Point Prevalence Survey (PPS) on HAIs and antimicrobial use developed by European Center for Disease Control and Prevention (ECDC) was used for this survey. A total of 915 patients were included in PPS. Countrywide prevalence rate of HAIs was 4.9%. The highest rate was noticed in tertiary care level in University Clinical Centre of Kosovo (UCCK) (7.2%). The most common type of HAI was surgical site infection, representing 35.5% of all reported HAIs. Prevalence of HAIs was highest in surgical departments (46.6%). The median length of stay before onset of HAI was 11 days (range: 3-27 days). Gram negative bacteria were the predominant microorganisms (61% of cases). From all patients, 520 (56.8%) of them were using at least one antibiotic. Ceftriaxone was the most prescribed antibiotic with 40.3%. Antibiotics were administered mainly through parenteral route (93.8%). Empiric treatment was the physician’s choice for prescribing in 87.1%. The main reason for antibiotic treatment was pneumonia (19.8%). Medical prophylaxis was reported in 10% of antibiotic prescriptions. Key recommendations driven by this study are to improve surveillance systems of HAI and antibiotic use, enhance infection prevention and control and establish antimicrobial stewardship program. PAGEPress Publications, Pavia, Italy 2019-03-19 /pmc/articles/PMC6444376/ /pubmed/30996847 http://dx.doi.org/10.4081/idr.2019.7975 Text en ©Copyright L. Raka et al., 2019 http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Article
Raka, Lul
Spahija, Gazmend
Gashi-Gecaj, Agreta
Hamza, Astrit
Haxhiu, Edita
Rashiti, Albiona
Rrahimi, Gëzim
Hyseni, Selvete
Petrosillo, Nicola
Point prevalence survey of healthcare-associated infections and antimicrobial use in Kosovo hospitals
title Point prevalence survey of healthcare-associated infections and antimicrobial use in Kosovo hospitals
title_full Point prevalence survey of healthcare-associated infections and antimicrobial use in Kosovo hospitals
title_fullStr Point prevalence survey of healthcare-associated infections and antimicrobial use in Kosovo hospitals
title_full_unstemmed Point prevalence survey of healthcare-associated infections and antimicrobial use in Kosovo hospitals
title_short Point prevalence survey of healthcare-associated infections and antimicrobial use in Kosovo hospitals
title_sort point prevalence survey of healthcare-associated infections and antimicrobial use in kosovo hospitals
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444376/
https://www.ncbi.nlm.nih.gov/pubmed/30996847
http://dx.doi.org/10.4081/idr.2019.7975
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