Cargando…

Prospective Surveillance of Healthcare-Associated Infections in Residents in Four Long-Term Care Facilities in Graz, Austria

Healthcare-associated infections (HCAI) are a common cause for residents’ mortality and morbidity associated with a significant socio-economic burden. Data on HCAIs in Austrian long-term care facilities are scare. Therefore, we evaluated the incidence rate of HCAIs per 1000 resident days in four LTC...

Descripción completa

Detalles Bibliográficos
Autores principales: König, Elisabeth, Medwed, Mara, Pux, Christian, Uhlmann, Michael, Schippinger, Walter, Krause, Robert, Zollner-Schwetz, Ines
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8151996/
https://www.ncbi.nlm.nih.gov/pubmed/34067175
http://dx.doi.org/10.3390/antibiotics10050544
_version_ 1783698515915964416
author König, Elisabeth
Medwed, Mara
Pux, Christian
Uhlmann, Michael
Schippinger, Walter
Krause, Robert
Zollner-Schwetz, Ines
author_facet König, Elisabeth
Medwed, Mara
Pux, Christian
Uhlmann, Michael
Schippinger, Walter
Krause, Robert
Zollner-Schwetz, Ines
author_sort König, Elisabeth
collection PubMed
description Healthcare-associated infections (HCAI) are a common cause for residents’ mortality and morbidity associated with a significant socio-economic burden. Data on HCAIs in Austrian long-term care facilities are scare. Therefore, we evaluated the incidence rate of HCAIs per 1000 resident days in four LTC facilities in Graz, Austria, characterized the spectrum of HCAIs and the use of antimicrobial substances. We conducted a prospective surveillance study from 1 January to 31 December 2018 in four LTCFs of the Geriatric Health Centre of the City of Graz (total of 388 beds). Nursing staff collected data on HCAIs once a week using an electronic reporting system. During the 12-month surveillance period, 252 infections of 165 residents were recorded. The overall incidence rate of HCAIs was 2.1 per 1000 resident days. Urinary tract infections were the most commonly recorded HCAIs (49%, 124/252, 1.03 per 1000 resident days), followed by skin and soft tissue infections and respiratory tract infections. Beta-lactams (ATC class J01C) were prescribed most frequently (63/212), followed by fluoroquinolones (J01M; 54/212). In conclusion, the overall incidence rate for HCAIs was relatively low at 2.1 per 1000 resident days. Our real-life data can serve as a basis for future antimicrobial stewardship and infection prevention interventions.
format Online
Article
Text
id pubmed-8151996
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-81519962021-05-27 Prospective Surveillance of Healthcare-Associated Infections in Residents in Four Long-Term Care Facilities in Graz, Austria König, Elisabeth Medwed, Mara Pux, Christian Uhlmann, Michael Schippinger, Walter Krause, Robert Zollner-Schwetz, Ines Antibiotics (Basel) Article Healthcare-associated infections (HCAI) are a common cause for residents’ mortality and morbidity associated with a significant socio-economic burden. Data on HCAIs in Austrian long-term care facilities are scare. Therefore, we evaluated the incidence rate of HCAIs per 1000 resident days in four LTC facilities in Graz, Austria, characterized the spectrum of HCAIs and the use of antimicrobial substances. We conducted a prospective surveillance study from 1 January to 31 December 2018 in four LTCFs of the Geriatric Health Centre of the City of Graz (total of 388 beds). Nursing staff collected data on HCAIs once a week using an electronic reporting system. During the 12-month surveillance period, 252 infections of 165 residents were recorded. The overall incidence rate of HCAIs was 2.1 per 1000 resident days. Urinary tract infections were the most commonly recorded HCAIs (49%, 124/252, 1.03 per 1000 resident days), followed by skin and soft tissue infections and respiratory tract infections. Beta-lactams (ATC class J01C) were prescribed most frequently (63/212), followed by fluoroquinolones (J01M; 54/212). In conclusion, the overall incidence rate for HCAIs was relatively low at 2.1 per 1000 resident days. Our real-life data can serve as a basis for future antimicrobial stewardship and infection prevention interventions. MDPI 2021-05-07 /pmc/articles/PMC8151996/ /pubmed/34067175 http://dx.doi.org/10.3390/antibiotics10050544 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
König, Elisabeth
Medwed, Mara
Pux, Christian
Uhlmann, Michael
Schippinger, Walter
Krause, Robert
Zollner-Schwetz, Ines
Prospective Surveillance of Healthcare-Associated Infections in Residents in Four Long-Term Care Facilities in Graz, Austria
title Prospective Surveillance of Healthcare-Associated Infections in Residents in Four Long-Term Care Facilities in Graz, Austria
title_full Prospective Surveillance of Healthcare-Associated Infections in Residents in Four Long-Term Care Facilities in Graz, Austria
title_fullStr Prospective Surveillance of Healthcare-Associated Infections in Residents in Four Long-Term Care Facilities in Graz, Austria
title_full_unstemmed Prospective Surveillance of Healthcare-Associated Infections in Residents in Four Long-Term Care Facilities in Graz, Austria
title_short Prospective Surveillance of Healthcare-Associated Infections in Residents in Four Long-Term Care Facilities in Graz, Austria
title_sort prospective surveillance of healthcare-associated infections in residents in four long-term care facilities in graz, austria
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8151996/
https://www.ncbi.nlm.nih.gov/pubmed/34067175
http://dx.doi.org/10.3390/antibiotics10050544
work_keys_str_mv AT konigelisabeth prospectivesurveillanceofhealthcareassociatedinfectionsinresidentsinfourlongtermcarefacilitiesingrazaustria
AT medwedmara prospectivesurveillanceofhealthcareassociatedinfectionsinresidentsinfourlongtermcarefacilitiesingrazaustria
AT puxchristian prospectivesurveillanceofhealthcareassociatedinfectionsinresidentsinfourlongtermcarefacilitiesingrazaustria
AT uhlmannmichael prospectivesurveillanceofhealthcareassociatedinfectionsinresidentsinfourlongtermcarefacilitiesingrazaustria
AT schippingerwalter prospectivesurveillanceofhealthcareassociatedinfectionsinresidentsinfourlongtermcarefacilitiesingrazaustria
AT krauserobert prospectivesurveillanceofhealthcareassociatedinfectionsinresidentsinfourlongtermcarefacilitiesingrazaustria
AT zollnerschwetzines prospectivesurveillanceofhealthcareassociatedinfectionsinresidentsinfourlongtermcarefacilitiesingrazaustria