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Please use this identifier to cite or link to this item: http://repository.li.mahidol.ac.th/dspace/handle/123456789/31936
Title: The value of intermittent point-prevalence surveys ofhealthcare-associated infections fo evaluating infection control interventions at angkor hospital for children, siem reap, cambodia
Authors: N. Stoesser
K. Emary
S. Soklin
K. A. Peng
S. Sophal
S. Chhomrath
N. P.J. Day
D. Limmathurotsakul
P. Nget
Y. Pangnarith
S. Sona
V. Kumar
C. E. Moore
N. Chanpheaktra
C. M. Parry
Angkor Hospital for Children
Mahidol University
University of Oxford
Keywords: Immunology and Microbiology;Medicine
Issue Date: 1-Apr-2013
Citation: Transactions of the Royal Society of Tropical Medicine and Hygiene. Vol.107, No.4 (2013), 248-253
Abstract: Background: There are limited data on the epidemiology of paediatric healthcare-associated infection (HCAI) and infection control in low-income countries. We describe the value of intermittent point-prevalence surveys for monitoring HCAI and evaluating infection control interventions in a Cambodian paediatric hospital. Methods: Hospital-wide, point-prevalence surveys were performed monthly in 2011. Infection control interventions introduced during this period included a hand hygiene programme and a ventilator-associated pneumonia (VAP) care bundle. Results: Overall HCAI prevalence was 13.8/100 patients at-risk, with a significant decline over time. The highest HCAI rates (50%) were observed in critical care; the majority of HCAIs were respiratory (61%). Klebsiella pneumoniae was most commonly isolated and antimicrobial resistancewas widespread. Hand hygiene compliance doubled to 51.6%, and total VAP cases/1000 patient-ventilator days fell from 30 to 10. Conclusion: Rates of HCAI were substantial in our institution, and antimicrobial resistance a major concern. Pointprevalence surveys are effective for HCAIsurveillance, and in monitoring trends in response to infection control interventions. © Royal Society of Tropical Medicine and Hygiene 2013. All rights reserved.
URI: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84882933251&origin=inward
http://repository.li.mahidol.ac.th/dspace/handle/123456789/31936
ISSN: 18783503
00359203
Appears in Collections:Scopus 2011-2015

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