Publication: The value of intermittent point-prevalence surveys ofhealthcare-associated infections fo evaluating infection control interventions at angkor hospital for children, siem reap, cambodia
Issued Date
2013-04-01
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18783503
00359203
00359203
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2-s2.0-84882933251
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Mahidol University
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SCOPUS
Bibliographic Citation
Transactions of the Royal Society of Tropical Medicine and Hygiene. Vol.107, No.4 (2013), 248-253
Suggested Citation
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 The value of intermittent point-prevalence surveys ofhealthcare-associated infections fo evaluating infection control interventions at angkor hospital for children, siem reap, cambodia. Transactions of the Royal Society of Tropical Medicine and Hygiene. Vol.107, No.4 (2013), 248-253. doi:10.1093/trstmh/trt005 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/31936
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Title
The value of intermittent point-prevalence surveys ofhealthcare-associated infections fo evaluating infection control interventions at angkor hospital for children, siem reap, cambodia
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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.