The value of intermittent point-prevalence surveys of healthcare-associated infections for evaluating infection control interventions at Angkor Hospital for Children, Siem Reap, Cambodia.



Stoesser, N ORCID: 0000-0002-4508-7969, Emary, K, Soklin, S, Peng An, K, Sophal, S, Chhomrath, S, Day, NPJ, Limmathurotsakul, D, Nget, P, Pangnarith, Y
et al (show 5 more authors) (2013) The value of intermittent point-prevalence surveys of healthcare-associated infections for evaluating infection control interventions at Angkor Hospital for Children, Siem Reap, Cambodia. Transactions of the Royal Society of Tropical Medicine and Hygiene, 107 (4). pp. 248-253.

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Abstract

<h4>Background</h4>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.<h4>Methods</h4>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.<h4>Results</h4>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 resistance was widespread. Hand hygiene compliance doubled to 51.6%, and total VAP cases/1000 patient-ventilator days fell from 30 to 10.<h4>Conclusion</h4>Rates of HCAI were substantial in our institution, and antimicrobial resistance a major concern. Point-prevalence surveys are effective for HCAI surveillance, and in monitoring trends in response to infection control interventions.

Item Type: Article
Uncontrolled Keywords: Humans, Cross Infection, Prevalence, Regression Analysis, Infection Control, Hospitals, Pediatric, Cambodia, Hand Disinfection
Depositing User: Symplectic Admin
Date Deposited: 18 Nov 2020 09:51
Last Modified: 18 Mar 2024 01:01
DOI: 10.1093/trstmh/trt005
Related URLs:
URI: https://livrepository.liverpool.ac.uk/id/eprint/3107277