Development and Application of a Surveillance Method for Healthcare-Associated Infections in Long-Term Care Hospitals in Korea.
Epidemiology
Hospital infections
Korea
Long-term care
Journal
Annals of geriatric medicine and research
ISSN: 2508-4909
Titre abrégé: Ann Geriatr Med Res
Pays: Korea (South)
ID NLM: 101701105
Informations de publication
Date de publication:
Dec 2020
Dec 2020
Historique:
received:
25
09
2020
accepted:
17
12
2020
entrez:
4
1
2021
pubmed:
5
1
2021
medline:
5
1
2021
Statut:
ppublish
Résumé
This study developed a surveillance method for healthcare-associated infections (HAIs) in long-term care hospitals (LTCHs) and investigated the current status of HAIs in LTCHs in Korea. We applied the HAI-related surveillance criteria for long-term care facilities developed by McGeer in six LTCHs. The 197 confirmed HAIs corresponded to incidence rates of 30.38/100 inpatients and 1.57/1,000 days of hospitalization and included 84 cases of respiratory tract infection (43.8%), 78 cases of systemic infection (40.6%), 24 cases of gastrointestinal tract infection (12.5%), and 6 cases of skin and soft tissue mucosal infection (2.1%). The subtypes included 78 cases of unexplained febrile illness (40.6%); 40 cases of pneumonia (20.8%); 27 cases of lower respiratory tract infection (14.1%); 21 cases of gastroenteritis (10.9%); 9 cases of influenza-like illness (4.7%); 8 cases of common cold or pharyngitis (4.2%); 4 cases of cellulitis, soft tissue, or wound infection (2.1%); 3 cases of Clostridium difficile infection (1.6%); 1 case of conjunctivitis (0.5%); and 1 case of fungal oral/perioral and skin infection (0.5%). Establishing an HAI surveillance method for LTCHs and identifying HAI rates and risk factors among LTCH patients may help prevent HAIs in LTCHs in Korea.
Sections du résumé
BACKGROUND
BACKGROUND
This study developed a surveillance method for healthcare-associated infections (HAIs) in long-term care hospitals (LTCHs) and investigated the current status of HAIs in LTCHs in Korea.
METHODS
METHODS
We applied the HAI-related surveillance criteria for long-term care facilities developed by McGeer in six LTCHs.
RESULTS
RESULTS
The 197 confirmed HAIs corresponded to incidence rates of 30.38/100 inpatients and 1.57/1,000 days of hospitalization and included 84 cases of respiratory tract infection (43.8%), 78 cases of systemic infection (40.6%), 24 cases of gastrointestinal tract infection (12.5%), and 6 cases of skin and soft tissue mucosal infection (2.1%). The subtypes included 78 cases of unexplained febrile illness (40.6%); 40 cases of pneumonia (20.8%); 27 cases of lower respiratory tract infection (14.1%); 21 cases of gastroenteritis (10.9%); 9 cases of influenza-like illness (4.7%); 8 cases of common cold or pharyngitis (4.2%); 4 cases of cellulitis, soft tissue, or wound infection (2.1%); 3 cases of Clostridium difficile infection (1.6%); 1 case of conjunctivitis (0.5%); and 1 case of fungal oral/perioral and skin infection (0.5%).
CONCLUSION
CONCLUSIONS
Establishing an HAI surveillance method for LTCHs and identifying HAI rates and risk factors among LTCH patients may help prevent HAIs in LTCHs in Korea.
Identifiants
pubmed: 33389974
pii: agmr.20.0067
doi: 10.4235/agmr.20.0067
pmc: PMC7781959
doi:
Types de publication
Journal Article
Langues
eng
Pagination
274-281Références
Ann Geriatr Med Res. 2020 Jun;24(2):59-61
pubmed: 32743325
Infect Control Hosp Epidemiol. 2012 Oct;33(10):965-77
pubmed: 22961014
Infect Control Hosp Epidemiol. 2012 Oct;33(10):978-80
pubmed: 22961015
CMAJ. 2012 Mar 6;184(4):E232-9
pubmed: 22271915
Ann Geriatr Med Res. 2018 Mar;22(1):20-25
pubmed: 32743239
Am J Infect Control. 2018 Jun;46(6):637-642
pubmed: 29478758
Lancet. 2020 Feb 15;395(10223):497-506
pubmed: 31986264
J Am Geriatr Soc. 2010 Jan;58(1):199-201
pubmed: 20122068
Am J Infect Control. 1991 Feb;19(1):1-7
pubmed: 1902352
Clin Nurse Spec. 2016 Jan-Feb;30(1):E1-9
pubmed: 26626751
Infect Control Hosp Epidemiol. 2010 Nov;31 Suppl 1:S59-62
pubmed: 20929373
Clin Infect Dis. 2009 Jan 15;48(2):149-71
pubmed: 19072244
J Infect Public Health. 2019 Jul - Aug;12(4):509-515
pubmed: 30745199