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https://hdl.handle.net/2440/82292
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Type: | Journal article |
Title: | The relationship between patient characteristics and the development of a multi-resistant healthcare-associated infection in a private South Australian hospital |
Author: | Jarratt, L. Miller, E. |
Citation: | Healthcare Infection, 2013; 18(3):94-101 |
Publisher: | CSIRO Publishing |
Issue Date: | 2013 |
ISSN: | 1835-5617 1835-5625 |
Statement of Responsibility: | L. S. Jarratt, E. R. Miller |
Abstract: | Background: The prevention of healthcare-associated infections (HAI) and the rise of multi-resistant organisms are significant public health issues. Infections caused by multi-resistant organisms (MRO) can have similar clinical manifestations to infections caused by non-multi-resistant organisms (non-MROHAI) but antibiotic treatment options are more limited, which can result in treatment failure. This study aimed to reduce the incidence of MRO HAI in a specific South Australian hospital setting by identifying factors that are associated with MRO transmission. Methods: Using a case-control design, we analysed data from 1017 adult patients who developed an HAI in the 9-year period from 2003 to 2011 in a private South Australian hospital. We compared risk factors in patients who developed MRO HAI (cases) with risk factors in patients who developed non-MRO HAI (controls). Data were collected from the hospital’s patient management database and individual medical records, and analysed using univariate and multivariate techniques. Results: Independent predictors for the development of MRO HAI were the presence of an indwelling urinary catheter and renal disease. The development of a secondary infection was significantly more likely in MRO relative to non-MRO HAI, as was secondary bloodstream infection following a primary urinary tract infection. Conclusion: All effective interventions for reducing MRO, specifically in UTI, should be implemented where feasible. Increased healthcare worker education on aseptic non-touch technique, and safe insertion and management of an IDC, particularly important in patients with underlying renal disease, could assist in decreasing the risk of MRO HAI in this setting. |
Rights: | Journal compilation © Australasian College for Infection Prevention and Control 2013 |
DOI: | 10.1071/HI13010 |
Published version: | http://dx.doi.org/10.1071/hi13010 |
Appears in Collections: | Aurora harvest 4 General Practice publications |
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