Results from the second Scottish national prevalence survey: the changing epidemiology of healthcare-associated infection in Scotland

J. Reilly, S. Cairns, S. Fleming, D. Hewitt, R. Lawder, C. Robertson, W. Malcolm, D. Nathwani, C. Williams

Research output: Contribution to journalArticle

Abstract

Background
Healthcare-associated infections (HAIs) are a recognized public health problem worldwide. Point prevalence surveys (PPSs) can be used to measure the burden of all HAI types.
Aim
To measure the prevalence of HAI and determine any changes in the epidemiology of HAI since the first Scottish national PPS.
Methods
A national rolling PPS in National Health Service (NHS) acute, NHS non-acute, NHS paediatric and independent hospitals was carried out during September and October 2011 using the European Centre for Disease Prevention and Control protocol designed for the European PPS. The prevalence of HAI and distribution of HAI types were measured and the results compared with the first Scottish national HAI point prevalence survey of 2005/2006.
Results
The prevalence of HAI was 4.9%, 2.5%, 6.1% and 1.2% in acute, non-acute, paediatric and independent hospitals respectively. The prevalence of HAI was significantly higher in acute hospitals compared with non-acute hospitals. There were no significant differences between the prevalence in the other hospital types. The prevalence of HAI in acute and non-acute hospitals was lower than the first survey by approximately one-third. The proportion of HAIs that were urinary tract infection, surgical site infection and bloodstream infection was higher and the proportion that were gastrointestinal including Clostridium difficile infection was lower in acute hospitals compared with the previous survey.
Conclusions
The epidemiology of HAI has changed in Scotland since the first national survey in 2005/2006, thus infection prevention and control measures require to be refocused in this regard. The lower prevalence and changing epidemiology of HAI in acute and non-acute care suggest that there may be a temporal relationship with the implementation of the national programme of targeted HAI interventions in the intervening period.
Original languageEnglish
Pages (from-to)170-174
Number of pages5
JournalJournal of Hospital Infection
Volume82
Issue number3
DOIs
Publication statusPublished - Nov 2012
Externally publishedYes

Fingerprint

Scotland
Cross Infection
Epidemiology
National Health Programs
Pediatric Hospitals
Surveys and Questionnaires
Clostridium Infections
Surgical Wound Infection
Clostridium difficile
Centers for Disease Control and Prevention (U.S.)
Infection Control
Infection
Urinary Tract Infections
Public Health

Cite this

Reilly, J. ; Cairns, S. ; Fleming, S. ; Hewitt, D. ; Lawder, R. ; Robertson, C. ; Malcolm, W. ; Nathwani, D. ; Williams, C. / Results from the second Scottish national prevalence survey : the changing epidemiology of healthcare-associated infection in Scotland. In: Journal of Hospital Infection. 2012 ; Vol. 82, No. 3. pp. 170-174.
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title = "Results from the second Scottish national prevalence survey: the changing epidemiology of healthcare-associated infection in Scotland",
abstract = "BackgroundHealthcare-associated infections (HAIs) are a recognized public health problem worldwide. Point prevalence surveys (PPSs) can be used to measure the burden of all HAI types.AimTo measure the prevalence of HAI and determine any changes in the epidemiology of HAI since the first Scottish national PPS.MethodsA national rolling PPS in National Health Service (NHS) acute, NHS non-acute, NHS paediatric and independent hospitals was carried out during September and October 2011 using the European Centre for Disease Prevention and Control protocol designed for the European PPS. The prevalence of HAI and distribution of HAI types were measured and the results compared with the first Scottish national HAI point prevalence survey of 2005/2006.ResultsThe prevalence of HAI was 4.9{\%}, 2.5{\%}, 6.1{\%} and 1.2{\%} in acute, non-acute, paediatric and independent hospitals respectively. The prevalence of HAI was significantly higher in acute hospitals compared with non-acute hospitals. There were no significant differences between the prevalence in the other hospital types. The prevalence of HAI in acute and non-acute hospitals was lower than the first survey by approximately one-third. The proportion of HAIs that were urinary tract infection, surgical site infection and bloodstream infection was higher and the proportion that were gastrointestinal including Clostridium difficile infection was lower in acute hospitals compared with the previous survey.ConclusionsThe epidemiology of HAI has changed in Scotland since the first national survey in 2005/2006, thus infection prevention and control measures require to be refocused in this regard. The lower prevalence and changing epidemiology of HAI in acute and non-acute care suggest that there may be a temporal relationship with the implementation of the national programme of targeted HAI interventions in the intervening period.",
author = "J. Reilly and S. Cairns and S. Fleming and D. Hewitt and R. Lawder and C. Robertson and W. Malcolm and D. Nathwani and C. Williams",
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Results from the second Scottish national prevalence survey : the changing epidemiology of healthcare-associated infection in Scotland. / Reilly, J.; Cairns, S.; Fleming, S.; Hewitt, D.; Lawder, R.; Robertson, C.; Malcolm, W.; Nathwani, D.; Williams, C.

In: Journal of Hospital Infection, Vol. 82, No. 3, 11.2012, p. 170-174.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Results from the second Scottish national prevalence survey

T2 - the changing epidemiology of healthcare-associated infection in Scotland

AU - Reilly, J.

AU - Cairns, S.

AU - Fleming, S.

AU - Hewitt, D.

AU - Lawder, R.

AU - Robertson, C.

AU - Malcolm, W.

AU - Nathwani, D.

AU - Williams, C.

N1 - doi: 10.1016/j.jhin.2012.07.024

PY - 2012/11

Y1 - 2012/11

N2 - BackgroundHealthcare-associated infections (HAIs) are a recognized public health problem worldwide. Point prevalence surveys (PPSs) can be used to measure the burden of all HAI types.AimTo measure the prevalence of HAI and determine any changes in the epidemiology of HAI since the first Scottish national PPS.MethodsA national rolling PPS in National Health Service (NHS) acute, NHS non-acute, NHS paediatric and independent hospitals was carried out during September and October 2011 using the European Centre for Disease Prevention and Control protocol designed for the European PPS. The prevalence of HAI and distribution of HAI types were measured and the results compared with the first Scottish national HAI point prevalence survey of 2005/2006.ResultsThe prevalence of HAI was 4.9%, 2.5%, 6.1% and 1.2% in acute, non-acute, paediatric and independent hospitals respectively. The prevalence of HAI was significantly higher in acute hospitals compared with non-acute hospitals. There were no significant differences between the prevalence in the other hospital types. The prevalence of HAI in acute and non-acute hospitals was lower than the first survey by approximately one-third. The proportion of HAIs that were urinary tract infection, surgical site infection and bloodstream infection was higher and the proportion that were gastrointestinal including Clostridium difficile infection was lower in acute hospitals compared with the previous survey.ConclusionsThe epidemiology of HAI has changed in Scotland since the first national survey in 2005/2006, thus infection prevention and control measures require to be refocused in this regard. The lower prevalence and changing epidemiology of HAI in acute and non-acute care suggest that there may be a temporal relationship with the implementation of the national programme of targeted HAI interventions in the intervening period.

AB - BackgroundHealthcare-associated infections (HAIs) are a recognized public health problem worldwide. Point prevalence surveys (PPSs) can be used to measure the burden of all HAI types.AimTo measure the prevalence of HAI and determine any changes in the epidemiology of HAI since the first Scottish national PPS.MethodsA national rolling PPS in National Health Service (NHS) acute, NHS non-acute, NHS paediatric and independent hospitals was carried out during September and October 2011 using the European Centre for Disease Prevention and Control protocol designed for the European PPS. The prevalence of HAI and distribution of HAI types were measured and the results compared with the first Scottish national HAI point prevalence survey of 2005/2006.ResultsThe prevalence of HAI was 4.9%, 2.5%, 6.1% and 1.2% in acute, non-acute, paediatric and independent hospitals respectively. The prevalence of HAI was significantly higher in acute hospitals compared with non-acute hospitals. There were no significant differences between the prevalence in the other hospital types. The prevalence of HAI in acute and non-acute hospitals was lower than the first survey by approximately one-third. The proportion of HAIs that were urinary tract infection, surgical site infection and bloodstream infection was higher and the proportion that were gastrointestinal including Clostridium difficile infection was lower in acute hospitals compared with the previous survey.ConclusionsThe epidemiology of HAI has changed in Scotland since the first national survey in 2005/2006, thus infection prevention and control measures require to be refocused in this regard. The lower prevalence and changing epidemiology of HAI in acute and non-acute care suggest that there may be a temporal relationship with the implementation of the national programme of targeted HAI interventions in the intervening period.

U2 - 10.1016/j.jhin.2012.07.024

DO - 10.1016/j.jhin.2012.07.024

M3 - Article

VL - 82

SP - 170

EP - 174

JO - Journal of Hospital Infection

JF - Journal of Hospital Infection

SN - 0195-6701

IS - 3

ER -