Results from the third Scottish National Prevalence Survey: is a population health approach now needed to prevent healthcare-associated infections?

S Cairns, C Gibbons, A Milne, H King, M Llano, L MacDoanld, William Malcolm, Chris Robertson, J Sneddon, J Weir, J Reilly

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Abstract

Background
Healthcare associated infections (HAI) are a major public health concern and a significant cause of morbidity and mortality. A robust and current evidence base that is specific to local, national and Europe-wide settings is necessary to inform the development of strategies to reduce HAI and contain antimicrobial resistance (AMR).

Aim
To measure the prevalence of HAI and antimicrobial prescribing and identify key priority areas for interventions to reduce the burden of infection.

Methods
A national rolling PPS in National Health Service (NHS) acute, NHS non-acute, NHS paediatric and independent hospitals was carried out between September and November 2016 using the European Centre for Disease Prevention and Control protocol designed for the European PPS.

Findings
The prevalence of HAI was 4.6%, 2.7% and 3.2% in acute adults, paediatric and non-acute patient groups, respectively. The most common HAI types reported in adult patients were urinary tract infection and pneumonia. The prevalence of antimicrobial prescribing was 35.7%, 29.3% and 13.8% in acute adults, paediatric and non-acute patient groups, respectively. Respiratory, skin and soft tissue, gastrointestinal and urinary tract infections were the most common infections being treated at the time of survey.

Conclusion
HAI continues to be a public health concern in Scotland. UTI and pneumonia continue to place a significant burden on patients and on healthcare delivery, including those that develop in the community and require hospital admission. A broader population health approach which focuses on reducing the risk of infection upstream would reduce these infections in both community and hospital settings.
Original languageEnglish
Pages (from-to)312-317
JournalJournal of Hospital Infection
Volume99
Issue number3
Early online date2 Apr 2018
DOIs
Publication statusPublished - Jul 2018

Fingerprint

Cross Infection
National Health Programs
Health
Infection
Population
Community Hospital
Urinary Tract Infections
Pneumonia
Public Health
Pediatrics
Pediatric Hospitals
Scotland
Centers for Disease Control and Prevention (U.S.)
Gastrointestinal Tract
Surveys and Questionnaires
Morbidity
Delivery of Health Care
Skin
Mortality

Keywords

  • epidemiology
  • healthcare-associated infection
  • infection prevention and control
  • point prevalence surveys
  • antimicrobial resistance
  • pneumonia
  • urinary tract infection

Cite this

Cairns, S ; Gibbons, C ; Milne, A ; King, H ; Llano, M ; MacDoanld, L ; Malcolm, William ; Robertson, Chris ; Sneddon, J ; Weir, J ; Reilly, J. / Results from the third Scottish National Prevalence Survey: is a population health approach now needed to prevent healthcare-associated infections?. In: Journal of Hospital Infection. 2018 ; Vol. 99, No. 3. pp. 312-317.
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title = "Results from the third Scottish National Prevalence Survey: is a population health approach now needed to prevent healthcare-associated infections?",
abstract = "BackgroundHealthcare associated infections (HAI) are a major public health concern and a significant cause of morbidity and mortality. A robust and current evidence base that is specific to local, national and Europe-wide settings is necessary to inform the development of strategies to reduce HAI and contain antimicrobial resistance (AMR).Aim To measure the prevalence of HAI and antimicrobial prescribing and identify key priority areas for interventions to reduce the burden of infection. MethodsA national rolling PPS in National Health Service (NHS) acute, NHS non-acute, NHS paediatric and independent hospitals was carried out between September and November 2016 using the European Centre for Disease Prevention and Control protocol designed for the European PPS.Findings The prevalence of HAI was 4.6{\%}, 2.7{\%} and 3.2{\%} in acute adults, paediatric and non-acute patient groups, respectively. The most common HAI types reported in adult patients were urinary tract infection and pneumonia. The prevalence of antimicrobial prescribing was 35.7{\%}, 29.3{\%} and 13.8{\%} in acute adults, paediatric and non-acute patient groups, respectively. Respiratory, skin and soft tissue, gastrointestinal and urinary tract infections were the most common infections being treated at the time of survey.ConclusionHAI continues to be a public health concern in Scotland. UTI and pneumonia continue to place a significant burden on patients and on healthcare delivery, including those that develop in the community and require hospital admission. A broader population health approach which focuses on reducing the risk of infection upstream would reduce these infections in both community and hospital settings.",
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Results from the third Scottish National Prevalence Survey: is a population health approach now needed to prevent healthcare-associated infections? / Cairns, S; Gibbons, C; Milne, A; King, H; Llano, M; MacDoanld, L; Malcolm, William; Robertson, Chris; Sneddon, J; Weir, J; Reilly, J.

In: Journal of Hospital Infection, Vol. 99, No. 3, 07.2018, p. 312-317.

Research output: Contribution to journalArticle

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T1 - Results from the third Scottish National Prevalence Survey: is a population health approach now needed to prevent healthcare-associated infections?

AU - Cairns, S

AU - Gibbons, C

AU - Milne, A

AU - King, H

AU - Llano, M

AU - MacDoanld, L

AU - Malcolm, William

AU - Robertson, Chris

AU - Sneddon, J

AU - Weir, J

AU - Reilly, J

N1 - Acceptance from webpage AAM: 12m embargo Exception email in SAN ^Exception status: author email in SAN; agreed no exception can be applied (library exception review, October 2018)

PY - 2018/7

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N2 - BackgroundHealthcare associated infections (HAI) are a major public health concern and a significant cause of morbidity and mortality. A robust and current evidence base that is specific to local, national and Europe-wide settings is necessary to inform the development of strategies to reduce HAI and contain antimicrobial resistance (AMR).Aim To measure the prevalence of HAI and antimicrobial prescribing and identify key priority areas for interventions to reduce the burden of infection. MethodsA national rolling PPS in National Health Service (NHS) acute, NHS non-acute, NHS paediatric and independent hospitals was carried out between September and November 2016 using the European Centre for Disease Prevention and Control protocol designed for the European PPS.Findings The prevalence of HAI was 4.6%, 2.7% and 3.2% in acute adults, paediatric and non-acute patient groups, respectively. The most common HAI types reported in adult patients were urinary tract infection and pneumonia. The prevalence of antimicrobial prescribing was 35.7%, 29.3% and 13.8% in acute adults, paediatric and non-acute patient groups, respectively. Respiratory, skin and soft tissue, gastrointestinal and urinary tract infections were the most common infections being treated at the time of survey.ConclusionHAI continues to be a public health concern in Scotland. UTI and pneumonia continue to place a significant burden on patients and on healthcare delivery, including those that develop in the community and require hospital admission. A broader population health approach which focuses on reducing the risk of infection upstream would reduce these infections in both community and hospital settings.

AB - BackgroundHealthcare associated infections (HAI) are a major public health concern and a significant cause of morbidity and mortality. A robust and current evidence base that is specific to local, national and Europe-wide settings is necessary to inform the development of strategies to reduce HAI and contain antimicrobial resistance (AMR).Aim To measure the prevalence of HAI and antimicrobial prescribing and identify key priority areas for interventions to reduce the burden of infection. MethodsA national rolling PPS in National Health Service (NHS) acute, NHS non-acute, NHS paediatric and independent hospitals was carried out between September and November 2016 using the European Centre for Disease Prevention and Control protocol designed for the European PPS.Findings The prevalence of HAI was 4.6%, 2.7% and 3.2% in acute adults, paediatric and non-acute patient groups, respectively. The most common HAI types reported in adult patients were urinary tract infection and pneumonia. The prevalence of antimicrobial prescribing was 35.7%, 29.3% and 13.8% in acute adults, paediatric and non-acute patient groups, respectively. Respiratory, skin and soft tissue, gastrointestinal and urinary tract infections were the most common infections being treated at the time of survey.ConclusionHAI continues to be a public health concern in Scotland. UTI and pneumonia continue to place a significant burden on patients and on healthcare delivery, including those that develop in the community and require hospital admission. A broader population health approach which focuses on reducing the risk of infection upstream would reduce these infections in both community and hospital settings.

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KW - point prevalence surveys

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