Skip to main content
Download PDF

Volume 2 Supplement 1

Antimicrobial Resistance and Infection Control: Abstracts from the 2nd International Conference on Prevention and Infection Control (ICPIC 2013)

O026: Countrywide prevalence study of healthcare-associated infections in brazilian hospitals: preliminary results

Antimicrobial Resistance and Infection Control volume 2, Article number: O26 (2013) Cite this article

Introduction

The knowledge of burden of Healthcare-Associated Infections (HAI) in hospitals is essential to drive governmental strategies for its prevention and control.

Objectives

To identify the prevalence of HAI in a representative sample of Brazilian hospitals.

Methods

A team of trained nurses carried out a hospital-wide HAI point prevalence survey in 2012. A sample of hospitals from five Brazilian regions was evaluated (n=91; total of 8,853 beds).

Results

The overall infection rate was 11.1%, varying from 2.5% (hospitals with <50 beds) to 18.3% (hospitals with > 200 beds). Reference hospitals showed 11.2% of overall infection rate. The most prevalent infections were pneumonia (3.6%), bloodstream infection (3.5%), surgical site infection (1.4%), urinary tract infection (1.1%) and skin infection (0.4%). Hospitals with >200 beds were likely to have higher HAI rates (RR=1.71; IC=1.398-2.10; P<0.001). The risk factors more frequently identified were: central venous catheter (17.8%), surgery (15.5%), urinary catheter (14.0%), and mechanical ventilators (8.1%). Etiologic agents were identified only in 9.1% (43/473) of infections. Gram-negative organisms were more frequent (56.0%), among them, Klebsiella spp (19.0%) and Pseudomonas aeruginosa (16%) and were predominant. Among Gram-positives (35.0%), coagulase-negative Staphylococci were more prevalent (16%) than Staphylococcus aureus (9.0%) or Enteroccoccus spp (6%). Yeasts were identified in 9.0% of HAI.

Conclusion

These preliminary results emphasize both the relevance and the heterogeneity of HAI in Brazilian hospitals.

Disclosure of interest

None declared.

Author information

Affiliations

  1. Tropical Diseases, Faculdade de Medicina de Botucatu - UNESP - Univ Estadual Paulista, Botucatu, Brazil

    CMCB Fortaleza

  2. Public Health, Escola de Enfermagem - USP - Universidade de São Paulo, Brazil

    MC Padoveze

  3. Laboratório Especial de Microbiologia Clínca, Universidade Federal de São Paulo, São Paulo, Brazil

    C Kiffer

  4. Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil

    AL Barth

  5. UFPA - Universidade Federal do Pará, Belém, Brazil

    ICRS Carneiro

  6. UFC - Universidade Federal do Ceará, Fortaleza, Brazil

    JLN Rodrigues

  7. UFPB - Universidade Federal da Paraíba, João Pessoa, Brazil

    L Santos Filho

  8. IMIP - Pernambuco, Recife, Brazil

    MJG Mello

  9. FIOCRUZ - Rio de Janeiro, Rio de Janeiro, Brazil

    MD Asensi & M Rocha

  10. Microbiology, UFU - Universidade Federal de Uberlandia, Uberlandia, Brazil

    PP Gontijo Filho

  11. UFGO - Universidade Federal de Goiás, Goiânia, Brazil

    MS Pereira

  12. UFRGS - Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil

    RS Kuchenbecker

  13. UNIFESP - Escola Paulista de Medicina, São Paulo, Brazil

    ES Medeiros & ACC Pignatari

Authors
  1. CMCB Fortaleza
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. MC Padoveze
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. C Kiffer
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. AL Barth
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. ICRS Carneiro
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. JLN Rodrigues
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. L Santos Filho
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. MJG Mello
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. MD Asensi
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. PP Gontijo Filho
    View author publications

    You can also search for this author in PubMed Google Scholar

  11. MS Pereira
    View author publications

    You can also search for this author in PubMed Google Scholar

  12. M Rocha
    View author publications

    You can also search for this author in PubMed Google Scholar

  13. RS Kuchenbecker
    View author publications

    You can also search for this author in PubMed Google Scholar

  14. ES Medeiros
    View author publications

    You can also search for this author in PubMed Google Scholar

  15. ACC Pignatari
    View author publications

    You can also search for this author in PubMed Google Scholar

Consortia

IRAS - BRASIL

Corresponding author

Correspondence to CMCB Fortaleza.

Rights and permissions

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Reprints and Permissions

About this article

Cite this article

Fortaleza, C., Padoveze, M., Kiffer, C. et al. O026: Countrywide prevalence study of healthcare-associated infections in brazilian hospitals: preliminary results. Antimicrob Resist Infect Control 2, O26 (2013). https://doi.org/10.1186/2047-2994-2-S1-O26

Download citation

Keywords

  • Infection Rate
  • Pseudomonas Aeruginosa
  • Surgical Site Infection
  • Central Venous Catheter
  • Bloodstream Infection

Antimicrobial Resistance & Infection Control

ISSN: 2047-2994

Contact us