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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
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  2. MC Padoveze
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  3. C Kiffer
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  4. AL Barth
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  5. ICRS Carneiro
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  6. JLN Rodrigues
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  7. L Santos Filho
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  8. MJG Mello
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  9. MD Asensi
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  10. PP Gontijo Filho
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  11. MS Pereira
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  12. M Rocha
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  13. RS Kuchenbecker
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  14. ES Medeiros
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  15. ACC Pignatari
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Consortia

IRAS - BRASIL

Corresponding author

Correspondence to CMCB Fortaleza.

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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.

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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

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Keywords

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

Antimicrobial Resistance & Infection Control

ISSN: 2047-2994

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