MEETI NGABSTRACTS Open AccessAntimicrobial Resistance and
Infection ControlGeneva, Switzerland. 25-28 June 2013Edited by
Didier Pittet,Stephan Harbarth and Andreas VossPublished:20 June
2013These abstracts are available online at
http://www.aricjournal.com/supplements/2/S1ORAL
PRESENTATIONSO1O001: Getting the unexpected: no association between
hand hygieneand workloadS Scheithauer1,2*,M Dangel1,B Batzer1,C
Pino Molina3,A Widmer11Infection Control,University Hospital
Basel,Basel,Switzerland;2InfectionControl & Infectious
Diseases,University Hospital Aachen,RWTH
Aachen,Aachen,Germany;3Hematology,University Hospital
Basel,Basel,SwitzerlandAntimicrobialResistance and Infection
Control2013,2(Suppl 1):O1Introduction: A high compliance with hand
hygiene is a cornerstone ofany infection control program.However,a
high workload and a lack oftime are most commonly used argues
against an appropriate compliance.Objectives: In order to assess
the relationship between the hand hygieneevents (HHE)
andtheworkload, wecorrelatedHHEsperpatient-day(PD)withthestaff
time/PD(h), thenursingeffort/PD(h) andtheC-valueindexing the
workload,respectively.Methods: All HHEsat
ahematologyward(UniversityHospital Basel,Switzerland) were
continuously recorded from 01.03.12 to 28.02.213 usingthe Ingo-man
Weco (Ophardt Hygienetechnik,Issum;Germany) and
couldbeanalyzeddispenser-, day-,shift-, localization-specifically.
Dailydataonpatients, stafftime(h), nursingeffort(h),
C-value(1(nursingeffort/weightedstafftime)*100)werecalculatedwithregardtotheworkdayfrom
theelectronic patient documentation sheets. For statisticsSPSS
wasused.Results:
Duringtheoneyearinvestigation208.184HHEtranslatinginto57 (10)
HHE/PD were performed. HHE fromMonday to
FridayexceededHHEduringtheweekendswith59(10)versus51(9)/PD.HHE/PDweresignificantlyassociatedwiththestaff
timewithr=0.37(p=0.01)andwiththenursingeffortwithr=0.41(p=0.01),
respectively.Theseassociationscouldbeverifiedduringworkdaysaswell
asduringtheweekends. Incontrary, HHE/PDdidnot
dependonworkloadingeneral indexedbytheC-valuewithr=-0.04. However,
duringMondayandFridayHHE/PDseemedtocorrelateeveninverselywiththeC-value(r=0.20;p=0.01).Conclusion:
HHE/PD wereassociated with the stafftime andthe
nursingeffortindicatingaconstantcomplianceregardlesstheworkload.
Thishypothesiswasconfirmedbythelackofapositiveassociationbetweenthe
C-value and the HHE/PD.Thus compliance seemed not to be affectedby
workload at the hematology ward enrolled in this
investigation.Disclosure of interest:None declared.O2O002: Patient
and healthcare worker perception about patientparticipation in
improving hand hygiene practices: impact of a patientparticipation
interventionAJ Stewardson1*,N Farquet1,A Gayet-Ageron1,S
Touveneau1,Y Longtin2,A Iten1,D Pittet1,H Sax31The Univ.of Geneva
Hosp.and Fac.of Medicine,Geneva,Switzerland;2Laval
University,Quebec,Canada;3Univ.and University Hosp.of
Zurich,Zurich,SwitzerlandAntimicrobialResistance and Infection
Control2013,2(Suppl 1):O2Introduction: We implemented a
cluster-randomized study at a 2200-bedacademicmedical
centretoassesstheimpactofnovel strategiestopromote hand hygiene
(HH). Wards in one of the three study arms wereexposed to a patient
participation (PP) program.Objectives: Toinvestigatetheimpact of
aformal
PPprogramonhealthcareworker(HCW)andpatientperceptionofPPforimprovingHHcompliance.Methods:
We performed two cross-sectional studies with
written,self-administered, anonymous questionnaires: one each for
patients and HCWs.Adult patients were eligible if hospitalized for
more than 24 hours in oneor more of 66 study wards and discharged
between May 16 and May 31,2012 to their usual place of residence.
Patients were defined as exposed(to PP) if they stayed 24 hours in
one ward in the PP study arm duringtheir admission. Completed
surveys were returned via postal mail. HCWsworking in all study
wards were eligible. HCWs were defined as exposedif they currently
worked in a PP ward. Surveys were brought to each
studywardbyamember of
thestudyteamandcompletedsurveyswerereturnedviainternalmail.
Foreachsurvey, non-respondentsreceivedreminders 2 and 4 weeks after
initial distribution.Results: The response rate was similar among
exposed and non-exposedpatients: 167/316 (53%) and 378/686 (55%),
respectively. Compared withnon-exposed patients, exposed patients
were no more likely to agree thatpatients should remind healthcare
workers to perform hand hygiene (31%vs 26%, p=.25) or to report
having reminded a nurse (5% vs 3%, p=.16) or adoctor (2% vs 5%,
p=.29) during their last admission. The response rate wasalso
similar among exposed and non-exposed HCWs: 230/531 (43%)
and436/999 (44%), respectively. The concept of patients reminding
HCWs toperformHHwas acceptedby 67%of HCWs. HCWacceptance
wasindependentlyassociatedwithPPexposure(OR1.51,
CI95%1.00-2.29,p=.048) and nursing profession (OR 1.69, CI95%
1.03-2.79, p=.039).Antimicrobial Resistance and Infection Control
2013, Volume 2 Suppl 1http://www.aricjournal.com/supplements/2/S1
2013 various authors, licensee BioMed Central Ltd.All articles
published in this supplement are distributed under the terms of
theCreative Commons Attribution License
(http://creativecommons.org/licenses/by/2.0), which permits
unrestricted use, distribution, andreproduction in
anymedium,providedthe original work is properly cited.Conclusion:
Comparedwithcontrol wards, HCWs(but not
patients)presentinintervention wards hada
morefavourableperceptionofPPinHH promotion.Disclosure of
interest:None declared.O3O003: The misuse of clinical gloves: risk
of cross-infection and factorsinfluencing the decision of
healthcare workers to wear glovesJ Wilson1*,S Lynam2,J Singleton3,H
Loveday41Institute of Practice,Interdisciplinary Research &
Enterprise,UK;2Psychology,Social Care & Human
Sciences,University of West London,UK;3InfectionControl
Directorate,Imperial College Healthcare NHS Trust,UK;4RichardWells
Research Centre,University of West
London,London,UKAntimicrobialResistance and Infection
Control2013,2(Suppl 1):O3Introduction: Clinical glovesareroutinely
usedinthedeliveryof
patientcarebutunlessintegratedwiththe5momentsofhandhygiene havethe
potential to increase the risk of HCAI transmission.Objectives: To
examineglove usein anacutecaresetting,the extent
towhichtheyareassociatedwithariskofcross
contamination,andfactorsthat influence healthcare workers (HCW)
decision to wear them.Methods: Observation of the use of clinical
gloves was conducted in 6wards by two trained observers.
Independent observations were comparedforinter-raterreliability.
Gloveusewasconsideredappropriateiftheepisode involved potential
contact with blood/body fluid (BBF).Risk
ofcrosscontaminationwasdefinedasviolationofoneormoreofthemoments of
hand hygiene during the glove-use episode.
Semi-structuredinterviewswereconductedwithapurposivesampleof25HCWfromaudited
wards to explore attitudes towards the use of gloves.Results: 164
glove use episodes were observed over 13 hours. Glove usewas
appropriate in 58% (95/164) of episodes, but gloves were
commonlyused for procedures with minimal risk of exposure to BBF.
In 39% of glove-use episodes there was a risk of cross
contamination, this was significantlymore likely to occur where
gloves wereused inappropriately (58.4% vs28.4%;
Chi2p6logreductionofbacterial inoculaisachievedwithin 2 minutes
forS.aureus, E. coli, P. aeruginosa andwithin5 minutesfor M. bovis
(TB).Theresidual film, evenafter10wetand10dryabrasions,
reducesthepopulationofE. coli
andKlebsiellapneumoniaeby>3-logwithin10minafterinoculation(comparedto2hoursforantimicrobial
copper).
Theabradedresidualfilmsalsoachieve>3-logreductionofP.aeruginosaandvegetative
C. difficile inocula within 10 minutes. Surprisingly, the films
alsoexhibitsomesporicidal
propertieswiththecountsofsporesuspensionsofC.difficileandB.subtilisbeingreducedby40%and70%respectivelywithin
24 hours after inoculation.Evocide also complies with the relevant
criteria for toxicity, biocompatibilityand no-film
build-up.Conclusion: Thisnewgenreof
surfacedisinfectantexhibitspowerfulresidual bactericidal properties
combined with good materialscompatibility.
Itallowsforthecreationofapotentantimicrobial
barrieronanyenvironmental hardsurfaceatfractionofthecostofcopper.
Italsooffersasimplesafeguardforcleaningdeficiencies,
ensuringthathard-to-reach surfaces (eg beds,bedside tables) remain
hygienic.Disclosure of interest:None declared.O20O020: A new method
of bacteriophage-based disinfection inhealthcare settingsEB
Brusina*,OM Drozdova,AG KutikhinDepartment of Epidemiology,Kemerovo
State Medical Academy,Kemerovo,Russian
FederationAntimicrobialResistance and Infection Control2013,2(Suppl
1):O20Introduction: Oneof themost significant features of
healthcare-associatedinfections(HAIs)isthehighfrequencyofmultidrug-resistantbacterial
strains(MDRBSs). Evenmodernchemical
antimicrobials(CAMs)arenotefficientenough;
atotallydifferentwayofpreventionofHAIscaused by MDRBSs is
necessary.Objectives:
Todevelopamonobacteriophage(MBP)-basedwayofprevention of HAIs
caused by MDRBSs.Methods: MBPs against Pseudomonas aeruginosa (PA),
methicillin-resistantStaphylococcus aureus (MRSA), Salmonella spp.,
Shigella spp., and Klebsiellaspp.
weresprayedonvarioussurfacesindifferenthealthcaresettings(HCSs) in
the case of spread of HAIs caused by these agents. We
comparedefficiencyofMBPsondifferentsurfacesandindifferentconditions
ofphagecirculation. Finally,
weassessedtheinfluenceoftheMBPsonincidence and mortality of HAIs
caused by MDRBSs. The efficiency of theMBPs was evaluated in the
terms of absence of the target bacteria in theenvironment, that,
inturn, wasassessedbyclassical
bacteriologicalmethods.Results:Application of MBPs sprayed on
surfaces in hospital environment issignificantly more efficient
method of elimination of MDRBSs compared totheir usage by any other
way. MBPs possessed greater efficiency on glass,metal, and plastic
surfaces compared to textile and paper. Duration of MBPcirculation
was determined by time frame, MBP strain, and lytic activity ofthe
MBP, but not by dose of MBP on the surface. The greatest effect
wasrevealedagainst PA; eventhe single usage of
MBPprovidedtotalelimination of PA from the hospital environment.
The application of MBPsled to 15-fold decrease of incidence of
Salmonella-caused infections, 4-foldreduction of incidence of
Shigella-caused infections, and 2-fold decrease ofincidence of
Klebsiella- and MRSA-caused infections. Finally, CAMs did
notinfluence the efficiency of MBPs, and no side effects were
registered.Conclusion: The MBP-based way of prevention of HAIs
caused by MDRBSshas certain advantages over CAMs. It may be used
without limitations indifferent HCSs,particularly in intensive care
units,it allows the efficientelimination of MDRBSs from the
hospital environment in short
terms,itprovidesterminationoftheoutbreakscausedbyMDRBSs,
reducestheincidence and mortality from HAIs, and it is much cheaper
compared toCAMs.Disclosure of interest:None declared.O21O021:
Infection control enclosure (ICE) POD: meeting the needfor more
single roomsJ SalkeldBioquell,Andover,UKAntimicrobialResistance and
Infection Control2013,2(Suppl 1):O21Introduction: An increase in
single occupancy rooms reduces transmission,improves hand hygiene
compliance and increases patient satisfaction. Thus,there is a
demand for more single rooms, particularly in hospitals with a
lowproportion of single rooms as is common in Europe. Furthermore,
where theprevious room occupant was infected or colonised with a
pathogen, thesubsequent admission is significantly less likely to
acquire that pathogen ifthe room is decontaminated using hydrogen
peroxide vapour (HPV) ratherthan being cleaned and disinfected
using standard methods.Objectives: Bioquell has developed the
Infection Control Enclosure (ICE)-pod, a bespoke, semi-permanent
structure with a door and an integral
airhandlingsystemtoprovideanegativeair-flow,
whichcanbeerectedaround existing bed spaces without closing
wards.Methods: The ICE-pod combines many of the benefits of single
roomswhilst retaining the primary advantages of bays/open wards.
The pods canalso be sealed for HPV decontamination.Results:
ICE-podscanbeusedtointerruptthespreadofnosocomialpathogens by
providing additional capacity to segregate patients known tobe
infected or colonised with pathogens, for pre-emptive segregation
ofhigh-risk patients, to provide a single room environment for
patients thatrequirehighvisibilitysuchasthoseatriskof falls,
andtheabilitytodecontaminateindividual bedspacesusingHPV.
TheICE-podwillalsoimprove the privacy and dignity of patients cared
for in multi-occupancyareas, and has the potential to free up side
rooms for patients requiringadditional privacy and dignity. There
are tangible potential cost-benefitadvantages associated with
accelerated discharge from intensive care unitsandother high-cost
unitsandavoidingthehighcost of permanentconversion programs. The
ICE-pod will provide an overall improvement inthe flexibility of
patient flow throughout a hospital,which will increasethroughput
and decrease the number of patients placed temporarily in
sub-optimal specialties.Conclusion:
ImplementationiscurrentlyunderwayintheUKandwillincludeassessment of
patient andstaff acceptabilityof theICE-pod.Further trials to
evaluate the clinical impact of the ICE-pod are planned.Disclosure
of interest:J Salkeld: Employee of Bioquell.O22O022: Development of
an electronic dashboard to assist surveillanceS Wallace*,N
DamaniInfection Prevention and Control,Southern
Trust,Craigavon,UKAntimicrobialResistance and Infection
Control2013,2(Suppl 1):O22Introduction: Collection andtimely
feedback of process and outcomesurveillance is one of the most
challenging tasks faced by the InfectionPrevention and Control
(IPC) team. The aim of our project was to develop asystem to ensure
timely communication of surveillance information to bothclinical
and non-clinical teams using an electronic dashboard.Methods: Our
hospital developed in house e-reporting tools for use onour IT
network. The system was created using Visual Basic
programmingandutilisedexistingwordprocessinganddatabasesoftware.
EachPCterminal in clinical areas was granted access to the
e-reporting forms. Staffwere provided with brief 15 minute training
sessions detailing how to usethe system.Results: Since the
introduction of the e-dashboard system we have beenabletohostall
ourinformationinonelocation, withregularupdates,allowing ease of
access for all staff. Staff can nowcompare theirperformance against
other departments and by staff grouping. This hasprovidedanudge
effectandtheircompliancewithIPCpracticeshasgradually improved as
they do not want to feature as an outlier. In additionto this, the
benefit of the online availability of the information
dramaticallyAntimicrobial Resistance and Infection Control 2013,
Volume 2 Suppl 1http://www.aricjournal.com/supplements/2/S1Page 7
of 143reducedtheneedforsendinge-mails,
thussavingtimeandreducingpressure on the Trusts IT network
infrastructure.Conclusion: Since the introduction of the electronic
dashboard, the hospitalwithin our Trust has seen a substantial
improvement in communicating ofboth process and outcome
surveillance information to both clinical andnon-clinical teams. As
a result of this feedback we have seen a substantialimprovement in
compliance with process surveillance for example, the handhygiene
return rates have risen from pre-intervention 62% to 82%
postintervention. As a result of improved compliance in other areas
(environ-mental cleanliness, antibiotic prescribing, commode
cleaning etc.) we haveseen over 70% reductions in C. difficile and
MRSA bacteraemia infections.The system used can be replicated by
any hospital with minimal resourceswhen compared to commercial
systems that require costly support andcontracts to meet local
needs. The system also allows the release of IPC timecrucial in low
resource settings where resources are constrained.Disclosure of
interest:None declared.O23O023: Combining electronic contacts data
and virological data forstudying the transmission of infections at
hospitalC Payet1,A Barrat2,3,C Cattuto3,C Rgis1,N Khanafer1,4,J-F
Pinton5,B-A Kim6,B Comte6,B Lina4,7,P Vanhems1,4,N
Voirin1,4*1Universit Lyon 1,CNRS UMR 5558,Lyon,France;2CNRS,CPT,UMR
7332,Marseille,France;3Data Science Lab,ISI
Foundation,Turin,Italy;4HospicesCivils de Lyon,France;5CNRS UMR
5672,France;6Hpital Edouard Herriot,Service de
griatrie,France;7Universit Lyon1,CNRS FRE
3011,Lyon,FranceAntimicrobialResistance and Infection
Control2013,2(Suppl 1):O23Introduction: Transmissionof hospital
acquiredinfections (HAI) dependsmainlyoncontactsbetweenpatients,
betweenhealthcareworkers(HCWs) and between patients and
HCWs.Objectives:
Theobjectiveofthisstudywastocombinecontactsdataandvirological
datafor studyinginfluenzatransmissionduringanoutbreak occurring in
a hospital unit.Methods:
Face-to-faceproximitybetweenpersonswascollectedduring10consecutivedaysusingelectronicRFIDbadges.
Virological dataoninfluenza infection status were also
collected.Each patient and each HCWhad2nasal swabs,
oneatadmissionandoneatdischargeforpatients,and2 swabs at 7 days
interval for HCWs, fromwhich laboratoryconfirmation of influenza
infection was performed.Results: A total of 18,766 contacts
wererecorded among 37 patients and47HCWs. Nurses, medical doctor(
MD) andpatientswereinvolvedin82%,26% and 24 % of all the contacts
respectively.In parallel,during the10 days, an outbreak occurred
involving 15
laboratory-confirmedinfluenzacasesdiagnosedamong10patients(attackrate27%)
and5HCWs(attackrate10%). Weidentified5(14%)
patientsand10(20%)HCWswhocumulatednearly50%ofall
thecontactsinvolvingpatientsandHCWs.
Amongthesepersonswithahighnumber of contacts,
3(60%)patientsand1(10%)HCWhadconfirmedinfluenza. Amongthosewith a
lower number of contacts,7 (22%) patients and 4 (11%) HCWs
hadconfirmed influenza. Furtherstatistical analyses are ongoing to
assesstherelationshipbetweenthenumberanddurationofcontactsandtheriskof
influenza transmission.Conclusion: Collecting contacts data in the
hospital setting andcombiningthisinformationwithvirological
datacouldbeaninterestingapproachtostudythetransmissionofHAIs.
WeidentifiedpatientsandHCWswithahighnumber of contacts,
whocouldbeconsideredaspotential super-spreadersofinfections.
Thisiskeyinformationthatmayhelp to implement prevention and control
measures.Disclosure of interest:None declared.O24O024: New holistic
approach to determine the infection risk profile of ahospital;
visualised in a easy-to-read plotI Willemsen1*,J
Kluytmans1,21Department for Medical Microbiology and Infection
control,VUmc MedicalCenter,Amsterdam,The Netherlands;2Laboratoryof
Microbiology andInfection control,Amphia hospital,Breda,The
NetherlandsAntimicrobialResistance and Infection
Control2013,2(Suppl 1):O24Introduction:
Prevalencesurveysarecommontoolstodeterminetheprevalenceof-
anddeterminantsforHealthcareAssociatedInfections(HAI).However this
only incorporates patient-related variables.Objectives: We
developed a new method,the infection risk scan,
whichincludesoutcomevariables, patient-relatedvariablesaswell
asward-relatedvariables.This shouldprovidea
holisticviewontheinfection riskprofile of a ward or a
hospital.Methods: Twooutcomevariableswereinvestigated,
prevalenceofhealthcareassociatedinfections(HAI) andrectal
carriageofExtendedSpectrum B-Lactamase (ESBL) producing
bacteria.Two patient-related riskvariables, useofindwellingmedical
devicesandantimicrobial therapy,andtwoward-relatedvariables,
environmental
contaminationandhandhygienenon-compliance(accordingtotheWHO
guideline). Resultsofallinvestigated variables werecategorised as
low risk,medium riskand highrisk,based on theliterature or
expertopinion,andpresentedin a
spider-plot.Theinfectionriskscanwasperformedin4differentgeneral
nursingwards.Results:
Largedifferenceswerefoundinoutcomevariablesandriskfactors,
withadistributionacrossall 3riskcategories(low, mediumandhigh).
This resultedindifferent risk-plots for the different
wards.Handhygiene non-compliance and the environmental
contamination wereacauseofconcerninall wards.
PrevalenceofESBLcarriagewaslowinall wards,and the ESBL isolates
were genotypically not related.Conclusion: In conclusion, the
infection risk plot demonstrated substantialdifferentiation. The
plot gives an overview that can easily be understood bythe
healthcare workers and managers. The problem areas are shown at
aglance. Based on the findings a tailor made, targeted quality
improvementproject can be executed and the results can be measured
in a repeatedmeasurement. This makes the infection risk scan a
management tool
thatcanbeusedtodeterminethescopeandfocusofaninfectioncontrolprogram.Disclosure
of interest:None declared.O25O025: Organisational transformation
the application of novel changetechniques & social media
understanding to motivate infectionpreventionistsJ Storr1*,H
Loveday2,L Wharton2,D Flaxman2,D Wright2,E Curran2,M Tannahil2,G
Thirkell2,N Wiggleworth2,P Cattini2,J Wilson2,C
Kilpatrick21Infection Prevention Society,West
Lothian,UK;2IPS,IPS,London,UKAntimicrobialResistance and Infection
Control2013,2(Suppl 1):O25Introduction:
TheInfectionPreventionSociety(IPS)
isacharitythatsupportsmemberstoensurenopersonisharmedbyapreventableinfection.In2009,
IPSbeganastrategyplanningandevaluationexercisethathasactedasthecatalystfortransformation,
achievedthroughtheuse of innovative change techniques and a social
media campaign.Objectives: To establish a new strategy and social
media campaign.Methods:
Qualitativeandquantitativeapproacheswereused; a needsassessmentof
members, acreativethinkingworkshopusing3noveltechniques drafted a
vision, mission, strategic aims and objectives,
feedbackexercisesfollowedatIPSannualconferences.This includeda
StrategyDecision Tree and Strategy Wall to gather free text that
was analysed. Inparallel, a baseline survey of members use of
social media was issued and afollow up process for twitter analysis
established.Results:In 2011, IPS issued strategic objectives: a) to
lead, shape and informthe infection prevention agenda; b) to
generate and promote the evidencebase for infection prevention, and
c) to be the organisation of choice tosustain
improvement.Themembersurveyfoundthatequal
proportionsofmembers(39%)thought that use of Twitter wouldenhance
andnot enhance IPS.Implementation and on-going evaluation exercises
were designed from thisintelligence.In 2011,1%of members stated
that Twitter would serve apurpose. In 2013, 37% of IPS members were
signed up to Twitter. Within 1month the impact of the
@IPS_infection Twitter account increased 2 and ahalffold,
(reach-8,047to27,146andimpressions-17,502to44,529respectively).Conclusion:
This approach engaged members in strategy development andallowed
for articulation of achievable but stretching objectives. The use
ofAntimicrobial Resistance and Infection Control 2013, Volume 2
Suppl 1http://www.aricjournal.com/supplements/2/S1Page 8 of
143social mediaandTwitter inparticular is
beingusedtoreinvigoratenetworkingandinfluence,
andisalreadyyieldingresults. Arangeofmeasures are being employed to
support on-going strategy implemen-tation, to track progress and to
role model to other societies.Disclosure of interest:None
declared.O26O026: Countrywide prevalence study of
healthcare-associatedinfections in brazilian hospitals: preliminary
resultsCMCB Fortaleza1*,MC Padoveze2,C Kiffer3,AL Barth4,ICRS
Carneiro5,JLN Rodrigues6,L Santos Filho7,MJG Mello8,MD Asensi9,PP
Gontijo Filho10,MS Pereira11,M Rocha9,RS Kuchenbecker12,ES
Medeiros13,ACC Pignatari13,IRAS - BRASIL11Tropical
Diseases,Faculdade de Medicina de Botucatu - UNESP - UnivEstadual
Paulista,Botucatu,Brazil;2Public Health,Escola de Enfermagem -USP -
Universidade de So Paulo,Brazil;3Laboratrio Especial
deMicrobiologia Clnca,Universidade Federal de So Paulo,So
Paulo,Brazil;4Universidade Federal do Rio Grande do Sul,Porto
Alegre,Brazil;5UFPA -Universidade Federal do Par,Belm,Brazil;6UFC -
Universidade Federal doCear,Fortaleza,Brazil;7UFPB - Universidade
Federal da Paraba,Joo Pessoa,Brazil;8IMIP -
Pernambuco,Recife,Brazil;9FIOCRUZ - Rio de Janeiro,Rio
deJaneiro,Brazil;10Microbiology,UFU - Universidade Federalde
Uberlandia,Uberlandia,Brazil;11UFGO - Universidade Federal de
Gois,Goinia,Brazil;12UFRGS - Universidade Federal do Rio Grande do
Sul,Porto Alegre,Brazil;13UNIFESP - Escola Paulista de Medicina,So
Paulo,BrazilAntimicrobialResistance and Infection
Control2013,2(Suppl 1):O26Introduction: The knowledge of burden of
Healthcare-Associated Infections(HAI)inhospitalsisessential
todrivegovernmental strategiesforitsprevention and
control.Objectives: To identifytheprevalenceofHAIina
representativesampleof Brazilian hospitals.Methods: A team of
trained nurses carried out a hospital-wide HAI pointprevalence
survey in 2012. A sample of hospitals from five Brazilian
regionswas evaluated (n=91; total of 8,853 beds).Results: The
overall infectionrate was 11.1%, varyingfrom2.5%(hospitals with200
beds). Referencehospitalsshowed11.2%of overall infectionrate.
Themostprevalentinfectionswerepneumonia(3.6%),
bloodstreaminfection(3.5%), surgicalsiteinfection(1.4%),
urinarytractinfection(1.1%) andskininfection(0.4%).
Hospitalswith>200bedswerelikelytohavehigherHAI rates(RR=1.71;
IC=1.398-2.10; P
