Results from the third Scottish National Prevalence survey: is a population health approach now needed to prevent HAI?

Shona Cairns, Cheryl Gibbons, Aynsley Milne, Hazel King, Melissa Llano, Laura MacDonald, William Malcolm, Chris Robertson, Jacqueline Sneddon, Jennifer Weir, Jacqui Reilly

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Summary 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.
LanguageEnglish
JournalJournal of Hospital Infection
Early online date2 Apr 2018
DOIs
Publication statusE-pub ahead of print - 2 Apr 2018

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Cross Infection
Healthcare
Infection
Health
National Health Programs
Population
Community Hospital
Urinary Tract Infections
Health Services
Pediatrics
Pneumonia
Public Health
Acute
Pediatric Hospitals
Scotland
Centers for Disease Control and Prevention (U.S.)
Gastrointestinal Tract
Surveys and Questionnaires
Continue
Morbidity

Keywords

  • healthcare associated infection
  • infection prevention
  • infection control
  • antimicrobial resistance

Cite this

Cairns, Shona ; Gibbons, Cheryl ; Milne, Aynsley ; King, Hazel ; Llano, Melissa ; MacDonald, Laura ; Malcolm, William ; Robertson, Chris ; Sneddon, Jacqueline ; Weir, Jennifer ; Reilly, Jacqui. / Results from the third Scottish National Prevalence survey : is a population health approach now needed to prevent HAI?. In: Journal of Hospital Infection . 2018.
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abstract = "Summary 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.",
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Results from the third Scottish National Prevalence survey : is a population health approach now needed to prevent HAI? / Cairns, Shona; Gibbons, Cheryl; Milne, Aynsley; King, Hazel; Llano, Melissa; MacDonald, Laura; Malcolm, William; Robertson, Chris; Sneddon, Jacqueline; Weir, Jennifer; Reilly, Jacqui.

In: Journal of Hospital Infection , 02.04.2018.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Results from the third Scottish National Prevalence survey

T2 - Journal of Hospital Infection

AU - Cairns, Shona

AU - Gibbons, Cheryl

AU - Milne, Aynsley

AU - King, Hazel

AU - Llano, Melissa

AU - MacDonald, Laura

AU - Malcolm, William

AU - Robertson, Chris

AU - Sneddon, Jacqueline

AU - Weir, Jennifer

AU - Reilly, Jacqui

PY - 2018/4/2

Y1 - 2018/4/2

N2 - Summary 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.

AB - Summary 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.

KW - healthcare associated infection

KW - infection prevention

KW - infection control

KW - antimicrobial resistance

U2 - 10.1016/j.jhin.2018.03.038

DO - 10.1016/j.jhin.2018.03.038

M3 - Article

JO - Journal of Hospital Infection

JF - Journal of Hospital Infection

SN - 0195-6701

ER -