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A Prevalence Survey of Infections in a Combined Acute and Long-Term Care Hospital

Published online by Cambridge University Press:  02 January 2015

Susan J. Standfast ,
Phyllis B. Michelsen ,
Aldona L. Baltch ,
Raymond P. Smith ,
Ethel K. Latham ,
Ann B. Spellacy ,
Richard A. Venezia  and
Mary H. Andritz
Susan J. Standfast
Affiliation:
Infectious Disease Section, Microbiology Laboratory, Veterans Administration Medical Center, Albany, New York, theAlbany Medical College, and theAlbany College of Pharmacy
Phyllis B. Michelsen
Affiliation:
Infectious Disease Section, Microbiology Laboratory, Veterans Administration Medical Center, Albany, New York, theAlbany Medical College, and theAlbany College of Pharmacy
Aldona L. Baltch*
Affiliation:
Infectious Disease Section, Microbiology Laboratory, Veterans Administration Medical Center, Albany, New York, theAlbany Medical College, and theAlbany College of Pharmacy
Raymond P. Smith
Affiliation:
Infectious Disease Section, Microbiology Laboratory, Veterans Administration Medical Center, Albany, New York, theAlbany Medical College, and theAlbany College of Pharmacy
Ethel K. Latham
Affiliation:
Infectious Disease Section, Microbiology Laboratory, Veterans Administration Medical Center, Albany, New York, theAlbany Medical College, and theAlbany College of Pharmacy
Ann B. Spellacy
Affiliation:
Infectious Disease Section, Microbiology Laboratory, Veterans Administration Medical Center, Albany, New York, theAlbany Medical College, and theAlbany College of Pharmacy
Richard A. Venezia
Affiliation:
Infectious Disease Section, Microbiology Laboratory, Veterans Administration Medical Center, Albany, New York, theAlbany Medical College, and theAlbany College of Pharmacy
Mary H. Andritz
Affiliation:
Infectious Disease Section, Microbiology Laboratory, Veterans Administration Medical Center, Albany, New York, theAlbany Medical College, and theAlbany College of Pharmacy
*
Infectious Disease Section, VA Medical Center, Albany, NY 12208
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Abstract

A prevalence survey of infections among 572 acute and long-term care patients in the Albany Veterans Administration Medical Center was conducted in September 1979. Presence of infection was determined by patient examination and chart review. Urine specimens from 94% of patients were cultured. The total number of clinically significant infections was 178; 117 were nosocomial (20.5 per 100 patients). The prevalence rate of nosocomial infections was highest on the Intermediate Service (long-term medical care) followed by the Surgical and Medical Services. Sites with the highest nosocomial infection rates were urinary tract (10.7), skin and subcutaneous tissues (5.1), and surgical wounds (3.0) per 100 patients. Nosocomial infections increased with age and length of hospital stay which partially explained the higher rate on the Intermediate Service. Patients using condom drainage and Foley catheters showed similarly high rates of bacteriuria. Antimicrobial drug use was 17% for acute care patients and 4% for long-term and psychiatry patients. Excepting Providencia stuartii urinary tract infection confined to the Intermediate Service, the bacterial isolates and their antibiotic susceptibilities were similar for the acute and long-term care services.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 5 , Issue 4 , April 1984 , pp. 177 - 184
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1984

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References

1.Kislak, JW, Eickhoff, TC, Finland, M: Hospital-acquired infections and antibiotic usage in the Boston City Hospital, January 1964. N Engl J Med 1964;271:834–835.CrossRefGoogle ScholarPubMed
2.Barrett, FF, Casey, JI, Finland, M: Infections and antibiotic use among patients at Boston City Hospital, February 1967. N Engl J Med 1968;278:5–9.CrossRefGoogle ScholarPubMed
3.Adler, JL, Burke, JP, Finland, M: Infection and antibiotic usage at Boston City Hospital, January 1970. Arch Intern Med 1971;127:460–465.CrossRefGoogle ScholarPubMed
4.McGowan, JE Jr, Finland, M: Infection and antibiotic usage at Boston City Hospital: Changes in prevalence during the decade 1964-1973. J Infect Dis 1974;129:421–428.CrossRefGoogle ScholarPubMed
5.Moody, ML, Burke, JP: Infections and antibiotic use in a large private hospital, January 1971. Comparisons among hospitals serving different populations. Arch Intern Med 1972;130:261–266.CrossRefGoogle Scholar
6.Stevens, GP, Jacobson, JA, Burke, JP: Changing patterns of hospital infections and antibiotic use: Prevalence surveys in a community hospital. Arch Intern Med 1981;141:587–592.CrossRefGoogle Scholar
7.Adler, JL, Shulman, JA: Nosocomial infection and antibiotic usage at Grady Memorial Hospital: A prevalence survey. Southern Med J 1970;63:102–105.CrossRefGoogle Scholar
8.Magnussen, MH, Robb, SS: Nosocomial infections in a long-term care facility. Am J Infect Control 1980;8:12–17.CrossRefGoogle ScholarPubMed
9. Appendix II. Guidelines for determining presence and classification of infections, in Centers for Disease Control, Hospital Infections Section: Outline for Surveillance and Control of Nosocomial Infections. Atlanta, Centers for Disease Control, 1972, pp 17–19.Google Scholar
10.Thoburn, R, Fekety, FR Jr, Cluff, LE, et al: Infections acquired by hospitalized patients. An analysis of the overall problem. Arch Intern Med 1968;121:1–10.CrossRefGoogle ScholarPubMed
11.Wenzel, RP, Osterman, CA, Hunting, KJ, et al: Hospital-acquired infections. I. Surveillance in a university hospital. Am J Epidemiol 1976;103:251–260.CrossRefGoogle ScholarPubMed
12.Latham, EK, Standfast, SJ, Baltch, AL, et al: The prevalence survey as an infection surveillance method in an acute and long term care institution. Am J Infect Control 1981;9:76–81.CrossRefGoogle Scholar
13.Lennette, EH, Spaulding, EH, Truant, JP: Manual of Clinical Microbiology, ed 2. Washington DC, American Society for Microbiology, 1974.Google Scholar
14.Performance Standards for Antimicrobic Disc Susceptibility Tests, ed 2. Villanova, Pennsylvania, National Committee for Clinical Laboratory Standards, 1979.Google Scholar
15.DSM-11 Programmer's Reference Manual. Maynard, Massachusetts, Digital Equipment Corp, 1978, pp 1.1–1.10.Google Scholar
16.O'Neill, JT (ed): Proceedings of the Fourth Annual Symposium on Computer Applications in Medical Care. Los Alamitos, California, IEEE Computer Society, Nov 2-5, 1980, pp 1645–1649.Google Scholar
17.Lehmann, EL: Nonparametrics: Statistical Methods Based on Ranks. San Francisco, Holden-Day, 1975, p 300.Google Scholar
18.Hirsh, DD, Fainstein, V, Musher, DM: Do condom catheter collecting systems cause urinary tract infection? JAMA 1979;242:340–341.CrossRefGoogle ScholarPubMed
19.Atkinson, BA: Species incidence, trends of susceptibility to antibiotics in the United States, and minimum inhibitory concentration, in Lorian, V (ed): Antibiotics in Laboratory Medicine. Baltimore, Williams & Wilkins, 1980, pp 607–722.Google Scholar
20.Scheckler, WE, Bennett, JV: Antibiotic usage in seven community hospitals. JAMA 1970;213:264–267.CrossRefGoogle ScholarPubMed