The value of intermittent point prevalence surveys of healthcare-associated infections for evaluating infection control interventions at Angkor Hospital for Children, Siem Reap, Cambodia.

Nicole E. Stoesser; Kate R. W. Emary; S. Soklin; Peng An Khun; S. Sophal; S. Chhomrath; Nicholas P. J. Day; Direk Limmathurotsaku; Phot Nget; Y. Pangnarith; Soeng Sona; Varun Kumar; Catrin E. Moore; Ngoun Chanpheaktra; Christopher M. Parry

doi:10.1093/trstmh/trt005

The value of intermittent point prevalence surveys of healthcare-associated infections for evaluating infection control interventions at Angkor Hospital for Children, Siem Reap, Cambodia.

Nicole E. Stoesser, Kate R. W. Emary, S. Soklin, Peng An Khun, S. Sophal, S. Chhomrath, Nicholas P. J. Day, Direk Limmathurotsaku, Phot Nget, Y. Pangnarith, Soeng Sona, Varun Kumar, Catrin E. Moore, Ngoun Chanpheaktra, Christopher M. Parry

Research output: Contribution to journal › Article › peer-review

18 Citations (Scopus)

Abstract

BACKGROUND:
There are limited data on the epidemiology of paediatric healthcare-associated infection (HCAI) and infection control in low-income countries. We describe the value of intermittent point-prevalence surveys for monitoring HCAI and evaluating infection control interventions in a Cambodian paediatric hospital.

METHODS:
Hospital-wide, point-prevalence surveys were performed monthly in 2011. Infection control interventions introduced during this period included a hand hygiene programme and a ventilator-associated pneumonia (VAP) care bundle.

RESULTS:
Overall HCAI prevalence was 13.8/100 patients at-risk, with a significant decline over time. The highest HCAI rates (50%) were observed in critical care; the majority of HCAIs were respiratory (61%). Klebsiella pneumoniae was most commonly isolated and antimicrobial resistance was widespread. Hand hygiene compliance doubled to 51.6%, and total VAP cases/1000 patient-ventilator days fell from 30 to 10.

CONCLUSION:
Rates of HCAI were substantial in our institution, and antimicrobial resistance a major concern. Point-prevalence surveys are effective for HCAI surveillance, and in monitoring trends in response to infection control interventions.

Original language	English
Pages (from-to)	248-253
Journal	Transactions of the Royal Society of Tropical Medicine & Hygiene
Volume	107
Issue number	4
DOIs	https://doi.org/10.1093/trstmh/trt005
Publication status	Published - Apr 2013
Externally published	Yes

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Stoesser, N. E., Emary, K. R. W., Soklin, S., Khun, P. A., Sophal, S., Chhomrath, S., Day, N. P. J., Limmathurotsaku, D., Nget, P., Pangnarith, Y., Sona, S., Kumar, V., Moore, C. E., Chanpheaktra, N., & Parry, C. M. (2013). The value of intermittent point prevalence surveys of healthcare-associated infections for evaluating infection control interventions at Angkor Hospital for Children, Siem Reap, Cambodia. Transactions of the Royal Society of Tropical Medicine & Hygiene, 107(4), 248-253. https://doi.org/10.1093/trstmh/trt005

Stoesser, Nicole E. ; Emary, Kate R. W. ; Soklin, S. ; Khun, Peng An ; Sophal, S. ; Chhomrath, S. ; Day, Nicholas P. J. ; Limmathurotsaku, Direk ; Nget, Phot ; Pangnarith, Y. ; Sona, Soeng ; Kumar, Varun ; Moore, Catrin E. ; Chanpheaktra, Ngoun ; Parry, Christopher M. / The value of intermittent point prevalence surveys of healthcare-associated infections for evaluating infection control interventions at Angkor Hospital for Children, Siem Reap, Cambodia. In: Transactions of the Royal Society of Tropical Medicine & Hygiene. 2013 ; Vol. 107, No. 4. pp. 248-253.

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title = "The value of intermittent point prevalence surveys of healthcare-associated infections for evaluating infection control interventions at Angkor Hospital for Children, Siem Reap, Cambodia.",

abstract = "BACKGROUND:There are limited data on the epidemiology of paediatric healthcare-associated infection (HCAI) and infection control in low-income countries. We describe the value of intermittent point-prevalence surveys for monitoring HCAI and evaluating infection control interventions in a Cambodian paediatric hospital.METHODS:Hospital-wide, point-prevalence surveys were performed monthly in 2011. Infection control interventions introduced during this period included a hand hygiene programme and a ventilator-associated pneumonia (VAP) care bundle.RESULTS:Overall HCAI prevalence was 13.8/100 patients at-risk, with a significant decline over time. The highest HCAI rates (50%) were observed in critical care; the majority of HCAIs were respiratory (61%). Klebsiella pneumoniae was most commonly isolated and antimicrobial resistance was widespread. Hand hygiene compliance doubled to 51.6%, and total VAP cases/1000 patient-ventilator days fell from 30 to 10.CONCLUSION:Rates of HCAI were substantial in our institution, and antimicrobial resistance a major concern. Point-prevalence surveys are effective for HCAI surveillance, and in monitoring trends in response to infection control interventions.",

keywords = "Cambodia, Paediatric, Hospital-associated infection, Healthcare-associated infection, HCAI, Nosocomial infection",

author = "Stoesser, {Nicole E.} and Emary, {Kate R. W.} and S. Soklin and Khun, {Peng An} and S. Sophal and S. Chhomrath and Day, {Nicholas P. J.} and Direk Limmathurotsaku and Phot Nget and Y. Pangnarith and Soeng Sona and Varun Kumar and Moore, {Catrin E.} and Ngoun Chanpheaktra and Parry, {Christopher M.}",

year = "2013",

month = apr,

doi = "10.1093/trstmh/trt005",

language = "English",

volume = "107",

pages = "248--253",

journal = "Transactions of the Royal Society of Tropical Medicine",

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Stoesser, NE, Emary, KRW, Soklin, S, Khun, PA, Sophal, S, Chhomrath, S, Day, NPJ, Limmathurotsaku, D, Nget, P, Pangnarith, Y, Sona, S, Kumar, V, Moore, CE, Chanpheaktra, N & Parry, CM 2013, 'The value of intermittent point prevalence surveys of healthcare-associated infections for evaluating infection control interventions at Angkor Hospital for Children, Siem Reap, Cambodia.', Transactions of the Royal Society of Tropical Medicine & Hygiene, vol. 107, no. 4, pp. 248-253. https://doi.org/10.1093/trstmh/trt005

The value of intermittent point prevalence surveys of healthcare-associated infections for evaluating infection control interventions at Angkor Hospital for Children, Siem Reap, Cambodia. / Stoesser, Nicole E.; Emary, Kate R. W.; Soklin, S.; Khun, Peng An; Sophal, S.; Chhomrath, S.; Day, Nicholas P. J.; Limmathurotsaku, Direk; Nget, Phot; Pangnarith, Y.; Sona, Soeng; Kumar, Varun; Moore, Catrin E.; Chanpheaktra, Ngoun; Parry, Christopher M.

In: Transactions of the Royal Society of Tropical Medicine & Hygiene, Vol. 107, No. 4, 04.2013, p. 248-253.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - The value of intermittent point prevalence surveys of healthcare-associated infections for evaluating infection control interventions at Angkor Hospital for Children, Siem Reap, Cambodia.

AU - Stoesser, Nicole E.

AU - Emary, Kate R. W.

AU - Soklin, S.

AU - Khun, Peng An

AU - Sophal, S.

AU - Chhomrath, S.

AU - Day, Nicholas P. J.

AU - Limmathurotsaku, Direk

AU - Nget, Phot

AU - Pangnarith, Y.

AU - Sona, Soeng

AU - Kumar, Varun

AU - Moore, Catrin E.

AU - Chanpheaktra, Ngoun

AU - Parry, Christopher M.

PY - 2013/4

Y1 - 2013/4

N2 - BACKGROUND:There are limited data on the epidemiology of paediatric healthcare-associated infection (HCAI) and infection control in low-income countries. We describe the value of intermittent point-prevalence surveys for monitoring HCAI and evaluating infection control interventions in a Cambodian paediatric hospital.METHODS:Hospital-wide, point-prevalence surveys were performed monthly in 2011. Infection control interventions introduced during this period included a hand hygiene programme and a ventilator-associated pneumonia (VAP) care bundle.RESULTS:Overall HCAI prevalence was 13.8/100 patients at-risk, with a significant decline over time. The highest HCAI rates (50%) were observed in critical care; the majority of HCAIs were respiratory (61%). Klebsiella pneumoniae was most commonly isolated and antimicrobial resistance was widespread. Hand hygiene compliance doubled to 51.6%, and total VAP cases/1000 patient-ventilator days fell from 30 to 10.CONCLUSION:Rates of HCAI were substantial in our institution, and antimicrobial resistance a major concern. Point-prevalence surveys are effective for HCAI surveillance, and in monitoring trends in response to infection control interventions.

AB - BACKGROUND:There are limited data on the epidemiology of paediatric healthcare-associated infection (HCAI) and infection control in low-income countries. We describe the value of intermittent point-prevalence surveys for monitoring HCAI and evaluating infection control interventions in a Cambodian paediatric hospital.METHODS:Hospital-wide, point-prevalence surveys were performed monthly in 2011. Infection control interventions introduced during this period included a hand hygiene programme and a ventilator-associated pneumonia (VAP) care bundle.RESULTS:Overall HCAI prevalence was 13.8/100 patients at-risk, with a significant decline over time. The highest HCAI rates (50%) were observed in critical care; the majority of HCAIs were respiratory (61%). Klebsiella pneumoniae was most commonly isolated and antimicrobial resistance was widespread. Hand hygiene compliance doubled to 51.6%, and total VAP cases/1000 patient-ventilator days fell from 30 to 10.CONCLUSION:Rates of HCAI were substantial in our institution, and antimicrobial resistance a major concern. Point-prevalence surveys are effective for HCAI surveillance, and in monitoring trends in response to infection control interventions.

KW - Cambodia, Paediatric, Hospital-associated infection, Healthcare-associated infection, HCAI, Nosocomial infection

U2 - 10.1093/trstmh/trt005

DO - 10.1093/trstmh/trt005

M3 - Article

VL - 107

SP - 248

EP - 253

JO - Transactions of the Royal Society of Tropical Medicine

JF - Transactions of the Royal Society of Tropical Medicine

SN - 0035-9203

IS - 4

ER -

Stoesser NE, Emary KRW, Soklin S, Khun PA, Sophal S, Chhomrath S et al. The value of intermittent point prevalence surveys of healthcare-associated infections for evaluating infection control interventions at Angkor Hospital for Children, Siem Reap, Cambodia. Transactions of the Royal Society of Tropical Medicine & Hygiene. 2013 Apr;107(4):248-253. https://doi.org/10.1093/trstmh/trt005

The value of intermittent point prevalence surveys of healthcare-associated infections for evaluating infection control interventions at Angkor Hospital for Children, Siem Reap, Cambodia.

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