A ten-year review of healthcare-associated bloodstream infections from forty hospitals in Québec, Canada

Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
Iman Fakihfor SPIN-BACTOT

Abstract

Healthcare-associated bloodstream infections (HABSI) are a significant cause of morbidity and mortality worldwide. In Québec, Canada, HABSI arising from acute-care hospitals have been monitored since April 2007 through the Surveillance des bactériémies nosocomiales panhospitalières (BACTOT) program, but this is the first detailed description of HABSI epidemiology. This retrospective, descriptive study was conducted using BACTOT surveillance data from hospitals that participated continuously between April 1, 2007, and March 31, 2017. HABSI cases and rates were stratified by hospital type and/or infection source. Temporal trends of rates were analyzed by fitting generalized estimating equation Poisson models, and they were stratified by infection source. For 40 hospitals, 13,024 HABSI cases and 23,313,959 patient days were recorded, for an overall rate of 5.59 per 10,000 patient days (95% CI, 5.54-5.63). The most common infection sources were catheter-associated BSIs (23.0%), BSIs secondary to a urinary focus (21.5%), and non-catheter-associated primary BSIs (18.1%). Teaching hospitals and nonteaching hospitals with ICUs often had rates higher than nonteaching hospitals without ICUs. Annual HABSI rates did not exhibit statistical...Continue Reading

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Citations

Jun 4, 2019·Analytical and Bioanalytical Chemistry·Björn LorenzJürgen Popp
Sep 12, 2019·Internal Medicine Journal·H Carl Hanger, Michelle Bloor
Mar 20, 2019·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Iman FakihUNKNOWN for SPIN-BACTOT

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