PMID: 9442406Jan 27, 1998Paper

Sentinel system for nosocomial infections in The Netherlands: a pilot study

Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
A J SeverijnenW van Pelt

Abstract

To determine the feasibility of standardized surveillance of nosocomial infections (NI) in The Netherlands, using local data on patients with NI collected by infection control practitioners (ICPs) and denominator data on all patients under surveillance obtained from the Dutch National Medical Registry (LMR). A prospective, multicenter study. Eight hospitals in the Utrecht region, and the National Institute of Public Health and the Environment. ICPs traced NI in gynecological and orthopedic patients for 9 to 16 months. Denominator data on all patients under surveillance were obtained from the LMR. Data from 8,922 patients were collected; the ICPs registered 470 patients with 526 NI. Overall, the NI incidence was 5.9 per 100 patients, or 6.3 per 1,000 patient days. Urinary tract infections (UTI) were most frequent (3.3%), followed by surgical-wound infections (SWI; 2.0%) and bloodborne infections (0.12%). The incidence of both SWI and UTI differed markedly between hospitals, only partially on account of differences in patient mix (age, type of operations), antibiotic prophylaxis, and intensity of tracing methods for NI. Delay in the availability of denominator data hampered the timely feedback of incidence figures. Surveillance o...Continue Reading

Citations

Feb 22, 2011·Enfermedades infecciosas y microbiología clínica·Cristina Díaz-Agero-PérezUNKNOWN Grupo de Trabajo INCLIMECC de la Comunidad de Madrid
Jan 1, 2000·Epidemiology·R ReintjesJ Mintjes-de Groot

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