Advertisement

Results from the Scottish National HAI Prevalence Survey

      Summary

      A national point prevalence survey was undertaken over the period of one calendar year in Scotland from October 2005 to October 2006. The prevalence of healthcare-associated infection (HAI) was 9.5% in acute hospitals and 7.3% in non-acute hospitals. The highest prevalence of HAI in acute hospital inpatients was found in the following specialties: care of the elderly (11.9%), surgery (11.2%), medicine (9.6%) and orthopaedics (9.2%). The lowest prevalence was found in obstetrics (0.9%). The most common types of HAI in acute hospital inpatients were: urinary tract infections (17.9% of all HAI), surgical site infections (15.9%) and gastrointestinal infections (15.4%). In non-acute hospitals one in ten inpatients in two specialties (combined) – medicine (11.4%) and care of the elderly (7.8%) – was found to have HAI, and one in 20 inpatients in psychiatry (5.0%) had HAI. In non-acute hospital patients, urinary tract infections were frequent (28.1% of all HAI) and similarly skin and soft tissue infection (26.8% of all HAI). When combined, these two HAI types affected 4% of all the inpatients in non-acute hospitals. This is the first survey of its kind in Scotland and describes the burden of HAI at a national level.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Hospital Infection
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Harbarth S.
        • Sax H.
        • Gastmeier P.
        The preventable proportion of nosocomial infections: an overview of published reports.
        J Hosp Infect. 2003; 54: 258-266
        • Ayliffe G.A.
        Nosocomial infection – the irreducible minimum.
        Infect Control. 1986; 7: S92-S95
        • Plowman R.
        • Graves N.
        • Griffin M.
        • et al.
        The socio-economic burden of hospital acquired infection, Part 1.
        PHLS, London1999
        • Centers for Disease Control and Prevention
        National nosocomial infection study site definition manual.
        Centers for Disease Control and Prevention, Atlanta, GA1999
        • Information Services Division
        Available beds by specialty & NHS board of treatment.
        ISD, Scotland2006
        • Gastmeier P.
        • Kampf G.
        • Wischnewski N.
        • Schumacher M.
        • Daschner F.
        • Ruden H.
        Importance of the surveillance method: national prevalence studies on nosocomial infections and the limits of comparison.
        Infect Control Hosp Epidemiol. 1998; 19: 661-667
        • Meers P.D.
        • Aycliffe G.A.
        • Emmerson A.M.
        • et al.
        Report on the national survey of infection in hospitals.
        J Hosp Infect. 1980; 2: S1-S11
        • Emmerson A.M.
        • Enstone J.E.
        • Kelsey M.C.
        The second national prevalence survey of infection in hospitals: methodology.
        J Hosp Infect. 1995; 30: 7-29
        • Hospital Infection Society
        • Infection Control Nurse Association
        Summary of preliminary results of third prevalence survey of healthcare-associated infections in acute hospitals 2006 – Wales.
        National Public Health Service for Wales, Welsh Assembly Government, 2007
        • Hospital Infection Society
        • Infection Control Nurse Association
        Summary of preliminary results of third prevalence survey of healthcare-associated infections in acute hospitals 2006 – England.
        Hospital Infection Society/Infection Control Nurses Association, 2007
        • Hospital Infection Society
        • Infection Control Nurse Association
        Summary of preliminary results of third prevalence survey of healthcare-associated infections in acute hospitals 2006 – Northern Ireland.
        Department of Health, Social Services and Public Safety, Northern Ireland Healthcare-Associated Infection Surveillance Centre, 2007
        • Hospital Infection Society
        • Infection Control Nurses Association
        Summary of preliminary results of third prevalence survey of healthcare-associated infections in acute hospitals 2006 – Republic of Ireland.
        Health Service Executive, Health Protection Surveillance Centre, 2007
        • Hospital Infection Society
        National prevalence survey results.
        Hospital Infection Society, Amsterdam2006
        • Eriksen H.M.
        • Iversen B.G.
        • Aavitsland P.
        Prevalence of nosocomial infections in hospitals in Norway, 2002 and 2003.
        J Hosp Infect. 2005; 60: 40-45
        • Klavs I.
        • Bufon Luznik T.
        • Skerl M.
        • et al.
        Prevalance of and risk factors for hospital-acquired infections in Slovenia – results of the first national survey, 2001.
        J Hosp Infect. 2003; 54: 149-157
        • Emmerson A.M.
        • Enstone J.E.
        • Griffin M.
        • Kelsey M.C.
        • Smyth E.T.
        The second national prevalence survey of infection in hospitals – overview of the results.
        J Hosp Infect. 1996; 32: 175-190
        • Nicholls T.M.
        • Morris A.J.
        Nosocomial infection in Auckland healthcare hospitals.
        N Z Med J. 1997; 110: 314-316
        • Gastmeier P.
        • Kampf G.
        • Wischnewski N.
        • et al.
        Prevalence of nosocomial infections in representative German hospitals.
        J Hosp Infect. 1998; 38: 37-49
        • Zotti C.M.
        • Messori Ioli G.
        • Charrier L.
        • et al.
        Hospital-acquired infections in Italy: a region wide prevalence study.
        J Hosp Infect. 2004; 56: 142-149
        • Vaque J.
        • Rossello J.
        • Arribas J.L.
        Prevalence of nosocomial infections in Spain: EPINE study 1990–1997. EPINE Working Group.
        J Hosp Infect. 1999; 43: S105-S111
        • Pittet D.
        • Harbarth S.
        • Ruef C.
        • et al.
        Prevalence and risk factors for nosocomial infections in four university hospitals in Switzerland.
        Infect Control Hosp Epidemiol. 1999; 20: 37-42
        • Standfast S.J.
        • Michelsen P.B.
        • Baltch A.L.
        • et al.
        A prevalence survey of infections in a combined acute and long-term care hospital.
        Infect Control. 1984; 5: 177-184
        • Steinmiller A.M.
        • Robb S.S.
        • Muder R.R.
        Prevalence of nosocomial infection in long-term-care veterans administration medical centers.
        Am J Infect Control. 1991; 19: 143-146