Healthcare-associated infections in Northern Russia: Results of ten point-prevalence surveys in 2006–2010
Background and objective: Statistics on healthcare-associated infections (HAIs) in Russia is scarce and has been considered to suffer from underreporting. We assessed the prevalence and changes in the prevalence of HAIs over 5 years and identified factors associated with acquiring HAIs in the pediat...
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ftdoajarticles:oai:doaj.org/article:28d2552f494d43c48ca873b3bb0c0d30 2023-10-09T21:49:38+02:00 Healthcare-associated infections in Northern Russia: Results of ten point-prevalence surveys in 2006–2010 Ekaterina A. Krieger Andrej M. Grjibovski Olga V. Samodova Hanne M. Eriksen 2015-01-01T00:00:00Z https://doi.org/10.1016/j.medici.2015.05.002 https://doaj.org/article/28d2552f494d43c48ca873b3bb0c0d30 EN eng MDPI AG http://www.sciencedirect.com/science/article/pii/S1010660X15000415 https://doaj.org/toc/1010-660X 1010-660X doi:10.1016/j.medici.2015.05.002 https://doaj.org/article/28d2552f494d43c48ca873b3bb0c0d30 Medicina, Vol 51, Iss 3, Pp 193-199 (2015) Healthcare-associated infections Pediatric hospital Russia Medicine (General) R5-920 article 2015 ftdoajarticles https://doi.org/10.1016/j.medici.2015.05.002 2023-09-10T00:51:17Z Background and objective: Statistics on healthcare-associated infections (HAIs) in Russia is scarce and has been considered to suffer from underreporting. We assessed the prevalence and changes in the prevalence of HAIs over 5 years and identified factors associated with acquiring HAIs in the pediatric hospital in Arkhangelsk, Northern Russia. Materials and methods: Ten cross-sectional studies were conducted in the Arkhangelsk regional pediatric hospital biannually during 2006–2010. We used a standardized protocol, including the criteria of HAI proposed by the Centers for Disease Control and Prevention. Binary logistic regression was applied to study factors associated with HAI. Results: Altogether, 3264 inpatients were enrolled in the study and 347 of them had HAI (11.2%). The prevalence of HAI per survey ranged from 7.1% (95% CI: 4.8%–10.4%) to 16.7% (95% CI: 13.1%–21.2%). The most prevalent HAIs were upper respiratory tract infections 5.1% (95% CI: 4.4%–5.9%), followed by urinary tract infections, 1.5% (95% CI: 1.2%–2.0%), and acute gastroenteritis, 1.4% (95% CI: 1.1%–1.9%). Compared to infants, children aged 5–9 years (OR = 0.7, 95% CI: 0.4–1.0), 10–14 years (OR = 0.4, 95% CI: 0.3–0.7), and ≥15 years (OR = 0.3, 95% CI: 0.2–0.5) were less likely to have HAI. Neutropenia (OR = 1.5, 95% CI: 1.0–2.3) and use of intravascular catheter(s) (OR = 1.8, 95% CI: 1.1–3.0) were positively associated with HAI. Conclusions: The observed prevalence of HAIs is within the range reported in several other European countries. We do not recommend generalizing our findings to other Russian settings given considerable variations between regions in both socio-economic situation and conditions of medical facilities. Article in Journal/Newspaper Arkhangelsk Directory of Open Access Journals: DOAJ Articles Medicina 51 3 193 199 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Healthcare-associated infections Pediatric hospital Russia Medicine (General) R5-920 |
spellingShingle |
Healthcare-associated infections Pediatric hospital Russia Medicine (General) R5-920 Ekaterina A. Krieger Andrej M. Grjibovski Olga V. Samodova Hanne M. Eriksen Healthcare-associated infections in Northern Russia: Results of ten point-prevalence surveys in 2006–2010 |
topic_facet |
Healthcare-associated infections Pediatric hospital Russia Medicine (General) R5-920 |
description |
Background and objective: Statistics on healthcare-associated infections (HAIs) in Russia is scarce and has been considered to suffer from underreporting. We assessed the prevalence and changes in the prevalence of HAIs over 5 years and identified factors associated with acquiring HAIs in the pediatric hospital in Arkhangelsk, Northern Russia. Materials and methods: Ten cross-sectional studies were conducted in the Arkhangelsk regional pediatric hospital biannually during 2006–2010. We used a standardized protocol, including the criteria of HAI proposed by the Centers for Disease Control and Prevention. Binary logistic regression was applied to study factors associated with HAI. Results: Altogether, 3264 inpatients were enrolled in the study and 347 of them had HAI (11.2%). The prevalence of HAI per survey ranged from 7.1% (95% CI: 4.8%–10.4%) to 16.7% (95% CI: 13.1%–21.2%). The most prevalent HAIs were upper respiratory tract infections 5.1% (95% CI: 4.4%–5.9%), followed by urinary tract infections, 1.5% (95% CI: 1.2%–2.0%), and acute gastroenteritis, 1.4% (95% CI: 1.1%–1.9%). Compared to infants, children aged 5–9 years (OR = 0.7, 95% CI: 0.4–1.0), 10–14 years (OR = 0.4, 95% CI: 0.3–0.7), and ≥15 years (OR = 0.3, 95% CI: 0.2–0.5) were less likely to have HAI. Neutropenia (OR = 1.5, 95% CI: 1.0–2.3) and use of intravascular catheter(s) (OR = 1.8, 95% CI: 1.1–3.0) were positively associated with HAI. Conclusions: The observed prevalence of HAIs is within the range reported in several other European countries. We do not recommend generalizing our findings to other Russian settings given considerable variations between regions in both socio-economic situation and conditions of medical facilities. |
format |
Article in Journal/Newspaper |
author |
Ekaterina A. Krieger Andrej M. Grjibovski Olga V. Samodova Hanne M. Eriksen |
author_facet |
Ekaterina A. Krieger Andrej M. Grjibovski Olga V. Samodova Hanne M. Eriksen |
author_sort |
Ekaterina A. Krieger |
title |
Healthcare-associated infections in Northern Russia: Results of ten point-prevalence surveys in 2006–2010 |
title_short |
Healthcare-associated infections in Northern Russia: Results of ten point-prevalence surveys in 2006–2010 |
title_full |
Healthcare-associated infections in Northern Russia: Results of ten point-prevalence surveys in 2006–2010 |
title_fullStr |
Healthcare-associated infections in Northern Russia: Results of ten point-prevalence surveys in 2006–2010 |
title_full_unstemmed |
Healthcare-associated infections in Northern Russia: Results of ten point-prevalence surveys in 2006–2010 |
title_sort |
healthcare-associated infections in northern russia: results of ten point-prevalence surveys in 2006–2010 |
publisher |
MDPI AG |
publishDate |
2015 |
url |
https://doi.org/10.1016/j.medici.2015.05.002 https://doaj.org/article/28d2552f494d43c48ca873b3bb0c0d30 |
genre |
Arkhangelsk |
genre_facet |
Arkhangelsk |
op_source |
Medicina, Vol 51, Iss 3, Pp 193-199 (2015) |
op_relation |
http://www.sciencedirect.com/science/article/pii/S1010660X15000415 https://doaj.org/toc/1010-660X 1010-660X doi:10.1016/j.medici.2015.05.002 https://doaj.org/article/28d2552f494d43c48ca873b3bb0c0d30 |
op_doi |
https://doi.org/10.1016/j.medici.2015.05.002 |
container_title |
Medicina |
container_volume |
51 |
container_issue |
3 |
container_start_page |
193 |
op_container_end_page |
199 |
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1779312667200061440 |