TY - JOUR
T1 - Establishing the prevalence of healthcare-associated infections in Australian hospitals
T2 - protocol for the Comprehensive Healthcare Associated Infection National Surveillance (CHAINS) study
AU - Russo, Philip L.
AU - Stewardson, Andrew
AU - Cheng, Allen C.
AU - Bucknall, Tracey
AU - Marimuthu, Kalisvar
AU - Mitchell, Brett G.
PY - 2018/11/8
Y1 - 2018/11/8
N2 - INTRODUCTION: A healthcare-associated infection (HAI) data point prevalence study (PPS) conducted in 1984 in Australian hospitals estimated the prevalence of HAI to be 6.3%. Since this time, there have been no further national estimates undertaken. In the absence of a coordinated national surveillance programme or regular PPS, there is a dearth of national HAI data to inform policy and practice priorities. METHODS AND ANALYSIS: A national HAI PPS study will be undertaken based on the European Centres for Disease Control method. Nineteen public acute hospitals will participate. A standardised algorithm will be used to detect HAIs in a two-stage cluster design, random sample of adult inpatients in acute wards and all intensive care unit patients. Data from each hospital will be collected by two trained members of the research team. We will estimate the prevalence of HAIs, invasive device use, single room placement and deployment of transmission-based precautions. ETHICS AND DISSEMINATION: Ethics approval was obtained from the Alfred Health Human Research Ethics Committee (HREC/17/Alfred/203) via the National Mutual Assessment. A separate approval was obtained from the Tasmanian Health and Medical Human Research Committee (H0016978) for participating Tasmanian hospitals. Findings will be disseminated in individualised participating hospital reports, peer-reviewed publications and conference presentations.
AB - INTRODUCTION: A healthcare-associated infection (HAI) data point prevalence study (PPS) conducted in 1984 in Australian hospitals estimated the prevalence of HAI to be 6.3%. Since this time, there have been no further national estimates undertaken. In the absence of a coordinated national surveillance programme or regular PPS, there is a dearth of national HAI data to inform policy and practice priorities. METHODS AND ANALYSIS: A national HAI PPS study will be undertaken based on the European Centres for Disease Control method. Nineteen public acute hospitals will participate. A standardised algorithm will be used to detect HAIs in a two-stage cluster design, random sample of adult inpatients in acute wards and all intensive care unit patients. Data from each hospital will be collected by two trained members of the research team. We will estimate the prevalence of HAIs, invasive device use, single room placement and deployment of transmission-based precautions. ETHICS AND DISSEMINATION: Ethics approval was obtained from the Alfred Health Human Research Ethics Committee (HREC/17/Alfred/203) via the National Mutual Assessment. A separate approval was obtained from the Tasmanian Health and Medical Human Research Committee (H0016978) for participating Tasmanian hospitals. Findings will be disseminated in individualised participating hospital reports, peer-reviewed publications and conference presentations.
KW - healthcare associated infection
KW - infection control
KW - infection prevention
KW - point prevalence surveillance
UR - http://www.scopus.com/inward/record.url?scp=85056398088&partnerID=8YFLogxK
U2 - 10.1136/bmjopen-2018-024924
DO - 10.1136/bmjopen-2018-024924
M3 - Article
C2 - 30413520
AN - SCOPUS:85056398088
SN - 2044-6055
VL - 8
JO - BMJ Open
JF - BMJ Open
IS - 11
M1 - e024924
ER -