Using Syndromic Surveillance to Estimate Baseline Rates for Healthcare‐Associated Infections in Critical Care Units of Small Animal Referral Hospitals

Journal of Veterinary Internal Medicine

A. Ruple-Czerniak¹  H.W. Aceto³  J.B. Bender⁵  M.R. Paradis⁶  S.P. Shaw⁷  D.C. Van Metre¹  J.S. Weese⁴  D.A. Wilson²  J.H. Wilson⁵ 

[1] College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO;Department of Veterinary Surgery, College of Veterinary Medicine, University of Missouri, Columbia, MO;University of Pennsylvania, New Bolton Center, Kennett Square, PA;University of Guelph, Ontario Veterinary College, Guelph, ON;University of Minnesota, St. Paul, MN;Department of Clinical Sciences, School of Veterinary Medicine, Tufts University, North Grafton, MA;New England Veterinary Center & Cancer Care, Windsor, CT

关键词: Adverse outcomes;    Hospital‐acquired infection;    Nosocomial infection;    Preventable fraction;    Zoonosis;   

DOI  :  10.1111/jvim.12190

来源: Wiley

【 摘 要 】

Abstract

Background

Expected rates of healthcare-associated infections (HCAI) have not been established in veterinary hospitals. Baseline rates are critically needed as benchmarks for quality animal care.

Objective

To estimate the occurrence of events related to HCAI identified using a standardized syndromic surveillance system in small animals in critical care cases at referral hospitals.

Animals

Weaned dogs and cats (n = 1,951) that were hospitalized in the critical care unit of referral teaching hospitals during a 12-week period.

Methods

Multicenter, prospective longitudinal study. A survey was completed for all enrolled animals to record basic demographics, information about procedures and treatments that animals received, and to document the occurrence of defined nosocomial syndromes. Data were analyzed to identify risk factors associated with the occurrence of these nosocomial syndromes.

Results

Controlling for hospital of admission, 16.3% of dogs (95% confidence intervals [CI], 14.3–18.5) and 12% of cats (95% CI, 9.3–15.5) were reported to have had ≥1 nosocomial syndrome occur during hospitalization. Risk factors found to have a positive association with the development of a nosocomial syndrome were longer hospital stays, placement of a urinary catheter, surgical procedures being performed, and the administration of antiulcer medications and antimicrobial drugs excluding those given perioperatively.

Conclusions and Clinical Importance

Syndromic surveillance systems can be successfully standardized for use across multiple hospitals to effectively collect data pertinent to HCAI rates and risk factors for occurrence.

【 授权许可】

Unknown   
Copyright © 2013 by the American College of Veterinary Internal Medicine