TY - JOUR
T1 - Surveillance of healthcare-associated infections in Indonesian hospitals
AU - Duerink, D. O.
AU - Roeshadi, D.
AU - Wahjono, H.
AU - Lestari, E. S.
AU - Hadi, U.
AU - Wille, J. C.
AU - De Jong, R. M.
AU - Nagelkerke, N. J.D.
AU - Van den Broek, P. J.
AU - Gardjito, W.
AU - Kolopaking, E. P.
AU - Wirjoatmodjo, K.
AU - Suwandojo, E.
AU - Parathon, H.
AU - Zairina, N.
AU - Isbandiati, E.
AU - Deborah, K.
AU - Kuntaman, K.
AU - Mertaniasih, N. M.
AU - Poerwanta, M.
AU - Soejoenoes, A.
AU - Riyanto, B.
AU - Adhisaputro, M.
AU - Triwara, B.
AU - Syoeib, J.
AU - Wibowo, B.
AU - Sofro, M. A.U.
AU - Farida, H.
AU - Hapsari, M. M.
AU - Nugraha, T. L.
AU - Verbrugh, H. A.
AU - Gyssens, I. C.
AU - Keuter, M.
N1 - Funding Information:
This work was supported by the Royal Netherlands Academy of Arts and Sciences (KNAW), Science Programme Indonesia-the Netherlands (SPIN, project 99-MED-03).
PY - 2006/2
Y1 - 2006/2
N2 - A cross-sectional surveillance of healthcare-associated infections (HAIs) and exposure to risk factors was undertaken in two Indonesian teaching hospitals (Hospitals A and B). Patients from internal medicine, surgery, obstetrics and gynaecology, paediatrics, a class department and intensive care were included. Patient demographics, antibiotic use, culture results, presence of HAI [phlebitis, surgical site infection (SSI), urinary tract infection (UTI) and septicaemia] and risk factors were recorded. To check for interobserver variation, a validation study was performed in Hospital B. In Hospitals A and B, 1334 and 888 patients were included, respectively. Exposure to invasive devices and surgery was 59%. In Hospital A, 2.8% of all patients had phlebitis, 1.7% had SSI, 0.9% had UTI and 0.8% had septicaemia. In Hospital B, 3.8% had phlebitis, 1.8% had SSI, 1.1% had UTI and 0.8% had septicaemia. In the validation study, the prevalence as recorded by the first team was 2.6% phlebitis, 1.8% SSI, 0.9% UTI and no septicaemia, and that recorded by the second team was 2.2% phlebitis, 2.6% SSI, 3.5% UTI and 0.9% septicaemia. This study is the first to report on HAI in Indonesia. Prevalence rates are comparable to those in other countries. The reliability of the surveillance was insufficient as a considerable difference in prevalence rates was found in the validation study. The surveillance method used is a feasible tool for hospitals in countries with limited healthcare resources to estimate their level of HAI and make improvements in infection control. Efficiency can be improved by restricting the surveillance to include only those patients with invasive procedures. This can help to detect 90% of all infections while screening only 60% of patients.
AB - A cross-sectional surveillance of healthcare-associated infections (HAIs) and exposure to risk factors was undertaken in two Indonesian teaching hospitals (Hospitals A and B). Patients from internal medicine, surgery, obstetrics and gynaecology, paediatrics, a class department and intensive care were included. Patient demographics, antibiotic use, culture results, presence of HAI [phlebitis, surgical site infection (SSI), urinary tract infection (UTI) and septicaemia] and risk factors were recorded. To check for interobserver variation, a validation study was performed in Hospital B. In Hospitals A and B, 1334 and 888 patients were included, respectively. Exposure to invasive devices and surgery was 59%. In Hospital A, 2.8% of all patients had phlebitis, 1.7% had SSI, 0.9% had UTI and 0.8% had septicaemia. In Hospital B, 3.8% had phlebitis, 1.8% had SSI, 1.1% had UTI and 0.8% had septicaemia. In the validation study, the prevalence as recorded by the first team was 2.6% phlebitis, 1.8% SSI, 0.9% UTI and no septicaemia, and that recorded by the second team was 2.2% phlebitis, 2.6% SSI, 3.5% UTI and 0.9% septicaemia. This study is the first to report on HAI in Indonesia. Prevalence rates are comparable to those in other countries. The reliability of the surveillance was insufficient as a considerable difference in prevalence rates was found in the validation study. The surveillance method used is a feasible tool for hospitals in countries with limited healthcare resources to estimate their level of HAI and make improvements in infection control. Efficiency can be improved by restricting the surveillance to include only those patients with invasive procedures. This can help to detect 90% of all infections while screening only 60% of patients.
KW - Asia
KW - Cross-infection
KW - Cross-sectional studies
KW - Epidemiology
KW - Healthcare-associated infections
KW - Indonesia
KW - Southeastern
KW - Surveillance
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UR - http://www.scopus.com/inward/citedby.url?scp=30344450119&partnerID=8YFLogxK
U2 - 10.1016/j.jhin.2005.08.004
DO - 10.1016/j.jhin.2005.08.004
M3 - Article
C2 - 16307823
AN - SCOPUS:30344450119
SN - 0195-6701
VL - 62
SP - 219
EP - 229
JO - Journal of Hospital Infection
JF - Journal of Hospital Infection
IS - 2
ER -