Epidemiology of healthcare-associated infections among patients from a hemodialysis unit in southeastern Brazil

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dc.contributor.authorKennerly de Albuquerque, Silvia Eduara [UNESP]
dc.contributor.authorCavalcante, Ricardo de Souza [UNESP]
dc.contributor.authorPonce, Daniela [UNESP]
dc.contributor.authorFortaleza, Carlos Magno Castelo Branco [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.date.accessioned2014-12-03T13:10:51Z
dc.date.available2014-12-03T13:10:51Z
dc.date.issued2014-05-01
dc.description.abstractPatients submitted to hemodialysis are at a high risk for healthcare-associated infections (HAI). Presently there are scarce data to allow benchmarking of HAI rates in developing countries. Also, most studies focus only on bloodstream infections (BSI) or local access infections (LAI). Our study aimed to provide a wide overview of HAT epidemiology in a hemodialysis unit in southeastern Brazil. We present data from prospective surveillance carried out from March 2010 through May 2012. Rates were compared (mid-p exact test) and temporally analyzed in Shewhart control charts for Poisson distributions. The overall incidence of BSI was 1.12 per 1000 access-days. The rate was higher for patients performing dialysis through central venous catheters (CVC), either temporary (RR = 13.35, 95% CI = 6.68-26.95) or permanent (RR = 2.10,95% CI = 1.09-4.13), as compared to those with arteriovenous fistula. Control charts identified a BSI outbreak caused by Pseudomonas aeruginosa in April 2010. LAI incidence was 3.80 per 1000 access-days. Incidence rates for other HAI (per 1000 patients-day) were as follows: upper respiratory infections, 1.72; pneumonia, 1.35; urinary tract infections, 1.25; skin/soft tissues infections, 0.93. The data point out to the usefulness of applying methods commonly used in hospital-based surveillance for hemodialysis units. (C) 2013 Elsevier Editora Ltda. All rights reserved.en
dc.description.affiliationUniv Estadual Paulista, UNESP, Hosp Clin, Fac Med Botucatu,Comissao Controle Infeccao Relac, Botucatu, SP, Brazil
dc.description.affiliationUniv Estadual Paulista, UNESP, Fac Med Botucatu, Dept Doencas Tropicais & Diagnost Imagem, Botucatu, SP, Brazil
dc.description.affiliationUniv Estadual Paulista, UNESP, Fac Med Botucatu, Dept Clin Med,Disciplina Nefrol, Botucatu, SP, Brazil
dc.description.affiliationUnespUniv Estadual Paulista, UNESP, Hosp Clin, Fac Med Botucatu,Comissao Controle Infeccao Relac, Botucatu, SP, Brazil
dc.description.affiliationUnespUniv Estadual Paulista, UNESP, Fac Med Botucatu, Dept Doencas Tropicais & Diagnost Imagem, Botucatu, SP, Brazil
dc.description.affiliationUnespUniv Estadual Paulista, UNESP, Fac Med Botucatu, Dept Clin Med,Disciplina Nefrol, Botucatu, SP, Brazil
dc.format.extent327-330
dc.identifierhttp://dx.doi.org/10.1016/j.bjid.2013.10.001
dc.identifier.citationBrazilian Journal Of Infectious Diseases. Salvador: Contexto, v. 18, n. 3, p. 327-330, 2014.
dc.identifier.doi10.1016/j.bjid.2013.10.001
dc.identifier.fileWOS000339136900013.pdf
dc.identifier.issn1413-8670
dc.identifier.urihttp://hdl.handle.net/11449/112580
dc.identifier.wosWOS:000339136900013
dc.language.isoeng
dc.publisherContexto
dc.relation.ispartofBrazilian Journal of Infectious Diseases
dc.relation.ispartofjcr2.083
dc.relation.ispartofsjr0,817
dc.rights.accessRightsAcesso aberto
dc.sourceWeb of Science
dc.subjectInfection controlen
dc.subjectHemodialysisen
dc.subjectBloodstream infectionsen
dc.subjectCatheter-related infectionsen
dc.titleEpidemiology of healthcare-associated infections among patients from a hemodialysis unit in southeastern Brazilen
dc.typeArtigo
dcterms.rightsHolderContexto
unesp.author.lattes2589937673452910[4]
unesp.author.orcid0000-0003-4120-1258[4]
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatupt

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