About: Secular trends of healthcare-associated infections at a teaching hospital in Taiwan, 1981

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About: Secular trends of healthcare-associated infections at a teaching hospital in Taiwan, 1981–2007 Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Secular trends of healthcare-associated infections at a teaching hospital in Taiwan, 1981–2007
Creator	Chang, S.-C Chang, Y.-Y Chen, M.-L Chen, Y.-C Chuang, Y.-C Hsu, L.-Y Sun, C.-C Wang, J.-T
Source	Elsevier; Medline; PMC
abstract	Summary The National Taiwan University Hospital (NTUH) adopted international guidelines for surveillance and control of healthcare-associated infection (HCAI) in 1981. This report describes the secular trends in HCAI at the NTUH over the past 27 years according to site of infection, aetiological agents and control measures. Clinical and microbiological data were collected by infection prevention and control nurses using a standardised case-record form. Specific control programmes were implemented and/or intensified as needed. Poisson or negative binomial regression analysis was used to quantify time trends of the incidence of HCAI. The annual number of discharges increased from 25 074 to 91 234 with a parallel increase in the Charlson comorbidity index. Active HCAI surveillance and periodic feedback were associated with a marked decrease in surgical site infections from 1981 to 2007 (2.5 vs 0.5 episodes per 100 procedures, P <0.0001). On the other hand, there was a 4.8-fold increase in bloodstream infections (BSIs) (0.39 vs 1.88 episodes per 100 discharges, P <0.0001). The average annual increase of pathogen-specific HCAI incidence during 1981–2007 was 11.4% for meticillin-resistant Staphylococcus aureus (MRSA), 75.4% for extensively drug-resistant A. baumannii (XDRAB), and 7.5% for Candida albicans (P <0.0001, respectively). The infection prevention and control programme was upgraded in 2004 by implementing annual, intensive, project-based control programmes, and decreases in rates of HCAI, BSI, MRSA and XDRAB were observed. This long term study demonstrates the need to couple surveillance of HCAI with focused control programmes. Hospitals must invest in adequate manpower to accomplish these goals.
has issue date	2010-10-31(xsd:dateTime)
bibo:doi	10.1016/j.jhin.2010.05.001
bibo:pmid	20663585
has license	els-covid
sha1sum (hex)	3431b01ad4a2019082a6c96b25c010c9ca88a0e5
schema:url	https://doi.org/10.1016/j.jhin.2010.05.001
resource representing a document's title	Secular trends of healthcare-associated infections at a teaching hospital in Taiwan, 1981–2007
has PubMed Central identifier	PMC7114588
has PubMed identifier	20663585
schema:publication	Journal of Hospital Infection
resource representing a document's body	covid:3431b01ad4a2019082a6c96b25c010c9ca88a0e5#body_text
is schema:about of	named entity 'HAND' named entity 'INCIDENCE' named entity 'METICILLIN' named entity 'HOSPITALS' named entity 'INFECTION PREVENTION' named entity 'AS NEEDED' named entity 'RECORD' named entity 'PERIODIC' named entity 'COLLECTED BY' named entity 'NURSES' named entity 'DECREASES' named entity 'PROJECT' named entity 'RESISTANT' named entity 'MARKED' named entity 'PAST' named entity 'REPORT' named entity 'QUANTIFY' named entity '074' named entity 'FOCUSED' named entity 'IMPLEMENTED' named entity 'CLINICAL' named entity 'standardised' named entity 'needed' named entity 'TEACHING HOSPITAL' named entity 'ASSOCIATED' covid:arg/3431b01ad4a2019082a6c96b25c010c9ca88a0e5 named entity 'PARALLEL' named entity 'ADOPTED' named entity 'PATHOGEN' named entity 'STAPHYLOCOCCUS AUREUS' named entity 'ANNUAL' named entity 'TAIWAN' named entity 'DISCHARGES' named entity 'BASED' named entity 'OBSERVED' named entity 'USED' named entity '11.4' named entity '28P' named entity '0.5' named entity 'HCAI' named entity 'STUDY' named entity 'REGRESSION ANALYSIS' named entity 'EPISODES' named entity 'FORM' named entity 'CASE' named entity '4.8' named entity 'TIME' named entity 'MRSA' named entity 'RATES' named entity 'MANPOWER' named entity 'DECREASE' named entity 'SECULAR TRENDS' named entity '282' named entity 'FOLD INCREASE' named entity 'CHARLSON COMORBIDITY INDEX' named entity 'ASSOCIATED WITH' named entity 'HEALTHCARE-ASSOCIATED INFECTION' named entity 'AVERAGE' named entity 'INTERNATIONAL' named entity 'NATIONAL TAIWAN UNIVERSITY' named entity 'UNIVERSITY HOSPITAL' named entity 'BSI' named entity '100' named entity 'SURGICAL SITE' named entity 'YEARS' named entity '7.5' named entity 'CONTROL' named entity 'HEALTHCARE' named entity 'INFECTIONS' named entity 'SECULAR TRENDS' named entity 'DATA' named entity 'MEASURES' named entity 'BLOODSTREAM INFECTIONS' named entity '234'

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