Incidence Rates of Healthcare-associated Infections in Hospitals: A Multicenter, Pooled Patient Data Analysis in India

JOURNAL TITLE: International Journal of Research Foundation of Hospital and Healthcare Administration

Author
1. Sanjeev Singh
2. Neeta Munshi
3. Tency Jose
4. Sharmila Sengupta
5. Vatsal Chhaya
6. Murali Chakravarthy
ISSN
2347-4254
DOI
10.5005/jp-journals-10035-1042
Volume
3
Issue
2
Publishing Year
2015
Pages
5
Author Affiliations
    1. Critical Care and Pain Relief, Fortis Hospital, Bannerughatta Road, Bengaluru, Karnataka, India
    2. Fortis Hospitals, Bengaluru, Karnataka, India
    3. Fortis Hospital, Bengaluru, Karnataka, India
    1. BLK Superspecialty Hospital, New Delhi, India
    1. Department of Medical Administration, Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala, India
    1. Department of Pathology and Microbiology, Ruby Hall Clinic Pune, Maharashtra, India
    1. Department of Medical Administration, Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala, India
    1. Department of Medical Administration, Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala, India
  • Article keywords

    Abstract

    Aim

    The aim of this study was to collect the multicenter data of healthcare-associated infections (HAIs) to assess the infection control scenario in India in context with CDC/NHSN and INICC database.

    Materials and methods

    Four National Accreditation Board for Hospitals and Health Care Providers (NABH) accredited hospitals were selected on random basis and raw data on healthcare-associated infections—number of days and number of infections in all intensive care patients was obtained as per the CDC-NHSN definitions and formula. Three major device related infections were considered for analysis based on the prevalence of HAIs and discussions with subject matter experts. All nodal champions from each hospital were trained and common data collection sheet for surveillance in accordance to CDC-NHSN was formed. The pooled means for HAI rates and average of the pooled means for all were calculated using data from four hospitals and were compared with CDC/NHSN and international nosocomial infection control consortium (INICC) percentiles of HAIs rates.

    Results

    The Indian pooled mean HAI rates for all infections were above CDC/NHSN percentile threshold but below INICC percentile. Ventilator-associated pneumonia (VAP) was considered as matter of prime concern, crossing P90 line of CDC/NHSN threshold. However, no HAI rate was in limit of P25.

    Conclusion

    Indian HAI rates were higher when mapped with CDC threshold. This promotes the need for more standardized and evidence-based protocols been adhered to so as to bring HAI within CDC/NHSN thresholds. However, the four hospitals have better HAI rates as compared to pooled INICC database.

    How to cite this article

    Singh S, Chakravarthy M, Sengupta S, Munshi N, Jose T, Chhaya V. Incidence Rates of Healthcareassociated Infections in Hospitals: A Multicenter, Pooled Patient Data Analysis in India. Int J Res Foundation Hosp Healthc Adm 2015;3(2):86-90.

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