TY  -  JOUR
AU  -  Lenzi, Lucia
AU  -  Falsetti, Paolo
AU  -  Acciai, Caterina
AU  -  Galanti, Irene Alessandra
AU  -  Tacconi, Danilo
AU  -  Mecca, Michele
T1  -  Adozione del monitoraggio sistematico delle infezioni<BR>nelle organizzazioni sanitarie in una riabilitazione ospedaliera
PY  -  2015
Y1  -  2015-10-01
DO  -  10.1716/2166.23432
JO  -  GIMPIOS
JA  -  Gimpios
VL  -  5
IS  -  4
SP  -  156
EP  -  160
PB  -  Il Pensiero Scientifico Editore
SN  -  1122-407X
Y2  -  2026/06/21
UR  -  http://dx.doi.org/10.1716/2166.23432
N2  -  Summary Objectives. To study the effects of the surveillance of healthcare associated infection (HAI) in Recupero e Rieducazione Funzionale Unit (UOC RRF) of Arezzo S. Donato Hospital. Methods. Annual reports of frequences of HAI in UOC RRF have been retrospectively analysed to demontrate correlations with surveillance and prevention guidelines proposed by CIO (Hospital Commitee for HAI surveillance). Results. In 2007 CIO was instituited. Surveillance data demonstrate a good sensibilisation of clinicians on the topic (70% of alerts to CIO were produced from our unit). After 2011 a significant reduction of HAI rates in UOC RRF was noted (latest HAI frequency 9.2%, p <0.05). Multidrug resistant microrganisms (MDRO) caused 13% of HAI from 2012 until 2014, without significant variations with previous years. Intravenous devices were significantly (p=0.0002) associated with bloodstream infection (BSI) with an Odds ratio of 25 fold to develop a BSI. Urinary catheters were significantly (p=0.0001) associated with urinary tract infections (UTI) with an Odds ratio of 38 fold to develop a UTI. Intravenous devices related-HAI and Clostridium difficile infections showed a reduction trend in the past three years while urinary catheter-related UTI showed a stable frequency. Conclusions. The programs of active surveillance and the prevention guidelines proposed by CIO are significantly associated to a reduction of HAI rates in the latest two years in our unit. Medical invasive devices significantly increase the risk of HAI. The proportion of MDRO-related HAI has remained stable in the latest three years.
ER  -