title: A point prevalence survey of hospital-acquired infections and antimicrobial use in a paediatric hospital in north-western Russia.
abstract: We carried out a one-day prevalence survey of hospital-acquired infections (HAIs) and antimicrobial use in February 2006 in a paediatric hospital in Arkhangelsk, north-western Russia. A total 472 patients aged less than 18 years old were included in the study, of which 395 (84%) had been inpatients in the hospital for at least 48 h on the study day. The overall prevalence of HAI amongst the latter group of patients was 17% [67/395; 95% confidence interval (CI): 13.8-21.2] with upper respiratory tract infections being most frequently diagnosed (45%), followed by lower respiratory tract infections (19%) and urinary tract infections (12%). The highest proportion of HAI was found in patients less than one year old and in those with hospital stays of longer than 10 days. Antimicrobial agents were given to 39% of all hospitalized patients (183/472; 95% CI: 34.5-43.2). Cephalosporins accounted for 39% (82/211) of all antimicrobial prescriptions, followed by the penicillins (22%; 46/211). This study established a baseline for surveillance of HAI and antimicrobial use within the hospital, and facilitated the adoption of targeted infection control measures.
authors.affiliation: Norwegian Institute of Public Health, Oslo, Norway. agneshajdu@yahoo.com
authors.forename: A
authors.initials: A
authors.lastname: Hajdu
authors.forename: O V
authors.initials: OV
authors.lastname: Samodova
authors.forename: T R
authors.initials: TR
authors.lastname: Carlsson
authors.forename: L V
authors.initials: LV
authors.lastname: Voinova
authors.forename: S J
authors.initials: SJ
authors.lastname: Nazarenko
authors.forename: A V
authors.initials: AV
authors.lastname: Tjurikov
authors.forename: E G
authors.initials: EG
authors.lastname: Petrova
authors.forename: A V
authors.initials: AV
authors.lastname: Tulisov
authors.forename: S
authors.initials: S
authors.lastname: Andresen
authors.forename: H M
authors.initials: HM
authors.lastname: Eriksen
mesh_terms: D000293:Adolescent; D000367:Age Factors; D000900:Anti-Bacterial Agents / Q000145:classification / Q000627:therapeutic use*; D001424:Bacterial Infections / Q000188:drug therapy / Q000453:epidemiology*; D002648:Child; D002675:Child, Preschool; D003428:Cross Infection / Q000188:drug therapy / Q000453:epidemiology*; D003430:Cross-Sectional Studies; D005260:Female; D006776:Hospitals, Pediatric / Q000706:statistics & numerical data; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007902:Length of Stay; D008297:Male; D015995:Prevalence; D012426:Russia / Q000453:epidemiology; D018571:Sentinel Surveillance
chemical_list: D000900:Anti-Bacterial Agents