1728. Prevalence of Healthcare-associated Infections in a Middle-Income Country
Session: Poster Abstract Session: Infection Prevention: Infection Prevention in Resource Limited Environments
Saturday, October 10, 2015
Room: Poster Hall
Posters
  • HAI_PosterIDweek2015.pdf (429.3 kB)
  • Background: The updated data regarding prevalence of healthcare-associated infections (HAIs) in a middle-income country is lacking. 

    Methods: A point prevalence survey with a total time frame of 10 days was conducted among 50 hospitals in Thailand across the country in January 2014, including 19 primary hospitals, 15 secondary hospitals, 13 tertiary hospitals, 2 private hospitals, and 1 university hospital. 

    Results:

    Of 15,475 patients, 688 patients with 791 HAIs (1.1 HAI per infected patient) were reported. The prevalence of patients with at least one HAI was 4.4% (95%CI=4.1-4.8%), including 7.3% (95%CI=4.6-9.3%) in university hospitals, 5.0 (95%CI=4.6-5.4%) in tertiary hospitals, 3.9 (95%CI=3.4-4.6%) in secondary hospitals, 2.0 (95%CI=1.3-2.7%) in primary hospitals, and 1.6 (95%CI=0.5-2.8%) in private hospitals. The most frequently patient wards reported HAI included intensive care unit (17%). The two most affected age ranges were >60 years and <1 year. Among 791 HAIs, the most three frequently reported HAI type were 377 (48%) respiratory tract infections, 176 (22%) urinary tract infections, and 55 (7%) surgical site infections. Of 688 patients with HAIs, 24% died after three months of the survey. The most frequently reported bacterial pathogens were 17% Acinetobacter species. By multivariate analysis, HAIs were associated with age <1 year, university hospital, major surgery, urinary catheterization, having respiratory ventilator, tracheostomy tube insertion, and central venous catheterization (all P <0.05). Death was associated with age <1 year, university hospital, surgical and medicine wards, having respiratory ventilator, and central venous catheterization (all P <0.05).

    Conclusion: Healthcare-associated Infections remain the major public health problems in the country. In addition, it leads to a substantial mortality.

    Weerawat Manosuthi, MD1, Varaporn Thientong, BSc.N1, Visal Moolasart, MD1, Yong Rongrungrueng, MD2, Chariya Sangsajja, MD1 and Somwang Danchaivijitr, MD2, (1)Bamrasnaradura Infectious Diseases Institute, MOPH, Nonthaburi, Thailand, (2)Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand

    Disclosures:

    W. Manosuthi, None

    V. Thientong, None

    V. Moolasart, None

    Y. Rongrungrueng, None

    C. Sangsajja, None

    S. Danchaivijitr, None

    Findings in the abstracts are embargoed until 12:01 a.m. PDT, Wednesday Oct. 7th with the exception of research findings presented at the IDWeek press conferences.