Report on the Burden of Endemic Health Care-Associated Infection Worldwide: Clean Care is Safer Care. A systematic review of the literature – WHO – 2011

Posted on August 1, 2011. Filed under: Infectious Diseases, Patient Safety | Tags: |

Report on the Burden of Endemic Health Care-Associated Infection Worldwide: Clean Care is Safer Care.  A systematic review of the literature – WHO – 2011

ISBN 978 92 4 150150 7
Developed by the Clean Care is Safer Care Team (Patient Safety Programme – Innovation,  Information, Evidence and Research Cluster).

Extract from the summary:

“Health care-associated infection (HCAI) is acquired by patients while receiving care and represents the most frequent adverse event. However, the global burden remains unknown because of the difficulty to gather reliable data. In many settings, from hospitals to ambulatory and long-term care, HCAI appears to be a hidden, cross-cutting problem that no institution or country can claim to have solved yet. HCAI surveillance is complex and requires the use of standardized criteria, availability of diagnostic facilities and expertise to conduct it and interpret the results. Surveillance systems for HCAI exist in several high-income countries but are virtually nonexistent in most low- and middle-income countries.

Data included in this report are the results of systematic reviews of the literature on endemic HCAI from 1995 to 2010 in high- and low/ middle-income countries. According to published national or multicentre studies, pooled HCAI prevalence in mixed patient populations was 7.6% in high-income countries. The European Centre for Disease Prevention and Control (ECDC) estimated that 4 131 000 patients are affected by approximately 4 544 100 episodes of HCAI every year in Europe. The estimated HCAI incidence rate in the USA was 4.5% in 2002, corresponding to 9.3 infections per 1000 patient-days and 1.7 million affected patients.”  … continues

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