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Prospective surveillance of healthcare associated infections in a Cambodian pediatric hospital

Overview of attention for article published in Antimicrobial Resistance and Infection Control, January 2017
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Title
Prospective surveillance of healthcare associated infections in a Cambodian pediatric hospital
Published in
Antimicrobial Resistance and Infection Control, January 2017
DOI 10.1186/s13756-017-0172-5
Pubmed ID
Authors

Pasco Hearn, Thyl Miliya, Soklin Seng, Chanpheaktra Ngoun, Nicholas P. J. Day, Yoel Lubell, Claudia Turner, Paul Turner, Pasco Hearn, Thyl Miliya, Soklin Seng, Chanpheaktra Ngoun, Nicholas P. J. Day, Yoel Lubell, Claudia Turner, Paul Turner

Abstract

Healthcare associated infections (HAI) are the most common preventable adverse events following admission to healthcare facilities. Data from low-income countries are scarce. We sought to prospectively define HAI incidence at Angkor Hospital for Children (AHC), a Cambodian pediatric referral hospital. Prospective HAI surveillance was introduced for medical admissions to AHC. Cases were identified on daily ward rounds and confirmed using locally adapted Centers for Disease Control and Prevention (CDC) definitions. During the surveillance period, established infection prevention and control (IPC) activities continued, including hand hygiene surveillance. In addition, antimicrobial stewardship practices such as the creation of an antimicrobial guideline smartphone app were introduced. Between 1st January and 31st December 2015 there were 3,263 medical admissions and 102 HAI cases. The incidence of HAI was 4.6/1,000 patient-days (95% confidence interval 3.8-5.6) and rates were highest amongst neonates. Median length of stay was significantly longer in HAI cases: 25 days versus 5 days for non-HAI cases (p < 0.0001). All-cause in-hospital mortality increased from 2.0 to 16.1% with HAI (p < 0.0001). Respiratory infections were the most common HAI (54/102; 52.9%). Amongst culture positive infections, Gram-negative organisms predominated (13/16; 81.3%). Resistance to third generation cephalosporins was common, supporting the use of more expensive carbapenem drugs empirically in HAI cases. The total cost of treatment for all 102 HCAI cases combined, based on additional inpatient days, was estimated to be $299,608. Prospective HAI surveillance can form part of routine practice in low-income healthcare settings. HAI incidence at AHC was relatively low, but human and financial costs remained high due to increased carbapenem use, prolonged admissions and higher mortality rates.

Twitter Demographics

The data shown below were collected from the profile of 1 tweeter who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 89 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 89 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 19 21%
Student > Ph. D. Student 13 15%
Student > Master 12 13%
Other 11 12%
Student > Bachelor 7 8%
Other 16 18%
Unknown 11 12%
Readers by discipline Count As %
Medicine and Dentistry 30 34%
Nursing and Health Professions 14 16%
Immunology and Microbiology 4 4%
Environmental Science 4 4%
Psychology 4 4%
Other 12 13%
Unknown 21 24%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 01 February 2017.
All research outputs
#7,795,314
of 8,993,272 outputs
Outputs from Antimicrobial Resistance and Infection Control
#380
of 388 outputs
Outputs of similar age
#255,419
of 309,226 outputs
Outputs of similar age from Antimicrobial Resistance and Infection Control
#29
of 29 outputs
Altmetric has tracked 8,993,272 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
So far Altmetric has tracked 388 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 16.2. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
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We're also able to compare this research output to 29 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.