2024-03-28T08:26:37Z
https://nagoya.repo.nii.ac.jp/oai
oai:nagoya.repo.nii.ac.jp:00022972
2023-01-16T04:11:32Z
499:500:501
The first point prevalence survey of health care–associated infection and antimicrobial use in a Japanese university hospital: A pilot study
Morioka, Hiroshi
Hirabayashi, Aki
Iguchi, Mitsutaka
Tomita, Yuka
Kato, Daizo
Sato, Naokazu
Hyodo, Miyuki
Kawamura, Naoko
Sadomoto, Takuya
Ichikawa, Kazuya
Inagaki, Takayuki
Kato, Yoshiaki
Kouyama, Yuichi
Ito, Yoshinori
Yagi, Tetsuya
open access
© 2016. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
Point prevalence survey
health care–associated infection
antimicrobial use
hospital epidemiology
Background: Point prevalence surveys (PPSs) in Japanese hospitals have not yet been reported. The purpose of this pilot PPS study was to evaluate the epidemiology of health care–associated infections (HAIs) and antimicrobial use in a Japanese tertiary university hospital. Methods: A 1-day, cross-sectional PPS was performed at a Japanese university hospital. Data on demographics, active HAIs, and antimicrobial use of all inpatients were collected using a data collection form. Results: Of 841 patients, 85 (10.1%) had 90 active HAIs, and 308 patients (36.6%) were administered 494 antimicrobials. Among the 90 HAIs and 58 pathogens, the most frequent infection and isolated pathogen were pneumonia (20.0%) and Enterobacteriaceae (27.6%), respectively. Of the 118 antimicrobials used for treatment of HAIs, carbapenems were the most frequently administered category of antimicrobials (22.9%). In regard to antimicrobials for surgical prophylaxis, 37 of 119 (31.1%) were administered to patients on postoperative day 3 or later, and 48 of 119 (40.3%) were administered orally. Conclusions: The incidence of HAIs is higher than in other developed countries. The social and medical situation in Japan may affect patient demographics, active HAIs, and antimicrobial use. Multicenter PPSs are necessary to uncover the real epidemiology of HAIs and antimicrobial use in Japan.
Elsevier
2016-07
eng
journal article
AM
http://hdl.handle.net/2237/25153
https://nagoya.repo.nii.ac.jp/records/22972
https://doi.org/10.1016/j.ajic.2016.03.045
0196-6553
American Journal of Infection Control
44
7
e119
e123
https://nagoya.repo.nii.ac.jp/record/22972/files/AJIC-morioka.pdf
application/pdf
458.5 kB
2017-07-01