Abstract
The surveillance system for Hospital Acquired Infections (HAI) implemented in the S. Eugenio hospital of Rome allows to monitor the distribution of the micro-organisms by service and their resistance to antibiotics. It is based upon the data collected by the Central analysis Laboratory of the hospital. The data of four high-risk departments (Surgical service, Intensive Care Unit, Haematology, Burn Unit) are reported. In the period October 1992- -September 1993, 3909 samples have been analyzed; 1603 (43.1%) were found positive to the microbiologic analysis. The results of the antibiotic resistance concerning four micro-organisms, agents of HAI are reported and discussed. Surveillance systems are necessary to limit the frequency of HAI.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Aavitsland P, Stormark M, Lystad A. Hospital-acquired infections in Norway: A national prevalence survey in 1991. Scand J Infect Dis 1992; 24: 477–483.
Bennett JV, Brachman PS eds. Hospital infections, 3rd edn. Boston/Toronto/London: Little, Brown and Co, 1993.
Bergogne-Bérézin E, Decré D, Joly-Guillou ML. Opportunistic multiply resistant bacterial infections: Their treatment and prevention. J Antimicrob Chemother 1993; 32(suppl A): 39–47.
Braga A, Goglia A, Marchioro G, Moro ML. Manuale per il microbiologo clinico: Sorveglianza e controllo delle Infezioni Ospedaliere. Rome: Istituto Superiore di Sanità, 1989.
Broderick A, Mori M, Nettleman MD, Streed SA, Wenzel RP. Nosocomial infections: Validation of a surveillance and computer modeling to identify patients at risk. Am J Epidemiol 1990; 131: 734–742.
Chenoweth C, Schaberg D. The epidemiology of Enterococci. Eur J Clin Microbiol Infect Dis 1990; 9: 80–89.
Delgado-Rodriguez M, Rodriguez-Contreras R, Cueto-Espinar A, Galvez-Vargas R. Quantification of risk factors in hospital infection at a surgical service. Eur J Epidemiol 1988; 4: 235–241.
EPINE Working Group. Prevalence of hospital-acquired infections in Spain. J Hosp Infect 1992; 20: 1–13.
Freeman J, McGowan Jr JE. Risk factors for nosocomial infections. J Infect Dis 1978; 138: 811–819.
Frieden TR, Munsiff SS, Low DE, Willey BM, Williams G, Faur Y, Eisner W, Warren S, Kreiswirth B. Emergence of Vancomycin-resistant enterococci in New York city. Lancet 1993; 342: 76–79.
Gauthier M. Nosocomial infections in the pediatric intensive care unit: Etiology and prevention. Crit Care Med 1993; 21(suppl): 315–316.
Gerner Smidt P, Frederiksen W. Acinetobacter in Denmark, I: Taxonomy, antibiotic susceptibility, and pathogenicity of 112 clinical strains. APMIS 1993; 101: 815–825.
Giammarrellou H, Touliatou K, Koratzanis G, Petrikkos G, Kanellakopoulou K, Lelekis M, Pagona A, Tsagarakis J, Symeonides J, Falagas M. Nosocomial consequences of antibiotic usage. Scand J Infect Dis 1986; 49(suppl): 182–188.
Gray JW, Pedler SJ. Antibiotic-resistant enterococci. J Hosp Infect 1992; 21: 1–14.
Haley RW, Culver DH, Emori TG, Hooton TM, White JW. Progress report on the evaluation of the efficacy of infection surveillance and control programs. Am J Med 1981; 70: 971–975.
Haley RW, Culver DH, White JW, Morgan WM, Emori TG. The nationwide nosocomial infection rate. Am J. Epidemiol 1985; 121: 159–167.
Hanson LC, Weber DJ, Rutala WA, Samsa GP. Risk factors for nosocomial pneumonia in the elderly. Am J Med 1992; 92: 161–166.
Huain MT, Karim QN, Tayuri S. Analysis of infection in a burn ward. Burns 1989; 15: 299–302.
Jarvis WR, Martone WJ. Predominant pathogens in hospital infections. J Antimicrob Chemother 1992; 29(suppl. A): 19–24.
Moro ML ed. Infezioni Ospedaliere: Prevenzione e controllo, 1st edn. Rome: Centro Scientifico Editore, 1993.
Moro ML, Greco D, Stazi MA, Marasca G, De Giacomi G, Zampieri A. Studio di prevalenza delle infezioni ospedaliere in 130 ospedali pubblici. Roma: Consiglio Nazionale delle Ricerche, 1988.
Neu HC. The crisis in antibiotic resistance. Science 1992; 257: 1064–1073.
Nystrom B. Surveillance of hospital-associated infections. Infect 1989; 17: 43–49.
Platt R, Polk BF, Murdock B, Rosner B. Risk factors for urinary tract infection. Am J Epidemiol 1986; 124: 977–985.
Riccardi F, Noce A, Carbini R, Palombi L. Progetto per un sistema di sorveglianza e controllo delle infezioni ospedaliere presso l'ospedale S. Eugenio di Roma, 1992. Proceedings of 35th Congress SITI Montecatini Terme 21–24 October 1992.
Wenzel RP, Osterman CA, Hunting KJ. Hospital acquired infections, II: Infections rates by site, service and common procedures in a University hospital. Am J Epidemiol 1976; 104: 645–651.
White MC. Mortality associated with nosocomial infections: Analysis of multiple cause-of-death data. J Clin Epidemiol 1993; 46: 95–100.
Williams JD. Antibiotic policy. Scand J Infect Dis 1986; 49(suppl): 175–181.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Riccardi, F., Noce, A., Falco, S. et al. Surveillance of infections in hospital: Agents and antibiotic-resistance. Eur J Epidemiol 13, 217–221 (1997). https://doi.org/10.1023/A:1007344811455
Issue Date:
DOI: https://doi.org/10.1023/A:1007344811455