RESUMO
In a national prevalence survey setting, we studied whether the day of week selected for data collection, and the number of days needed to complete the survey, were associated with the prevalence of hospital-acquired infection (HAI). The EPINE (Estudio de Prevalencia de las Infecciones Nosocomiales en España) database (1990-2002) was analysed for the purposes of the study. Adjusting for the admission day in the week, the number of intrinsic risk factors, the number of extrinsic risk factors and the prevalence length of stay, a 'weekend effect' was confirmed in this study. The day of the week selected for data collection was related to the presence of infection in the surveyed patients, showing for the period of Saturday-Monday a higher prevalence of patients with HAI (adjusted OR 1.08, 95%CI 1.05-1.10). There was a crude positive trend between number of weeks and prevalence, but the number of days involved in data collection was finally not associated with the prevalence of HAI, once adjustment for hospital size was made. The percentage of repeated records increased linearly with hospital size, and the frequency of infections was higher within this group (OR 2.8, 95%CI 2.6-3.0). The results of this study highlight the need for encouraging hospitals to shorten the time spent in obtaining a prevalence survey. If it is impossible to carry out the survey within the limits of one day, data collection should then be limited to that period of the week, Tuesday to Friday.
Assuntos
Infecção Hospitalar/epidemiologia , Coleta de Dados/normas , Hospitais/estatística & dados numéricos , Vigilância de Evento Sentinela , Tempo , Estudos Transversais , Coleta de Dados/métodos , Bases de Dados Factuais , Humanos , Tempo de Internação , Modelos Logísticos , Admissão do Paciente , Alta do Paciente , Prevalência , Fatores de Risco , Espanha/epidemiologiaAssuntos
Encéfalo/virologia , Síndrome de Creutzfeldt-Jakob , Proteínas 14-3-3 , Idoso , Autopsia , Encéfalo/patologia , Síndrome de Creutzfeldt-Jakob/complicações , Síndrome de Creutzfeldt-Jakob/diagnóstico , Síndrome de Creutzfeldt-Jakob/imunologia , Síndrome de Creutzfeldt-Jakob/terapia , Eletroencefalografia , Inibidores Enzimáticos/líquido cefalorraquidiano , Evolução Fatal , Humanos , Masculino , Tirosina 3-Mono-Oxigenase/líquido cefalorraquidianoRESUMO
A scabies outbreak is reported which appeared in the Inpatient Pneumology Department in a 500-bed hospital. The outbreak began after the admission of a 90-year old woman referred from a nursing home. A total of 27 secondary cases occurred among health care personnel (14) and patients (13); other 7 cases of likely scabies occurred among 198 contacts. Patients were treated with 5% permetrine cream, in three applications one week apart from each other. It was also applied as prophylaxis in non involved patients in a single application. A discussion follows on the medical and preventive recommendations to control the spreading of these outbreak.
