The same but different: a comparison of Staphylococcus aureus bloodstream infections in metropolitan and non‐metropolitan hospitals (2010–2020)
Background Variation of infection rates between hospitals must be identified; differences may highlight opportunities for quality improvement in healthcare delivery to specific hospitals groups. Aims To analyse burden, time trends and risks of healthcare‐associated (HA) Staphylococcus aureus bloodst...
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| Veröffentlicht in: | Internal medicine journal 2023-01, Vol.53 (1), p.89-94 |
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| creator | Bennett, Noleen Malloy, Michael J. Atkins, Sue E. Gonelli, Susan Worth, Leon J. |
| description | Background
Variation of infection rates between hospitals must be identified; differences may highlight opportunities for quality improvement in healthcare delivery to specific hospitals groups.
Aims
To analyse burden, time trends and risks of healthcare‐associated (HA) Staphylococcus aureus bloodstream infections (SABSI) in patients admitted to Victorian metropolitan and non‐metropolitan public acute care hospitals.
Methods
SABSI surveillance data submitted between 1 July 2010 and 30 June 2020 by all 118 Victorian public acute care hospitals were analysed. Aligned with the Australian Statistical Geography Standard Remoteness Structure, these hospitals were classified as metropolitan (major cities) or non‐metropolitan (inner regional, outer regional, remote or very remote).
Results
Most SABSI were community associated: 66.9% and 75.0% of metropolitan (n = 9441) and non‐metropolitan (n = 2756) hospital SABSI respectively. The overall HA‐SABSI rate was statistically higher in metropolitan hospitals (1.13 per 10 000 occupied bed days (OBD)) compared with non‐metropolitan hospitals (0.82 per 10 000 OBD; P |
| doi_str_mv | 10.1111/imj.15538 |
| format | Article |
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Variation of infection rates between hospitals must be identified; differences may highlight opportunities for quality improvement in healthcare delivery to specific hospitals groups.
Aims
To analyse burden, time trends and risks of healthcare‐associated (HA) Staphylococcus aureus bloodstream infections (SABSI) in patients admitted to Victorian metropolitan and non‐metropolitan public acute care hospitals.
Methods
SABSI surveillance data submitted between 1 July 2010 and 30 June 2020 by all 118 Victorian public acute care hospitals were analysed. Aligned with the Australian Statistical Geography Standard Remoteness Structure, these hospitals were classified as metropolitan (major cities) or non‐metropolitan (inner regional, outer regional, remote or very remote).
Results
Most SABSI were community associated: 66.9% and 75.0% of metropolitan (n = 9441) and non‐metropolitan (n = 2756) hospital SABSI respectively. The overall HA‐SABSI rate was statistically higher in metropolitan hospitals (1.13 per 10 000 occupied bed days (OBD)) compared with non‐metropolitan hospitals (0.82 per 10 000 OBD; P < 0.001). In metropolitan and non‐metropolitan hospitals, there was a statistically significant decline in the overall HA‐SABSI rate (incidence rate ratio = 0.96; 95% confidence interval: 0.95–0.97; P < 0.001; and incidence rate ratio = 0.98; 95% confidence interval: 0.97–1.00; P = 0.044, respectively). In metropolitan and non‐metropolitan hospitals, HA‐SABSI were frequently associated with central venous (52.8%) and peripheral intravenous (62.2%) catheter use respectively.
Conclusion
To reduce risks for SABSI and improve patient outcomes, hospital infection prevention and control programmes should be tailored according to local epidemiology. In common geographic locations, networking of hospitals should be considered as a means of strengthening delivery of these programmes.</description><identifier>ISSN: 1444-0903</identifier><identifier>EISSN: 1445-5994</identifier><identifier>DOI: 10.1111/imj.15538</identifier><identifier>PMID: 34549859</identifier><language>eng</language><publisher>Melbourne: John Wiley & Sons Australia, Ltd</publisher><subject>acute care hospital ; Australia - epidemiology ; Bacteremia - epidemiology ; Confidence intervals ; Cross Infection - epidemiology ; Epidemiology ; Health care ; Hospitals ; Hospitals, Public ; Humans ; Intravenous administration ; Patients ; Quality control ; Staphylococcal Infections - epidemiology ; Staphylococcus aureus ; Staphylococcus aureus bloodstream infection ; Statistical analysis ; surveillance</subject><ispartof>Internal medicine journal, 2023-01, Vol.53 (1), p.89-94</ispartof><rights>2021 Royal Australasian College of Physicians.</rights><rights>2023 Royal Australasian College of Physicians</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3138-a33752164056824a45cb86a3cfef004df23a1561530026b9b0a6f53b45ba0b673</cites><orcidid>0000-0003-0354-0881</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fimj.15538$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fimj.15538$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34549859$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bennett, Noleen</creatorcontrib><creatorcontrib>Malloy, Michael J.</creatorcontrib><creatorcontrib>Atkins, Sue E.</creatorcontrib><creatorcontrib>Gonelli, Susan</creatorcontrib><creatorcontrib>Worth, Leon J.</creatorcontrib><title>The same but different: a comparison of Staphylococcus aureus bloodstream infections in metropolitan and non‐metropolitan hospitals (2010–2020)</title><title>Internal medicine journal</title><addtitle>Intern Med J</addtitle><description>Background
Variation of infection rates between hospitals must be identified; differences may highlight opportunities for quality improvement in healthcare delivery to specific hospitals groups.
Aims
To analyse burden, time trends and risks of healthcare‐associated (HA) Staphylococcus aureus bloodstream infections (SABSI) in patients admitted to Victorian metropolitan and non‐metropolitan public acute care hospitals.
Methods
SABSI surveillance data submitted between 1 July 2010 and 30 June 2020 by all 118 Victorian public acute care hospitals were analysed. Aligned with the Australian Statistical Geography Standard Remoteness Structure, these hospitals were classified as metropolitan (major cities) or non‐metropolitan (inner regional, outer regional, remote or very remote).
Results
Most SABSI were community associated: 66.9% and 75.0% of metropolitan (n = 9441) and non‐metropolitan (n = 2756) hospital SABSI respectively. The overall HA‐SABSI rate was statistically higher in metropolitan hospitals (1.13 per 10 000 occupied bed days (OBD)) compared with non‐metropolitan hospitals (0.82 per 10 000 OBD; P < 0.001). In metropolitan and non‐metropolitan hospitals, there was a statistically significant decline in the overall HA‐SABSI rate (incidence rate ratio = 0.96; 95% confidence interval: 0.95–0.97; P < 0.001; and incidence rate ratio = 0.98; 95% confidence interval: 0.97–1.00; P = 0.044, respectively). In metropolitan and non‐metropolitan hospitals, HA‐SABSI were frequently associated with central venous (52.8%) and peripheral intravenous (62.2%) catheter use respectively.
Conclusion
To reduce risks for SABSI and improve patient outcomes, hospital infection prevention and control programmes should be tailored according to local epidemiology. In common geographic locations, networking of hospitals should be considered as a means of strengthening delivery of these programmes.</description><subject>acute care hospital</subject><subject>Australia - epidemiology</subject><subject>Bacteremia - epidemiology</subject><subject>Confidence intervals</subject><subject>Cross Infection - epidemiology</subject><subject>Epidemiology</subject><subject>Health care</subject><subject>Hospitals</subject><subject>Hospitals, Public</subject><subject>Humans</subject><subject>Intravenous administration</subject><subject>Patients</subject><subject>Quality control</subject><subject>Staphylococcal Infections - epidemiology</subject><subject>Staphylococcus aureus</subject><subject>Staphylococcus aureus bloodstream infection</subject><subject>Statistical analysis</subject><subject>surveillance</subject><issn>1444-0903</issn><issn>1445-5994</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc1qFjEUhoMotlYX3oAE3LSLaU9-Z8ZdKf5UKi6s65BkEr58zCRjMoN8u16C0DvslRj7VUHBszkvh4eHAy9CLwmckjpnYdqeEiFY9wgdEs5FI_qeP77PvIEe2AF6VsoWgLSs50_RAeOC953oD9Ht9cbhoieHzbrgIXjvsovLG6yxTdOscygp4uTxl0XPm92YbLJ2LViv2dVlxpSGsmSnJxyid3YJKZYa8eSWnOY0hkVHrOOAY4p3Nz_-Om9SmWsYCz6mQODu5pYChZPn6ImvR_fiYR-hr-_eXl98aK4-v7-8OL9qLCOsazRjraBEchCyo1xzYU0nNbPeeQA-eMo0EZIIBkCl6Q1o6QUzXBgNRrbsCB3vvXNO31ZXFjWFYt046ujSWhQVrWBSVH9FX_-DbtOaY_1O0VZ2HelbySp1sqdsTqVk59Wcw6TzThFQv5pStSl131RlXz0YVzO54Q_5u5oKnO2B72F0u_-b1OWnj3vlT3A2nwM</recordid><startdate>202301</startdate><enddate>202301</enddate><creator>Bennett, Noleen</creator><creator>Malloy, Michael J.</creator><creator>Atkins, Sue E.</creator><creator>Gonelli, Susan</creator><creator>Worth, Leon J.</creator><general>John Wiley & Sons Australia, Ltd</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-0354-0881</orcidid></search><sort><creationdate>202301</creationdate><title>The same but different: a comparison of Staphylococcus aureus bloodstream infections in metropolitan and non‐metropolitan hospitals (2010–2020)</title><author>Bennett, Noleen ; Malloy, Michael J. ; Atkins, Sue E. ; Gonelli, Susan ; Worth, Leon J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3138-a33752164056824a45cb86a3cfef004df23a1561530026b9b0a6f53b45ba0b673</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>acute care hospital</topic><topic>Australia - epidemiology</topic><topic>Bacteremia - epidemiology</topic><topic>Confidence intervals</topic><topic>Cross Infection - epidemiology</topic><topic>Epidemiology</topic><topic>Health care</topic><topic>Hospitals</topic><topic>Hospitals, Public</topic><topic>Humans</topic><topic>Intravenous administration</topic><topic>Patients</topic><topic>Quality control</topic><topic>Staphylococcal Infections - epidemiology</topic><topic>Staphylococcus aureus</topic><topic>Staphylococcus aureus bloodstream infection</topic><topic>Statistical analysis</topic><topic>surveillance</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bennett, Noleen</creatorcontrib><creatorcontrib>Malloy, Michael J.</creatorcontrib><creatorcontrib>Atkins, Sue E.</creatorcontrib><creatorcontrib>Gonelli, Susan</creatorcontrib><creatorcontrib>Worth, Leon J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Internal medicine journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bennett, Noleen</au><au>Malloy, Michael J.</au><au>Atkins, Sue E.</au><au>Gonelli, Susan</au><au>Worth, Leon J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The same but different: a comparison of Staphylococcus aureus bloodstream infections in metropolitan and non‐metropolitan hospitals (2010–2020)</atitle><jtitle>Internal medicine journal</jtitle><addtitle>Intern Med J</addtitle><date>2023-01</date><risdate>2023</risdate><volume>53</volume><issue>1</issue><spage>89</spage><epage>94</epage><pages>89-94</pages><issn>1444-0903</issn><eissn>1445-5994</eissn><abstract>Background
Variation of infection rates between hospitals must be identified; differences may highlight opportunities for quality improvement in healthcare delivery to specific hospitals groups.
Aims
To analyse burden, time trends and risks of healthcare‐associated (HA) Staphylococcus aureus bloodstream infections (SABSI) in patients admitted to Victorian metropolitan and non‐metropolitan public acute care hospitals.
Methods
SABSI surveillance data submitted between 1 July 2010 and 30 June 2020 by all 118 Victorian public acute care hospitals were analysed. Aligned with the Australian Statistical Geography Standard Remoteness Structure, these hospitals were classified as metropolitan (major cities) or non‐metropolitan (inner regional, outer regional, remote or very remote).
Results
Most SABSI were community associated: 66.9% and 75.0% of metropolitan (n = 9441) and non‐metropolitan (n = 2756) hospital SABSI respectively. The overall HA‐SABSI rate was statistically higher in metropolitan hospitals (1.13 per 10 000 occupied bed days (OBD)) compared with non‐metropolitan hospitals (0.82 per 10 000 OBD; P < 0.001). In metropolitan and non‐metropolitan hospitals, there was a statistically significant decline in the overall HA‐SABSI rate (incidence rate ratio = 0.96; 95% confidence interval: 0.95–0.97; P < 0.001; and incidence rate ratio = 0.98; 95% confidence interval: 0.97–1.00; P = 0.044, respectively). In metropolitan and non‐metropolitan hospitals, HA‐SABSI were frequently associated with central venous (52.8%) and peripheral intravenous (62.2%) catheter use respectively.
Conclusion
To reduce risks for SABSI and improve patient outcomes, hospital infection prevention and control programmes should be tailored according to local epidemiology. In common geographic locations, networking of hospitals should be considered as a means of strengthening delivery of these programmes.</abstract><cop>Melbourne</cop><pub>John Wiley & Sons Australia, Ltd</pub><pmid>34549859</pmid><doi>10.1111/imj.15538</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0003-0354-0881</orcidid></addata></record> |
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| ispartof | Internal medicine journal, 2023-01, Vol.53 (1), p.89-94 |
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| source | MEDLINE; Access via Wiley Online Library |
| subjects | acute care hospital Australia - epidemiology Bacteremia - epidemiology Confidence intervals Cross Infection - epidemiology Epidemiology Health care Hospitals Hospitals, Public Humans Intravenous administration Patients Quality control Staphylococcal Infections - epidemiology Staphylococcus aureus Staphylococcus aureus bloodstream infection Statistical analysis surveillance |
| title | The same but different: a comparison of Staphylococcus aureus bloodstream infections in metropolitan and non‐metropolitan hospitals (2010–2020) |
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