Nosocomial infections. Evaluation of the objectives of the Health Plan for Catalonia for the year 2000

Josep Vaqué, Ángela Domínguez, José Rosselló, Eduardo Hermosilla, Mertxe Gabari, Laura Gavaldà, Josep Barrio, Antoni Trilla, Manuel Javaloyas, Montse Olona, Conchita Izquierdo, Neus Cardeñosa, J. Rosselló Urgell, M. Campins Martí, L. Armadans Gil, M. Palomar Martínez, B. Almirante Gragera, O. Del Valle Ortiz, A. Planes Reig, M. Gabari MachínA. Trilla García, J. M. Bayas García, A. Prat Marín, J. L. Barrio Medrano, F. Fernández Dorado, C. Mateu Ruiz, J. M. Garcés Jarque, M. T. Pi-Sunyer, J. Tuyet Huch, M. D. Salvia Roigés, N. San Juan Martínez, R. Camps I Salat, F. Rossell Abaurrea, C. Latorre Otín, J. Martínez Montauti, Isabel García, M. González Vázquez, M. Javaloyas De Morlius, I. Casas García, M. G. Esteve Pardo, A. Espí Boscà, I. Fort Almiñana, F. Nonell Gregori, E. Espejo Arenas, G. Serrate San Miguel, M. A. Gasós Rubio, F. Corcoy Grabalosa, Ll Force Sanmartín, R. Priu Baixeras, R. Pérez Vidal, E. Dorca Badía, J. M. Marcos Bruguera, M. Esquius Ausió, F. Báguena Escolano, A. García Flores, J. A. Hernández Hernández, J. Cuquet Pedragosa, P. Durán Bellido, S. Ariño Blasco, J. Sierra Cardillach, J. Vilaró I Pujal, A. M. Lizándara Enrich, B. Pascal Calabuig, A. Vilamala Bastard, L. Gavaldà Mestre, J. Grané Alsina, J. Bisbe Company, C. García Tejero, J. Matesanz Borrás, A. Serna Marced, A. Nogués Biau, A. Manonelles Fernández, I. Montardit Bertral, M. Olona, X. Raga Llusià, J. M. Calbet Vidal, F. Ballester, T. Sans Mateu, J. Rebull Fatsini

Research output: Contribution to journalReview articleResearchpeer-review

Abstract

BACKGROUND AND OBJECTIVES: Nosocomial infections (NI) were one of the priority health problems included in the Framework Document for the Development of the Health Plan for Catalonia for the year 2000 which was written in 1991. Considering 1990 as reference date, five objectives to achieve in 2000 by Catalonian hospitals were fixed. Four of them were prevalence-reduction aims: 15% reduction of overall prevalence, 15% reduction of infected patients prevalence, 10% reduction of infected patients at intensive care units prevalence, and 20% reduction of infected ones at surgical areas prevalence. The last objective was to diminish clean surgery infection prevalence under 3%. The main purpose of this paper will be to evaluate whether this objectives have been completely accomplished. SUBJECTS AND METHOD: Data from the Study of Nosocomial Infections Prevalence were analized. RESULTS: NI overall prevalence decrease from 10.4% in 1990 to 8.1% in 2000. Infected patient prevalence also diminished from 9.2% to 7.0%. Both objectives were achieved in the early stages of the study period. The intensive care units infection crude prevalence have not decreased. However the prevalence is lower than expected when it is standardized for specific 1990 patients variables. Surgical area infection prevalence sunk from 7.0% to 4.3%. The clean surgery objective was achieved in 1992. CONCLUSIONS: NI prevalence has decreased in Catalonian hospitals between 1990 and 2000 according to Catalonian Health Plan. The plan constitutes a good tool in order to dinamize and orient prevent activities related to control NI in Catalonia.
Original languageEnglish
Pages (from-to)112-118
JournalMedicina Clinica
Volume121
Issue numberSUPPL.1
Publication statusPublished - 10 Nov 2003

Keywords

  • Evaluation
  • Health indicators
  • Nosocomial infection
  • Prevalence

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