Author/Editor		Klavs, Irena; Kolman, Jana; Lejko-Zupanc, Tatjana; Kotnik-Kevorkijan, Božena; Korošec, Aleš; Serdt, Mojca; Lavtar, Darja; Lužnik-Bufon, Tatjana; Škerl, Marjeta; Logar, Mateja; Mrvič, Tatjana; Kotar, Tadeja; Dolinšek, Mojca; Šubelj, Maja; Tomič, Viktorija; Pikelj Pečnik, Andreja; Virant, Irena; Čelhar, Jana; Pohar, Lidija; Habjan, Sara; Kerin-Povšič, Milena; Pucer-Kruljac, Miriana; Savnik-Iskra, Mojca; Krznar, Aleksandra; Lešničar, Gorazd; Fišer, Jerneja; Knez, Lea; Ribič, Helena; Ekart-Fakin, Vlasta; Pal, Emil; Remec-Zafred, Tatjana; Piltaver-Vajdec, Irena; Kalan Uštar, Katja
Title		The prevalence of and risk factors for healthcare associated infections in Slovenia
Translated title		Prevalenca in dejavniki tveganja za bolnišnične okužbe v Sloveniji
Type		članek
Vol. and No.		Letnik 55, št. 4
Publication year		2016
Volume		str. 239-247
ISSN		1318-0657 - Zdravstveno varstvo
Language		eng
Abstract		Introduction. In the second Slovenian national healthcare-associated infections (HAIs) prevalence survey, conducted within the European point prevalence survey of HAIs and antimicrobial use in acute-care hospitals, we estimated the prevalence of all types of HAIs and identified risk factors. Methods. Patients from acute-care hospitals were enrolled into a one-day cross-sectional study in October 2011. Descriptive analyses were performed to describe the characteristics of patients, their exposure to invasive procedures and the prevalence of different types of HAIs. Univariate and multivariate analyses of association of having at least one HAI with possible risk factors were performed to identify risk factors. Results. Among 5628 patients, 3.8% had at least one HAI and additional 2.6% were still being treated for HAIs on the day of the survey; the prevalence of HAIs was 6.4%. The prevalence of urinary tract infections was the highest (1.4%), followed by pneumoniae (1.3%) and surgical site infections (1.2%). In intensive care units (ICUs), the prevalence of patients with at least one HAI was 35.7%. Risk factors for HAIs included central vascular catheter (adjusted odds ratio (aOR) 4.0; 95% confidence intervals (CI): 2.9-5.7), peripheral vascular catheter (aOR 2.0; 95% CI: 1.5-2.6), intubation (aOR 2.3; 95% CI: 1.4-3.5) and rapidly fatal underlying condition (aOR 2.1; 95% CI: 1.4-3.3). Conclusions. The prevalence of HAIs in Slovenian acute-care hospitals in 2011 was substantial, especially in ICUs. HAIs prevention and control is an important public health priority. National surveillance of HAIs in ICUs should be developed to support evidence-based prevention and control.
Keywords		healthcare-associated infections prevalence surveys risk factors Slovenia okužbe, povezane z zdravstvom prevalenca presečne raziskave dejavniki tveganja Slovenija