Evidence map›Paper›PMID 26059601›Full record

ArticleAmerican journal of infection control2015

Effect of proactive infection control measures on benchmarked rate of hospital outbreaks: An analysis of public hospitals in Hong Kong over 5 years.

Vincent C C Cheng, Josepha W M Tai, Lisa M W Wong, Radley H C Ching, Modissa M L Ng, Sara K Y Ho, Doris W Y Lee, W S Li, W M Lee, Siddharth Sridhar and 3 more

Abstract read
In one paragraph

Article in American journal of infection control, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Trial
  2. Promoting hand hygiene in a chemotherapy day center: the role of a robot.Antimicrobial resistance and infection control · 2024
    Observational
  3. The Emergence ofInfection and drug resistance · 2024
    Article
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  7. Investigation ofInternational journal of environmental research and public health · 2021
    Article
  8. Use of "Social Media"-an Option for Spreading Awareness in Infection Prevention.Current treatment options in infectious diseases · 2021
    Review
  9. Whole-genome sequencing data-based modeling for the investigation of an outbreak of community-associated methicillin-resistant Staphylococcus aureus in a neonatal intensive care unit in Hong Kong.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2019
    Article
  10. Article
  11. Article
  12. Use of fluoroquinolones is the single most important risk factor for the high bacterial load in patients with nasal and gastrointestinal colonization by multidrug-resistant Acinetobacter baumannii.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2015
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Vincent C C ChengDepartment of Microbiology, Queen Mary Hospital, Hong Kong Special Administrative Region, China; Infection Control Team, Queen Mary Hospital, Hong Kong Special Administrative Region, China.
Josepha W M TaiInfection Control Team, Queen Mary Hospital, Hong Kong Special Administrative Region, China.
Lisa M W WongInfection Control Team, Queen Mary Hospital, Hong Kong Special Administrative Region, China.
Radley H C ChingInfection Control Team, Queen Mary Hospital, Hong Kong Special Administrative Region, China.
Modissa M L NgInfection Control Team, Queen Mary Hospital, Hong Kong Special Administrative Region, China.
Sara K Y HoInfection Control Team, Queen Mary Hospital, Hong Kong Special Administrative Region, China.
Doris W Y LeeInfection Control Team, Queen Mary Hospital, Hong Kong Special Administrative Region, China.
W S LiInfection Control Team, Queen Mary Hospital, Hong Kong Special Administrative Region, China.
W M LeeInfection Control Team, Queen Mary Hospital, Hong Kong Special Administrative Region, China.
Siddharth SridharDepartment of Microbiology, Queen Mary Hospital, Hong Kong Special Administrative Region, China.
Sally C Y WongDepartment of Microbiology, Queen Mary Hospital, Hong Kong Special Administrative Region, China.
P L HoDepartment of Microbiology, Queen Mary Hospital, Hong Kong Special Administrative Region, China.
K Y YuenDepartment of Microbiology, Queen Mary Hospital, Hong Kong Special Administrative Region, China. Electronic address: kyyuen@hkucc.hku.hk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHospital outbreaks of epidemiologically important pathogens are usually caused by lapses in infection control measures and result in increased morbidity, mortality, and cost. However, there is no benchmark to compare the occurrence of hospital outbreaks across hospitals.

methodsWe implemented proactive infection control measures with an emphasis on timely education of health care workers and hospitalized patients at Queen Mary Hospital, a teaching hospital. Our benchmarked performance (outbreak episodes per 1 million patient discharges and 1 million patient-days) was compared with those of other regional public hospitals without these additional proactive measures in place between 2010 and 2014.

resultsDuring the study period, Queen Mary Hospital had 1 hospital outbreak resulting in 1.48 and 0.45 outbreak episodes per 1 million patient discharges and patient-days, respectively, values significantly lower than the corresponding overall rates in the 7 acute regional hospitals (24.26 and 6.70 outbreak episodes per 1 million patient discharges and patient-days, respectively; P < .001) and that of all 42 public hospitals in Hong Kong (41.62 and 8.65 outbreak episodes per 1 million patient discharges and patient-days, respectively; P < .001).

conclusionsThe results of this large study on benchmarked rate of hospital outbreaks per patient discharges or patient-days suggests that proactive infection control interventions may minimize the risk of hospital outbreaks.

Indexed as

Hand HygieneBenchmarkingDisease OutbreaksEpidemiological MonitoringHong KongHospitals, PublicHumansInfection ControlDirectly observedEnvironmental hygieneHand hygieneStaff educationSurveillance

Identifiers

PMID26059601
PMCPMC7115301

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.