Evidence map›Paper›PMID 31467671›Full record

ArticleAntimicrobial resistance and infection control2019

Incidence of healthcare-associated infections in a tertiary hospital in Beijing, China: results from a real-time surveillance system.

Yuzheng Zhang, Mingmei Du, Janice Mary Johnston, Ellie Bostwick Andres, Jijiang Suo, Hongwu Yao, Rui Huo, Yunxi Liu, Qiang Fu

Abstract read
In one paragraph

Article in Antimicrobial resistance and infection control, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
–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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Global Incidence of Surgical Site Infection Among Patients: Systematic Review and Meta-Analysis.Inquiry : a journal of medical care organization, provision and financing
    Pooled it
  2. Incidence of Urinary Tract Infection Among Patients: Systematic Review and Meta-Analysis.Inquiry : a journal of medical care organization, provision and financing
    Pooled it
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  15. Incidence of Healthcare-Associated Infections (HAIs) and the adherence to the HAIs' prevention strategies in a military hospital in Alkharj.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2021
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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

9 authors.

Yuzheng Zhang1School of Public Health, The University of Hong Kong, Patrick Manson Building (North Wing), 7 Sassoon Road, Hong Kong, China.
Mingmei Du2Department of Infection Management and Disease Control, Chinese PLA General Hospital, No. 28 Fuxing Road, Haidian District, Beijing, China.
Janice Mary Johnston1School of Public Health, The University of Hong Kong, Patrick Manson Building (North Wing), 7 Sassoon Road, Hong Kong, China.
Ellie Bostwick Andres1School of Public Health, The University of Hong Kong, Patrick Manson Building (North Wing), 7 Sassoon Road, Hong Kong, China.
Jijiang Suo2Department of Infection Management and Disease Control, Chinese PLA General Hospital, No. 28 Fuxing Road, Haidian District, Beijing, China.
Hongwu Yao2Department of Infection Management and Disease Control, Chinese PLA General Hospital, No. 28 Fuxing Road, Haidian District, Beijing, China.
Rui HuoXingLin Information Technology Company, No. 57 Jianger Road, Binjiang District, Hangzhou, China.
Yunxi Liu2Department of Infection Management and Disease Control, Chinese PLA General Hospital, No. 28 Fuxing Road, Haidian District, Beijing, China.
Qiang Fu4China National Health Development Research Center, No.9 Chegongzhuang Street, Xicheng District, Beijing, China.ORCID 0000-0002-4523-608X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: To quantify the five year incidence trend of all healthcare-associated infections (HAI) using a real-time HAI electronic surveillance system in a tertiary hospital in Beijing, China. Methods: The real-time surveillance system scans the hospital's electronic databases related to HAI (e.g. microbiological reports and antibiotics administration) to identify HAI cases. We conducted retrospective secondary analyses of the data exported from the surveillance system for inpatients with all types of HAIs from January 1st 2013 to December 31st 2017. Incidence of HAI is defined as the number of HAIs per 1000 patient-days. We modeled the incidence data using negative binomial regression. Results: In total, 23361 HAI cases were identified from 633990 patients, spanning 6242375 patient-days during the 5-year period. Overall, the adjusted five-year HAI incidence rate had a marginal reduction from 2013 (4.10 per 1000 patient days) to 2017 (3.62 per 1000 patient days). The incidence of respiratory tract infection decreased significantly. However, the incidence rate of bloodstream infections and surgical site infection increased significantly. Respiratory tract infection (43.80%) accounted for the most substantial proportion of HAIs, followed by bloodstream infections (15.74%), and urinary tract infection (12.69%). A summer peak in HAIs was detected among adult and elderly patients. Conclusions: This study shows how continuous electronic incidence surveillance based on existing hospital electronic databases can provide a practical means of measuring hospital-wide HAI incidence. The estimated incidence trends demonstrate the necessity for improved infection control measures related to bloodstream infections, ventilator-associated pneumonia, non-intensive care patients, and non-device-associated HAIs, especially during summer months.

Indexed as

AdultAgedChinaCross InfectionFemaleHospitals, TeachingHumansIncidenceInpatientsMaleMiddle AgedModels, StatisticalPneumonia, Ventilator-AssociatedPopulation SurveillanceRespiratory Tract InfectionsRetrospective StudiesHealthcare-associated infectionIncidenceSurveillance

Identifiers

PMID31467671
PMCPMC6712817

What OpenQuestion holds

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LicenceCC BY
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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.