Evidence map›Paper›PMID 34647007›Full record

ArticleInfection prevention in practice2021

Five-year point prevalence survey of healthcare-associated infections and antimicrobial use in a Japanese university hospital.

H Morioka, M Iguchi, N Tetsuka, F Kinoshita, Y Tomita, D Kato, A Hirabayashi, A Matsumoto, K Oka, H Kato and 10 more

Open access · goldAbstract read
In one paragraph

Article in Infection prevention in practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 23% of its field
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

3 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. Exploring Multidrug-Resistant Gram-Positive Bacteria on Electronic Devices: A Comparative Experimental Study Based on the Gender of Healthcare and Nonhealthcare Workers.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2025
    Article
  3. 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

20 authors at 6 institutions in 1 country.

H MoriokaDepartment of Infectious Diseases, Nagoya University Hospital, Aichi, Japan.
M IguchiDepartment of Infectious Diseases, Nagoya University Hospital, Aichi, Japan.
N TetsukaDepartment of Infectious Diseases, Nagoya University Hospital, Aichi, Japan.
F KinoshitaDepartment of Advanced Medicine, Nagoya University Hospital, Aichi, Japan.
Y TomitaDepartment of Infectious Diseases, Nagoya University Hospital, Aichi, Japan.
D KatoDepartment of Infectious Diseases, Nagoya University Hospital, Aichi, Japan.
A HirabayashiDepartment of Infectious Diseases, Nagoya University Hospital, Aichi, Japan.
A MatsumotoDepartment of Infectious Diseases, Nagoya University Hospital, Aichi, Japan.
K OkaDepartment of Infectious Diseases, Nagoya University Hospital, Aichi, Japan.
H KatoDepartment of Infectious Diseases, Nagoya University Hospital, Aichi, Japan.
T InagakiDepartment of Hospital Pharmacy, Nagoya University Hospital, Aichi, Japan.
Y KatoDepartment of Hospital Pharmacy, Nagoya University Hospital, Aichi, Japan.
K KitagawaDepartment of Hospital Pharmacy, Nagoya University Hospital, Aichi, Japan.
K IchikawaDepartment of Hospital Pharmacy, Nagoya University Hospital, Aichi, Japan.
Y KouyamaDepartment of Hospital Pharmacy, Nagoya University Hospital, Aichi, Japan.
N KawamuraDepartment of Nursing, Nagoya University Hospital, Aichi, Japan.
Y ToyodomeDepartment of Nursing, Nagoya University Hospital, Aichi, Japan.
N AdachiDepartment of Nursing, Nagoya University Hospital, Aichi, Japan.
Y ItoDepartment of Pediatrics, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.
T YagiDepartment of Infectious Diseases, Nagoya University Hospital, Aichi, Japan.
Nagoya University Hospital · JPFujita Health University Hospital · JPMie Chuo Medical Center · JPNagoya University · JPNational Institute of Infectious Diseases · JPToyota Memorial Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeriodic point prevalence surveys (PPSs) provide a method for assessing changes in healthcare-associated infections (HAIs) and antimicrobial use over time. Following the introduction of an antimicrobial stewardship programme at Nagoya University Hospital (Aichi, Japan) a five-year PPS study was performed to highlight any epidemiological changes.

methodsOne-day PPSs were performed annually in July at Nagoya University Hospital. Data on patient characteristics, medical devices, active HAIs and antimicrobial use were collected using a standard data-collection form.

resultsA total of 4339 patients were included. Over the five-year study period the median patient age was 62 years, median duration of hospital admission was nine days, 9% of patients had an HAI and 35.2% received at least one antimicrobial. Overall there were 406 HAIs (95% confidence interval, 369-447) with surgical site infection, pneumonia and febrile neutropenia occurring most frequently. Enterobacterales were the most common pathogens (

conclusionsThis five-year PPS study shows consistent data for patient background, HAIs and causative pathogens and highlights changes in antimicrobial use during the era of the National Action Plan on Antimicrobial Resistance. To describe the epidemiology of Japanese hospitals by PPS, multicentre PPSs including in community hospitals should be performed annually.

Indexed as

Antimicrobial stewardshipHealthcare-associated infectionPoint prevalence surveySurgical antimicrobial prophylaxis

Identifiers

PMID34647007
PMCPMC8498696
OpenAlexW3167758143

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.