Healthcare-associated infections Antimicrobial resistance Inappropriate antimicrobial use Hospital infection prevention and control gaps Antimicrobial stewardship implementation gaps Healthcare-associated infections Antimicrobial resistance Antimicrobial use Infection prevention and control Antimicrobial stewardship Hospital epidemiology Point prevalence survey Multicenter study Thailand
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: All patients admitted to an inpatient ward of participating hospitals at 09:00 on the survey day.
Exclusion criteria
Exclusion criteria: 1. Outpatients ( including dialysis outpatients). 2. Emergency room patients (ER). 3. Day-surgery and day-treatment patients. 4. Patients who've been discharged from the hospital before 9.00 a.m. on the survey date. 5. Patients who are treated with outpatient parenteral antibiotic therapy (OPAT)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Prevalence of Helthcare-associated Infections at 09:00 (survey day) Point prevalence (%),WHO IPCAF total score during the site survey window Score,WHO Hand Hygiene Self-Assessment during the site survey window score,EE-AMR score during the site survey window score,Prevalence of Antimicrobial Resistance at 09:00 (survey day) Point prevalence (%),Prevalence of Antimicrobial Use at 09:00 (survey day) Point prevalence (%) | — |
Secondary
| Measure | Time frame |
|---|---|
| Antimicrobial appropriateness at 09:00 (survey day) % of antimicrobial prescriptions judged appropriate,Patient outcomes From admission to discharge for patients present at 09:00 on survey day Length of stay (days), in-hospital mortality (yes/no), and direct hospital costs,Practice concordance with IPC protocol/guideline During ward observations on the survey day Proportion (%) of observed care episodes for HAI patients adhering to IPC protocol/guideline | — |
Countries
Thailand
Contacts
Bamrasnaradura Infectious Diseases Institute