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O074: EPIPA, a point prevalence survey of urinary, pulmonary and skin infections in 334 French nursing homes
A Vincent
2
O Baud
1
N Armand
0
G Gavazzi
4
A Savey
3
P Fascia
2
EPIPA working group
2
0
Valence General Hospital
,
Valence
,
France
1
ARLIN Auvergne
,
Clermont- Ferrrand
,
France
2
ARLIN Rhone-Alpes
,
Saint Genis Laval
,
France
3
CCLIN Sud-Est
,
Saint Genis Laval
,
France
4
University Hospital of Grenoble
,
Grenoble
,
France
-
From 2nd International Conference on Prevention and Infection Control (ICPIC 2013)
Geneva, Switzerland. 25-28 June 2013
Introduction
Since 2009, nursing homes (NHs) in France have
developed their own infection prevention and control
programs. Surveillance could help these facilities put in
place efficient preventive measures at a local scale.
Methods
A point-prevalence survey of urinary tract infections
(UTI), respiratory tract infections (RTI) and skin and
soft tissues infections (SSTI), as well as a survey about
organisation and policies, were undertaken in the NHs
of 6 regions in the South-East of France. As a validation
study, 10% of the forms collected in a designated region
(Rhne-Alpes) were controlled by external healthcare
workers (infection control practitioners or nurses).
Results
A total of 334 NHs (28,345 residents) were included in
this survey: 80.4% of the NHs (267 out of 332) are
developing an infection control program. 58.1% (193/
332) of the facilities have an infection control
practitioner or infection control nurse (ICT). The proportion
of healthcare professionals who have received a specific
formation on the prevention of Hospital Acquired
Infections (HCAI) was considerably higher in NHs disposing
of a part-time ICT than in those without ICT,
respectively 72.7% (136/187) and 27.3% (51/187), p<0.001.
Among the 28 345 residents who were questioned,
1ARLIN Rhne-Alpes, Saint Genis Laval, France
Full list of author information is available at the end of the article
1 262 (4.45%) had at least one UTI, RTI or SSTI. SSTI
are the most frequent infection with an overall
prevalence of 2.08% (591/28345), followed by RTI - 1.56%
(442/28345) - and finally UTI - 1.33% (378/28345). The
antimicrobial prevalence was of 3.86% - 1095/28345.
Answers to surveys by external ICT yielded 85.6% (95/
111) of validations.
Conclusion
This is the first cross-sectional point prevalence study of
this importance in France. It was undertaken by the
NHs themselves, and the collected datas quality proves
that this methodology is reliable. An impact study is
programmed after this first prevalence study in order to
assess practical measures which may have been
developed and implemented in the NHs based on their
prevalence results.
Disclosure of interest
None declared.
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