Personalized infection prevention and control: identifying patients at risk of healthcare-associated infection

BackgroundFew healthcare-associated infection (HAI) studies focus on risk of HAI at the point admission. Understanding this will enable planning and management care with prevention heart patient journey from admission.AimTo determine intrinsic characteristics patients hospital admission extrinsic events, during two years preceding admission, that increase developing HAI.MethodsAn incidence survey adults within hospitals in NHS Scotland was undertaken for one year 2018/19 as part Evaluation Cost Nosocomial Infection (ECONI) study. The primary outcome measure any using recognized case definitions. cohort derived routine episode data linkage to community dispensed prescribing data.FindingsThe factors present observed being most significant acquisition were: treated a teaching hospital, increasing age, comorbidities cancer, cardiovascular disease, chronic renal failure diabetes; emergency Relative increased intensive unit, high-dependency surgical specialties, surgery <30 days before total length stay >30 admission.ConclusionTargeting maximizes potential prevention, especially when are known managed. This study proposes new approach control (IPC), identifying those greatest particular type who might be candidates personalized IPC interventions. Few To HAI. An data. Targeting