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The burden of healthcare-associated infection in Australian hospitals: a systematic review of the literature

Mitchell, Brett G., Shaban, Ramon Z., MacBeth, Deborough, Wood, Claudia-Jayne and Russo, Philip L. 2017, The burden of healthcare-associated infection in Australian hospitals: a systematic review of the literature, Infection, disease and health, vol. 22, no. 3, pp. 117-128, doi: 10.1016/j.idh.2017.07.001.

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Title The burden of healthcare-associated infection in Australian hospitals: a systematic review of the literature
Author(s) Mitchell, Brett G.
Shaban, Ramon Z.
MacBeth, Deborough
Wood, Claudia-Jayne
Russo, Philip L.ORCID iD for Russo, Philip L. orcid.org/0000-0003-3822-0554
Journal name Infection, disease and health
Volume number 22
Issue number 3
Start page 117
End page 128
Total pages 12
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 2017-09
ISSN 2468-0451
Summary Introduction
Central to all efforts to control and prevent healthcare associated infections (HAIs) is the inherent need to measure the burden of infection and disease, classically referred to as surveillance. Australia does not have a national HAI surveillance system making it very difficult to systematically assess and report on the burden of hospital-acquired HAIs. This systematic review reports the incidence burden of HAIs in Australian hospitals as reported in the peer-reviewed literature from 2010 to 2016.

Methods

Systematic review of the peer-reviewed literature reporting the incidence of HAIs in Australian hospitals between from 2010 to 2016 was identified using MEDLINE and CINAHL databases. The study protocol is registered with PROSPERO (registration number: CRD42016052997).

Results
Of the 844 articles identified in the search, 24 articles were included in this review. Overall, these data suggest 83,096 HAIs per year in Australia, comprising 71,186 urinary tract infections, 4902 Clostridium difficile infections, 3946 surgical site infections, 1962 respiratory infections in acute stroke patients and 1100 hospital-onset Staphylococcus aureus bacteraemia. This is very large underestimate given the lack of or incomplete data on common infections such as pneumonia, gastroenterological and bloodstream infection, thus potentially missing up to 50%–60% of infections. If that is the case, the incidence of HAIs in Australia may be closer to 165,000 per year.

Conclusion
There is a dearth of peer-reviewed literature reporting the incidence of HAIs in Australian hospitals, making it very difficult to an accurate burden of infection. On the eve of a global ‘post antibiotic era’, the need for national consensus on definitions, surveillance methodology and reporting is paramount.
Language eng
DOI 10.1016/j.idh.2017.07.001
Field of Research 111099 Nursing not elsewhere classified
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2017, The Authors
Free to Read? Yes
Use Rights Creative Commons Attribution Non-Commercial No-Derivatives licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30103585

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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.