Frequency of patient-reported infections among sicker adults in high-income countries: an international perspective

Schwappach, David L. B. (2013). Frequency of patient-reported infections among sicker adults in high-income countries: an international perspective. American journal of infection control, 41(2), pp. 174-176. Elsevier 10.1016/j.ajic.2012.02.011

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The frequency of patient-reported health care-associated infections across several high-income countries was analyzed in representative population samples based on data from "The Commonwealth Fund's 2011 International Survey of Sicker Adults in Eleven countries." Across countries, 8.9% of patients who were hospitalized and/or had surgery reported an infection, but this rate varied considerably from 5.3% in the United States to 11.9% in New Zealand. Patients who reported infection were more likely to rate the quality of medical care received as fair or poor (odds ratio [OR], 2.4; 95% confidence interval [CI]: 1.9-3.1, P < .001). Female sex (OR, 1.2; 95% CI: 1.0-1.5, P = .027), reporting 2 or more chronic conditions (OR, 1.5; 95% CI: 1.1-2.0, P = .004), poor health (OR, 1.6; 95% CI: 1.2-2.1, P < .001), and surgery (OR, 1.8; 95% CI: 1.4-2.3, P < .001) were significant predictors for health care-associated infection across countries. Being above 64 years of age (OR, 0.78; 95% CI: 0.64-0.95, P = .013) and day-surgery (OR, 0.62; 95% CI: 0.48-0.79, P < .001) decreased the likelihood for reporting infection.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine (ISPM)

UniBE Contributor:

Schwappach, David

Subjects:

600 Technology > 610 Medicine & health
300 Social sciences, sociology & anthropology > 360 Social problems & social services

ISSN:

0196-6553

Publisher:

Elsevier

Language:

English

Submitter:

Doris Kopp Heim

Date Deposited:

29 Jan 2014 14:40

Last Modified:

24 Apr 2018 10:10

Publisher DOI:

10.1016/j.ajic.2012.02.011

PubMed ID:

22750038

BORIS DOI:

10.7892/boris.40431

URI:

https://boris.unibe.ch/id/eprint/40431

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