This research was presented at the Conference of Research Workers in Animal Diseases, Chicago, IL, 2012
Using Syndromic Surveillance to Estimate Baseline Rates for Healthcare-Associated Infections in Critical Care Units of Small Animal Referral Hospitals
Article first published online: 17 OCT 2013
Copyright © 2013 by the American College of Veterinary Internal Medicine
Journal of Veterinary Internal Medicine
Volume 27, Issue 6, pages 1392–1399, November/December 2013
How to Cite
Ruple-Czerniak, A., Aceto, H.W., Bender, J.B., Paradis, M.R., Shaw, S.P., Van Metre, D.C., Weese, J.S., Wilson, D.A., Wilson, J.H. and Morley, P.S. (2013), Using Syndromic Surveillance to Estimate Baseline Rates for Healthcare-Associated Infections in Critical Care Units of Small Animal Referral Hospitals. Journal of Veterinary Internal Medicine, 27: 1392–1399. doi: 10.1111/jvim.12190
- Issue published online: 13 NOV 2013
- Article first published online: 17 OCT 2013
- Manuscript Accepted: 6 AUG 2013
- Manuscript Revised: 1 JUL 2013
- Manuscript Received: 5 APR 2013
- Merck-Merial Summer Research Scholar Program
- Adverse outcomes;
- Hospital-acquired infection;
- Nosocomial infection;
- Preventable fraction;
Expected rates of healthcare-associated infections (HCAI) have not been established in veterinary hospitals. Baseline rates are critically needed as benchmarks for quality animal care.
To estimate the occurrence of events related to HCAI identified using a standardized syndromic surveillance system in small animals in critical care cases at referral hospitals.
Weaned dogs and cats (n = 1,951) that were hospitalized in the critical care unit of referral teaching hospitals during a 12-week period.
Multicenter, prospective longitudinal study. A survey was completed for all enrolled animals to record basic demographics, information about procedures and treatments that animals received, and to document the occurrence of defined nosocomial syndromes. Data were analyzed to identify risk factors associated with the occurrence of these nosocomial syndromes.
Controlling for hospital of admission, 16.3% of dogs (95% confidence intervals [CI], 14.3–18.5) and 12% of cats (95% CI, 9.3–15.5) were reported to have had ≥1 nosocomial syndrome occur during hospitalization. Risk factors found to have a positive association with the development of a nosocomial syndrome were longer hospital stays, placement of a urinary catheter, surgical procedures being performed, and the administration of antiulcer medications and antimicrobial drugs excluding those given perioperatively.
Conclusions and Clinical Importance
Syndromic surveillance systems can be successfully standardized for use across multiple hospitals to effectively collect data pertinent to HCAI rates and risk factors for occurrence.