Category Archives: PPS

Results of the National healthcare associated infection point prevalence study (CHAINS)

On behalf of everybody involved in this exciting study, I am delighted to share the main outcomes that have now been published in Antimicrobial Resistance and Infection Control. We specifically targeted this journal given its significant international status, and importantly all articles are open access. This means that it is available to everybody all the time, and also allows for a pdf download.

Some key points on the study:

  • First national study of its type in Australia for over 30 years
  • Identified that 1 in 10 adult acute inpatients has an infection as a result of their healthcare
  • Most common infections were those following surgery, urinary tract infections and pneumoniaI
  • Identified many infections that hospitals would not normally be detected in routine surveillance processes
  • 1 in 10 patients were being managed for a multi-drug resistant organism
  • Australia is one of the few OECD countries that does not have a national surveillance program
  • Data was collected from19 large hospitals across the country over four months in 2018

A major strength of the study is the use of the same trained data collectors across all sites. This ensured consistency in the application of definitions and datas collection, and also negated any subjective influences if it were data from hospital-based collectors. This is a critical difference to other international PPS and adds reliability to our study.

Importantly, we did not include smaller or specialty hospitals, private hospitals and excluded all patients under 18. Future studies should be funded to all patients across all sites.

This is the first time in 34 years we have had an estimate of HAI prevalence across Australia. In the absence of a national HAI surveillance program, we suggest data from repeated national HAI PPS in all facilities could be used to inform and drive national prevention initiatives.

To read more about the findings, we have written an article in The Conversation, and access to the journal article is here. See highlights from the study in our brief animation below.

Again, a sincere thank you to the infection prevention teams from the participating sites, your support and cooperation was crucial to the success of this study.

We will discuss implications and other outcomes from the study in future blogs

Sincere thanks to the wonderful dedicated infection prevention teams from each of the participating sites for their cooperation and hospitality.

  • Alfred Hospital, Vic
  • Bendigo Health, Vic
  • Calvary Hospital, ACT
  • Fiona Stanley Hospital, WA
  • Frankston Hospital, Vic
  • Gold Coast University Hospital, QLD
  • Hornsby Ku-ring-gai Hospital, NSW
  • Launceston General Hospital, Tas
  • North West Regional Hospital, Tas
  • Redcliffe Hospital, QLD
  • Royal Brisbane and Women’s Hospital, QLD
  • Royal North Shore Hospital, NSW
  • The Prince of Wales Hospital, NSW
  • The Queen Elizabeth Hospital, SA
  • The Royal Adelaide Hospital, SA
  • Westmead Hospital, NSW

Acknowledgements

The authors acknowledge the work of the CHAINS Project Manager, Bridey Saultry, Research Assistants Ms Stephanie Curtis and Ms Sophie Robinson, Infection Prevention teams, site investigators and key stakeholders at the participating hospitals. The Centre for Quality and Patient Safety Research, Deakin University, for supporting and administering the project. We also acknowledge Kalisvar Marimuthu, Professor Jacqui Reilly and Professor Jennie Wilson for expert advice and guidance in the planning stages of this project

National HAI PPS Update – July 2019

On behalf of the research team I am delighted to inform you that data analysis from the CHAINS project has now been completed.

We have recently submitted a manuscript for publication and look forward to sharing the primary outcomes with you, hopefully in the near future.

In April this year, I was fortunate to present some preliminary data at the 29th European Congress of Clinical Microbiology & Infectious Diseases, in Amsterdam, The Netherlands. Interestingly, I received many comments from Europeans who couldn’t believe that regular HAI point prevalent surveys are not undertaken in Australia.

I was also recently invited by Safer Care Victoria to present some data to the Infection Control Clinical Network 2019 forum.  We are in the process of planning similar updates to all jurisdictions over the next few months. I will also be presenting some findings to the Healthcare Infection Advisory Committee of the Australian Commission for Safety and Quality in Health Care later this year.

Another important part of our dissemination strategy is to provide each participating hospital with a report that will allow them to compare their own data with other (de-identified) participating sites. This report is due later in the year.

We are looking forward to providing you with more detailed updates soon.

Phil

National HAI PPS Update – December 2018

Data collection for the national healthcare associated infection point prevalence survey (CHAINS) is complete.

We are now in the data analysis phase of the project. As agreed with each participating hospital, once the analysis has been completed, we will supply individual reports to each site on the outcomes of the study enabling de-identified hospital comparisons of the findings. We will also be disseminating findings through publications and conference presentations. Our aim is to commence reporting outcomes in the first half of 2019.

Over a 17 week period, our hardworking Research Assistants, Sophie Robinson and Stephanie Curtis collected PPS data from 19 hospitals, covering six States and one Territory. Sophie and Stephanie endured over twenty flights and 14 different rescheduling of travel plans! As is the case with study projects, both Stephanie and Sophie have now completed their roles. As lead investigator, it has been a pleasure to have had hard working and committed RAs, and on behalf of the CHAINS team, a huge thank you and we wish them all the best with their future work.

Once again our sincere gratitude to all the hard working and cooperative staff at each hospital. Without their persistence and cooperation we would not have been able to complete data collection on time.

Finally, a big thank you, farewell and good luck to Bridey Saultry our Project Manager. All those involved in CHAINS will know Bridey has worked tirelessly over the past 12 months. Bridey has also finished in her role with the CHAINS project, and is now preparing the exciting arrival of a new family member.

On behalf of the CHAINS team, enjoy the festive break, and we look forward to providing more updates in 2019!

Phil

Unknown-1

Sophie (L) and Stephanie (R) with Sharyn Hughes completing data collection at the last CHAINS site, Royal North Shore NSW.

National HAI PPS update – August 2018 (2). Data collection has commenced

It is exciting to see data collection for the CHAINS project has commenced. This week marks the third week of data collection. So far Sophie and Stephanie have visited University Hospital Geelong and Bendigo Health, busy collecting data via the electronic survey tool on their mobile devices. The survey tool allows for direct entry into the database to ensure no data loss on devices.

Thank you to the Site Investigators and Clinicians at both sites for their work and warm hospitality. It is greatly appreciated.

Version 2

The CHAINS team Stephanie (L) and Sophie (R) with Alison from University Hospital Geelong

Version 2

CHAINS team with Mandy and Jane from Bendigo Health

 

National HAI Point Prevalence Survey – August 2018 update

Data collection commencing!!

It has been an exciting month for the National Healthcare Associated Infection Point Prevalence Survey team. Our two Research Assistants, Sophia Robinson and Stephanie Curtis, have commenced their appointments and spent the past month undergoing surveillance training. After rigorously testing the data collection tool, they are now experts in utilising the tool to investigate HAIs and are excited to commence the data collection at our sites.

Site visits for data collection across Australia will commence next week, August 8th and continue until November 30th. We have locked in several dates with sites, starting with Geelong, Bendigo, Launceston, Burnie and Adelaide.

As previously announced, 19 hospitals will be participating in the study, these hospitals are listed below. We sincerely thank all the hospitals for their involvement, particularly the site Principal Investigators who have worked hard to progress ethics approvals and organise the logistics of our visits. We look forward to visiting you all soon!

  • Alfred Hospital, Vic
  • Bendigo Health, Vic
  • Calvary Hospital, ACT
  • Fiona Stanley Hospital, WA
  • Frankston Hospital, Vic
  • Gold Coast University Hospital, QLD
  • Hornsby Ku-ring-gai Hospital, NSW
  • Launceston General Hospital, Tas
  • North West Regional Hospital, Tas
  • Redcliffe Hospital, QLD
  • Royal Brisbane and Women’s Hospital, QLD
  • Royal North Shore Hospital, NSW
  • Westmead Hospital, NSW
  • The Prince of Wales Hospital, NSW
  • The Queen Elizabeth Hospital, SA
  • The Royal Adelaide Hospital, SA
  • The Royal Melbourne Hospital, Vic
  • The Tweed Hospital, Vic
  • University Hospital Geelong, Vic

 

​We will continue to provide updates on the project through this blog and Twitter via @PLR_aus and @1healthau , or for further information please contact either Dr Philip Russo or Professor Brett Mitchell 

 


Stephanie Curtis, Research Assistant, Australian National Healthcare Associated Infection Point Prevalence Survey

National HAI Point Prevalence Survey – April 2018 update

Progress on our National Healthcare Associated Infection Point Prevalence Survey is steady as we move our way through project milestones.

We are excited to have 19 hospitals participating in the study, representing all states and territories except for Northern Territory. Unfortunately we just could not fit NT into our travel schedule given our tight budget and brief timeframe.

Although this might seem like a small number of sites, our sampling method will provide us with confident estimates of the burden of healthcare associated infections in our population.

Project Manager Bridey Saultry is busy working with the Site Investigators at each site  carefully stepping through Site Specific Assessments and Research Contract Agreements. Completion of these forms is crucial so we can then confirm the dates between August and November for data collection at each site. Thank you to all the Site Investigators who have been shepherding these documents through their sites.

In an exciting development, we welcome the appointment of our two Research Assistants Sophie Robinson and Stephanie Curtis to our team. Sophie and Stephanie will be commencing with us in June, ready for data collection in July.

Two great papers describing National HAI Point Prevalence studies have recently been published. Impressive work continues in Scotland by Professor Jacqui Reilly’s team who describe the HAI rate as 4.6%, 2.7% and 3.2% in acute adults, paediatric and non-acute patient groups, respectively. The Scottish team propose a broader population based HAI prevention approach is required to reduce the incidence of community and hospital infections. Meanwhile researchers from the first multi-centre PPS in Japan estimated an overall rate of HAI as 7.7% in their population including paediatrics, neonates and non acute patients.

Australian HAI PPS data is not too far away…

If you have any queries about the PPS study, please use the query from at the bottom of our PPS page