ABSTRACT
OBJECTIVE: To evaluate the impact on the urinary tract infections (UTI) rates of an intervention implemented in the Department of Internal Medicine of the Hospital Universitario Insular de Gran Canaria. MATERIAL AND METHODS: Infection control practitioners implemented a three phase project, each lasting two months, focusing on surveillance and feed-back, between 2009 and 2011. During phases 1 and 2, the 2004 Centers for Disease Control and Prevention (CDC)-diagnostic criteria for nosocomial infections were followed, and only rates of infections were calculated. For phase 3, the criteria published in 2009 were used, and rates of infections plus processes rates were obtained. The cumulative incidence of UTI in the three periods was compared using a chi-square for trends test. RESULTS: The total number of catheter days, as well as the cumulative incidence of UTI dropped from phase 1 to 3. Nevertheless, in phase 2 the mean urinary catheter days increased. We detected a decrease in the UTI rates and urinary catheter days mean after introducing an electronic reminder in the patient electronic charts. CONCLUSIONS: A multidisciplinary approach, including surveillance, reminders, and feed-back, has proved useful in controlling UTI rates in our hospital.
Subject(s)
Cross Infection/epidemiology , Cross Infection/prevention & control , Urinary Tract Infections/epidemiology , Urinary Tract Infections/prevention & control , Hospital Departments , Humans , Incidence , Internal MedicineABSTRACT
The occurrence of Salmonella in endemic and subendemic species of lizard and frog of Gran Canaria, Gallotia stehlini and Rana perezi, as well as captive reptiles from other regions of the world was investigated. The occurrence of Salmonella was statistically higher in endemic and subendemic species than in captive animals (p < 0.001). Seventy strains of Salmonella were isolated. S. berta and S. gran canaria were the most frequently isolated serotypes. The study of Salmonella in gall-bladder contents showed a high parasitation (85%), being higher in Gallotia stehlini (100%) than in Rana perezi (60%). None of the isolated salmonellae were resistant to tested antibiotics.
