Device associated healthcare associated infection (DA-HAI): a detailed analysis of risk factors and outcomes in a university hospital in Rome, Italy

This study investigates the impact of invasive procedures on healthcare-associated infections (HAI) at Policlinico Universitario Tor Vergata in Rome, Italy, aiming to understand their role in device-associated HAI and to inform prevention strategies. A retrospective cohort analysis was conducted, ex...

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Bibliographic Details
Published in:Infection prevention in practice 2024-12, Vol.6 (4), p.100391, Article 100391
Main Authors: Guarente, Luca, Mosconi, Claudia, Cicala, Mariagrazia, De Santo, Carolina, Ciccacci, Fausto, Carestia, Mariachiara, Emberti Gialloreti, Leonardo, Palombi, Leonardo, Quintavalle, Giuseppe, Di Giovanni, Daniele, Buonomo, Ersilia, Moramarco, Stefania, Riccardi, Fabio, Orlando, Stefano
Format: Article
Language:English
Subjects:
Healthcare-associated infections (HAI)
Hospital acquired infections
Invasive devices
Invasive procedures
Original
Prevention strategies
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Summary:This study investigates the impact of invasive procedures on healthcare-associated infections (HAI) at Policlinico Universitario Tor Vergata in Rome, Italy, aiming to understand their role in device-associated HAI and to inform prevention strategies. A retrospective cohort analysis was conducted, examining mandatory discharge records and microbiology data from 2018 across all departments. The study focused on adult patients, analysing the correlation between invasive procedures and HAI through univariate and multivariate logistic regression. Of the 12,066 patients reviewed, 1,214 (10.1%) experienced HAI. Univariate analysis indicated an association between invasive procedures and HAI (OR = 1.81, P < 0.001), which was not observed in multivariable analysis. Specific procedures significantly raised HAI risks: temporary tracheostomy (AOR = 22.69, P
ISSN:2590-0889
2590-0889
DOI:10.1016/j.infpip.2024.100391