Rates of hospital-acquired respiratory illness in bangladeshi tertiary care hospitals: Results from a low-cost pilot surveillance strategy

Emily Gurley, Rashid Uz Zaman, Rebeca Sultana, Michael Bell, Alicia M. Fry, Arjun Srinivasan, Mahmudur Rahman, M. Waliur Rahman, M. Jahangir Hossain, Stephen P. Luby

Research output: Contribution to journalArticle

Abstract

Background. Patients hospitalized in resource-poor health care settings are at increased risk for hospital-acquired respiratory infections due to inadequate infrastructure. Methods. From 1 April 2007 through 31 March 2008, we used a low-cost surveillance strategy to identify new onset of respiratory symptoms in patients hospitalized for >72 h and in health care workers in medicine and pediatric wards at 3 public tertiary care hospitals in Bangladesh. Results. During 46,273 patient-days of observation, we recorded 136 episodes of hospital-acquired respiratory disease, representing 1.7% of all patient hospital admissions; rates by ward ranged from 0.8 to 15.8 cases per 1000 patient-days at risk. We identified 22 clusters of respiratory disease, 3 of which included both patients and health care workers. Of 226 of heath care workers who worked on our surveillance wards, 61 (27%) experienced a respiratory illness during the study period. The cost of surveillance was US$43 per month per ward plus 30 min per day in data collection. Conclusions. Patients on these study wards frequently experienced hospital-acquired respiratory infections, including 1 in every 20 patients hospitalized for >72 h on 1 ward. The surveillance method was useful in calculating rates of hospital-acquired respiratory illness and could be used to enhance capacity to quickly detect outbreaks of respiratory disease in health care facilities where systems for outbreak detection are currently limited and to test interventions to reduce transmission of respiratory pathogens in resource-poor settings.

Original languageEnglish (US)
Pages (from-to)1084-1090
Number of pages7
JournalClinical Infectious Diseases
Volume50
Issue number8
DOIs
StatePublished - Apr 15 2010
Externally publishedYes

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Tertiary Healthcare
Tertiary Care Centers
Costs and Cost Analysis
Delivery of Health Care
Respiratory Tract Infections
Disease Outbreaks
Infectious Disease Transmission
Bangladesh
Patient Admission
Public Hospitals
Health Facilities
Patient Care
Observation
Medicine
Pediatrics

ASJC Scopus subject areas

  • Microbiology (medical)
  • Infectious Diseases

Cite this

Rates of hospital-acquired respiratory illness in bangladeshi tertiary care hospitals : Results from a low-cost pilot surveillance strategy. / Gurley, Emily; Zaman, Rashid Uz; Sultana, Rebeca; Bell, Michael; Fry, Alicia M.; Srinivasan, Arjun; Rahman, Mahmudur; Rahman, M. Waliur; Hossain, M. Jahangir; Luby, Stephen P.

In: Clinical Infectious Diseases, Vol. 50, No. 8, 15.04.2010, p. 1084-1090.

Research output: Contribution to journalArticle

Gurley, E, Zaman, RU, Sultana, R, Bell, M, Fry, AM, Srinivasan, A, Rahman, M, Rahman, MW, Hossain, MJ & Luby, SP 2010, 'Rates of hospital-acquired respiratory illness in bangladeshi tertiary care hospitals: Results from a low-cost pilot surveillance strategy', Clinical Infectious Diseases, vol. 50, no. 8, pp. 1084-1090. https://doi.org/10.1086/651265
Gurley, Emily ; Zaman, Rashid Uz ; Sultana, Rebeca ; Bell, Michael ; Fry, Alicia M. ; Srinivasan, Arjun ; Rahman, Mahmudur ; Rahman, M. Waliur ; Hossain, M. Jahangir ; Luby, Stephen P. / Rates of hospital-acquired respiratory illness in bangladeshi tertiary care hospitals : Results from a low-cost pilot surveillance strategy. In: Clinical Infectious Diseases. 2010 ; Vol. 50, No. 8. pp. 1084-1090.
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