The Second National Prevalence Survey of infection in hospitals: methodology.

This paper describes the methods used to perform a very large multicentred prevalence survey of infection in hospitals. Infection control teams were trained centrally to use a standardized questionnaire and agreed definitions to collect prevalence data on a portable computer. The study was coordinated from a single centre and the analysis performed by the statistics department at Central Public Health Laboratory, Colindale, London. The survey included 157 centres throughout England and Wales, Scotland and all Ireland. The survey was carried out as a joint venture by members of The Hospital Infection Society, The Public Health Laboratory Service and the Infection Control Nurses' Association of the British Isles and was organized by a Steering Committee.

[1]  B. Nyström,et al.  Prevalence of hospital-associated infections in five Swedish hospitals in November 1975. , 1978, Scandinavian journal of infectious diseases.

[2]  H. Humphreys,et al.  Control of hospital-acquired infection: accurate data and more resources, not league tables. , 1993, The Journal of hospital infection.

[3]  R. Haley,et al.  The nationwide nosocomial infection rate. A new need for vital statistics. , 1985, American journal of epidemiology.

[4]  O. B. Jepsen,et al.  Prevalence of nosocomial infection and infection control in Denmark. , 1980, The Journal of hospital infection.

[5]  J. Mcgowan,et al.  Methodologic issues in hospital epidemiology. I. Rates, case-finding, and interpretation. , 1981, Reviews of infectious diseases.

[6]  T. Horan,et al.  Study of the definition of nosocomial infections (SDNI). Research Committee of the Association for Practitioners in Infection Control. , 1991, American journal of infection control.

[7]  G. Ayliffe Nosocomial Infection—The Irreducible Minimum , 1986, Infection Control & Hospital Epidemiology.

[8]  G. Ayliffe,et al.  Design and Execution , 1981, Daidalos at Work.

[9]  S. Mishriki,et al.  The importance of surveillance after discharge from hospital in the diagnosis of postoperative wound infection. , 1990, Annals of the Royal College of Surgeons of England.

[10]  M. Farrington,et al.  Prevalence survey of infection in a Hong Kong hospital using a standard protocol and microcomputer data analysis. , 1987, Journal of Hospital Infection.

[11]  A. Chaudhuri Infection control in hospitals: has its quality-enhancing and cost-effective role been appreciated? , 1993, The Journal of hospital infection.

[12]  D. Shephard Thorne's Better Medical Writing , 1977 .

[13]  B. Yangco,et al.  CDC definitions for nosocomial infections. , 1989, American journal of infection control.

[14]  J. Mcgowan,et al.  Methodologic issues in hospital epidemiology. II. Time and accuracy in estimation. , 1981, Reviews of infectious diseases.

[15]  J. Mcgowan,et al.  Risk factors for nosocomial infection. , 1978, The Journal of infectious diseases.

[16]  G. Ayliffe,et al.  Report on the National Survey of Infection in Hospitals, 1980. , 1981 .

[17]  G. L. French,et al.  REPEATED PREVALENCE SURVEYS FOR MONITORING EFFECTIVENESS OF HOSPITAL INFECTION CONTROL , 1989, The Lancet.

[18]  A. Howard Infection control organization in hospitals in England and Wales, 1986. Report of a survey undertaken by a Hospital Infection Society working party. , 1988, The Journal of hospital infection.

[19]  G. Kegels,et al.  The national prevalence survey of nosocomial infections in Belgium, 1984. , 1987, The Journal of hospital infection.

[20]  R. Haley,et al.  The efficacy of infection surveillance and control programs in preventing nosocomial infections in US hospitals. , 1985, American journal of epidemiology.

[21]  Horwitz Dl,et al.  Letter: Insulin suppression. , 1974 .

[22]  J M Hughes,et al.  CDC definitions for nosocomial infections, 1988. , 1988, American journal of infection control.

[23]  B. Collins,et al.  Surveys of hospital infection in the Birmingham region: I. Effect of age, sex, length of stay and antibiotic use on nasal carriage of tetracycline-resistant Staphyloccus aureus and on post-operative wound infection , 1977, Journal of Hygiene.

[24]  S. Mehtar How to cost and fund an infection control programme. , 1993, The Journal of hospital infection.