Syndromic surveillance for evaluating the occurrence of healthcare-associated infections in equine hospitals.
Abstract: Methods that can be used to estimate rates of healthcare-associated infections and other nosocomial events have not been well established for use in equine hospitals. Traditional laboratory-based surveillance is expensive and cannot be applied in all of these settings. Objective: To evaluate the use of a syndromic surveillance system for estimating rates of occurrence of healthcare-associated infections among hospitalised equine cases. Methods: Multicentre, prospective longitudinal study. Methods: This study included weaned equids (n = 297) that were admitted for gastrointestinal disorders at one of 5 participating veterinary referral hospitals during a 12-week period in 2006. A survey form was completed by the primary clinician to summarise basic case information, procedures and treatments the horse received, and whether one or more of 7 predefined nosocomial syndromes were recognised at any point during hospitalisation. Adjusted rates of nosocomial events were estimated using Poisson regression. Risk factors associated with the risk of developing a nosocomial event were analysed using multivariable logistic regression. Results: Among the study population, 95 nosocomial events were reported to have occurred in 65 horses. Controlling for differences among hospitals, 19.7% (95% confidence interval, 14.5-26.7) of the study population was reported to have had at least one nosocomial event recognised during hospitalisation. The most commonly reported nosocomial syndromes that were unrelated to the reason for hospitalisation were surgical site inflammation and i.v. catheter site inflammation. Conclusions: Syndromic surveillance systems can be standardised successfully for use across multiple hospitals without interfering with established organisational structures, in order to provide useful estimates of rates related to healthcare-associated infections.
© 2013 EVJ Ltd.
Publication Date: 2013-11-29 PubMed ID: 24028074DOI: 10.1111/evj.12190Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
- Journal Article
- Multicenter Study
- Research Support
- Non-U.S. Gov't
- Case Reports
- Clinical Study
- Diagnosis
- Disease Diagnosis
- Disease Etiology
- Disease Management
- Disease Outbreaks
- Disease Surveillance
- Disease Treatment
- Epidemiology
- Equine Diseases
- Equine Health
- Hospitalization
- Infection
- Infectious Disease
- Longitudinal Study
- Multicentre Study
- Public Health
- Risk Factors
- Veterinary Medicine
- Veterinary Research
Summary
This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.
The research article investigates the use of syndromic surveillance systems in assessing the rate of healthcare-related infections in horse hospitals.
Research Objective
- The main objective of this research was to evaluate the effectiveness of a syndromic surveillance system in estimating the occurrence rate of healthcare-associated infections among hospitalized horses.
Research Methods
- This research was conducted as a multicenter, prospective longitudinal study across five different veterinary referral hospitals.
- A total of 297 weaned horses that were admitted for gastrointestinal problems over a 12-week period in 2006 were included in the study.
- A form, filled out by the primary clinician, contained basic case information, procedures and treatments the horse received, as well as whether any of seven predefined hospital-acquired syndromes were recognized at any point during hospitalization.
- Poisson regression was used to estimate the adjusted rates of hospital-acquired events, while multivariable logistic regression was used to analyze the risk factors associated with the development of a hospital-acquired event.
Research Findings
- Out of the study population, 95 hospital-acquired events were reported in 65 horses.
- After accounting for differences among hospitals, about 19.7% (with a 95% confidence interval of 14.5-26.7) of the study population was reported to have had at least one hospital-acquired event during hospitalization.
- The most frequently reported hospital-acquired syndromes unrelated to the initial cause of hospitalization were surgical site inflammation and intravenous catheter site inflammation.
Research Conclusions
- The study concludes that the syndromic surveillance systems can be standardized for use across different hospitals without interfering with established organizational structures, to provide useful estimates of healthcare-related infection rates.
Cite This Article
APA
Ruple-Czerniak AA, Aceto HW, Bender JB, Paradis MR, Shaw SP, Van Metre DC, Weese JS, Wilson DA, Wilson J, Morley PS.
(2013).
Syndromic surveillance for evaluating the occurrence of healthcare-associated infections in equine hospitals.
Equine Vet J, 46(4), 435-440.
https://doi.org/10.1111/evj.12190 Publication
Researcher Affiliations
- College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, USA.
MeSH Terms
- Animals
- Cross Infection / epidemiology
- Cross Infection / veterinary
- Epidemiological Monitoring / veterinary
- Horse Diseases / microbiology
- Horses
- Hospitals, Animal / standards
- Longitudinal Studies
- Risk Factors
- United States / epidemiology
Citations
This article has been cited 3 times.- Traverse M, Aceto H. Environmental cleaning and disinfection. Vet Clin North Am Small Anim Pract 2015 Mar;45(2):299-330, vi.
- Tyrnenopoulou P, Tsilipounidaki K, Florou Z, Gkountinoudis CG, Tyropoli K, Starras A, Peleki C, Marneris D, Arseniou N, Lianou DT, Katsarou EI, Petinaki E, Fthenakis GC. Detection of Gastrointestinal Pathogens with Zoonotic Potential in Horses Used in Free-Riding Activities during a Countrywide Study in Greece. Animals (Basel) 2024 Sep 3;14(17).
- Burgess BA. Does environmental microbiological surveillance support infection control in veterinary hospitals? A PRO/CON debate. JAC Antimicrob Resist 2024 Aug;6(4):dlae115.
Use Nutrition Calculator
Check if your horse's diet meets their nutrition requirements with our easy-to-use tool Check your horse's diet with our easy-to-use tool
Talk to a Nutritionist
Discuss your horse's feeding plan with our experts over a free phone consultation Discuss your horse's diet over a phone consultation
Submit Diet Evaluation
Get a customized feeding plan for your horse formulated by our equine nutritionists Get a custom feeding plan formulated by our nutritionists
