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Risk factors for health care–associated infection in hospitalized adults: Systematic review and meta-analysis

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dc.contributor.authorRodríguez Acelas, Alba Luzspa
dc.contributor.authorDe Abreu Almeida, Miriamspa
dc.contributor.authorEngelman, Brunaspa
dc.contributor.authorCañón Montañez, Wilsonspa
dc.date.accessioned2019-07-17T18:30:03Zspa
dc.date.available2019-07-17T18:30:03Zspa
dc.date.issued2017-11spa
dc.description8 p.spa
dc.description.abstractBackground: Health care–associated infections (HAIs) are a public health problem that increase health care costs. This article aimed to systematically review the literature and meta-analyze studies investigating risk factors (RFs) independently associated with HAIs in hospitalized adults. Methods: Electronic databases (MEDLINE, Embase, and LILACS) were searched to identify studies from 2009-2016. Pooled risk ratios (RRs) or odds ratios (ORs) or mean differences (MDs) and 95% confidence intervals (CIs) were calculated and compared across the groups. This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Results: Of 867 studies, 65 met the criteria for review, and the data of 18 were summarized in the meta-analysis. The major RFs independently associated with HAIs were diabetes mellitus (RR, 1.76; 95% CI, 1.27-2.44), immunosuppression (RR, 1.24; 95% CI, 1.04-1.47), body temperature (MD, 0.62; 95% CI, 0.41-0.83), surgery time in minutes (MD, 34.53; 95% CI, 22.17-46.89), reoperation (RR, 7.94; 95% CI, 5.49-11.48), cephalosporin exposure (RR, 1.77; 95% CI, 1.30-2.42), days of exposure to central venous catheter (MD, 5.20; 95% CI, 4.91-5.48), intensive care unit (ICU) admission (RR, 3.76; 95% CI, 1.79-7.92), ICU stay in days (MD, 21.30; 95% CI, 19.81-22.79), and mechanical ventilation (OR, 12.95; 95% CI, 6.28-26.73). Conclusions: Identifying RFs that contribute to develop HAIs may support the implementation of strategies for their prevention, therefore maximizing patient safety.eng
dc.format.mimetypeapplication/pdfspa
dc.identifier.doi10.1016/j.ajic.2017.08.016spa
dc.identifier.issn0196-6553spa
dc.identifier.urihttps://repositorio.udes.edu.co/handle/001/3413spa
dc.language.isoengspa
dc.relation.ispartofAmerican Journal of Infection Controleng
dc.rightsDerechos Reservados - The Authors, American Journal of Infection Control, 2017spa
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.rights.creativecommonsAtribución-NoComercial 4.0 Internacional (CC BY-NC 4.0)spa
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/spa
dc.sourcehttps://www.sciencedirect.com/science/article/abs/pii/S0196655317309963?via%3Dihubeng
dc.subject.proposalAdulteng
dc.subject.proposalDelivery of health careeng
dc.subject.proposalHealth care–associated infectionseng
dc.subject.proposalInpatientseng
dc.subject.proposalMeta-analysiseng
dc.subject.proposalRisk factorseng
dc.titleRisk factors for health care–associated infection in hospitalized adults: Systematic review and meta-analysiseng
dc.typeArtículo de revistaspa
dc.type.coarhttp://purl.org/coar/resource_type/c_6501spa
dc.type.contentTextspa
dc.type.driverinfo:eu-repo/semantics/articlespa
dc.type.redcolhttp://purl.org/redcol/resource_type/ARTspa
dc.type.versioninfo:eu-repo/semantics/publishedVersionspa
dspace.entity.typePublication
oaire.accessrightshttp://purl.org/coar/access_right/c_abf2spa
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85spa
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