Volume 5 Supplement 6

International Conference on Prevention & Infection Control (ICPIC 2011)

Open Access

Evalutaion of two different control charts (I and U) in the study of mutiresistant bacteria contact precautions dynamics in a non-endemicity hospital setting

  • G Mestre1,
  • C Berbel1,
  • P Tortajada1,
  • JR Agüera2,
  • L Cort2,
  • J Zaragoza2,
  • JA Martinez3 and
  • J Rodriguez-Baño4
BMC Proceedings20115(Suppl 6):P11

DOI: 10.1186/1753-6561-5-S6-P11

Published: 29 June 2011

Introduction / objectives

Data about usefulness of Statistical Process Control in the study of contact precautions (CP) dynamics for control of resistant bacteria are scarce.

Methods

Retrospective cohort study. All admitted patients colonized or infected by MRSA, MDR-PAE and Abaumannii from 2005 to 2010 were included. Period I (01/2005-04/2008) without active surveillance; Period II (05/2008-12/2010), active surveillance in all patients admitted to the Intensive Care Unit and in readmitted previously colonized patients. Clonality was studied by PFGE. Charts: I-graph (Y axis shows the days between two consecutive CP;X axis: consecutive number of CP) and U-graph (CP per 10.000 patients days clustered by quarters).

Results

The average days between two consecutive CP in period I and period II were: 20 vs 31 days for MRSA, 41 vs 46 days for MDR-PAE and 53 vs 59 days for Ab, respectively. The average rate of patients under CP per 10.000 patient-days were: 3.19 vs 2.51 for MRSA, 1.40 vs 1.49 for PAE MR and 1.35 vs 1.09 for Ab (period I and II respectively). All outbreaks were coincident for special negative causes in graph I while the U graph only detected 2 out of 5 (type II error). All special positive causes was detected by graph I just after outbreak intervention (more days between consecutive CP). Although graph I often showed positive special causes in 5 out of 12, a type I error could not be ruled out.

Conclusion

In a non endemic setting when few events are present, the I graph is more sensitive and less specific, while the U graph is more specific but less sensitive.

Disclosure of interest

None declared.

Authors’ Affiliations

(1)
Nosocomial Infection Control Unit
(2)
Microbiologic Unit, Delfos Medical Centre
(3)
Infectious diseases Unit, Hospital Clinic
(4)
Infectious diseases and Microbiology Unit, University Hospital Virgen de Macarena

Copyright

© Mestre et al; licensee BioMed Central Ltd. 2011

This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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