Prevalence of antimicrobial-resistant organisms in smaller Canadian hospitals: Community, Rural, and Northern Acute Care Point Prevalence (CNAPP-19) Survey, 2019
- DOI
- Language of the publication
- English
- Date
- 2022-12
- Type
- Article
- Author(s)
- Thomas, Shari
- Tropper, Denise Gravel
- Knight, Braden
- Sheppard, Donald
- Lary, Tanya
- Mackenzie, Jami
- German, Greg
- Frenette, Charles
- Bush, Kathryn
- Ellison, Jennifer
- Happe, Jennifer
- Shurgold, Jayson
- Publisher
- Public Health Agency of Canada
Abstract
Background: Methods: Results: Conclusion:
The availability of national data on the prevalence of antimicrobial resistant
infections in smaller, community, northern and rural acute care hospitals is limited. The objective
of this article is to determine the prevalence of infections caused by selected antimicrobial resistant organisms (AROs) in these smaller hospitals.
A point prevalence survey was conducted by 55 hospitals between February and
May 2019 and included representation from all 10 Canadian provinces. Eligible hospitals were
those with 350 or fewer beds. Data were collected on hospital characteristics.
De-identified patient data were collected on selected infections (pneumonia, urinary tract
infections, bloodstream infections, skin/soft tissue infections, surgical site infections, and
Clostridioides difficile infections) for selected AROs (methicillin-resistant Staphylococcus aureus,
vancomycin-resistant Enterococci, extended-spectrum β-lactamase–producing organisms
and carbapenemase-producing organisms). Data on antimicrobial prescribing and infection
prevention and control precautions were also collected.
A total of 3,640 patients were included in the survey. Median patient age was 73 years,
and 52.8% (n=1,925) were female. Selected infections were reported in 14.4% (n=524) of
patients, of which 6.9% (n=36) were associated with an ARO infection. Infection prevention and
control additional precautions were in place for 13.7% (n=500) of patients, of which half (51.0%,
n=255) were due to an ARO. Approximately one third (35.2%, n=1,281) of patients had at least
one antimicrobial prescribed.
Antimicrobial-resistant organisms remain a serious threat to public health in
Canada. The results of this survey warrant further investigation into AROs in smaller Canadian
hospitals as a potential reservoir of antimicrobial resistance.
Subject
- Health
Rights
Pagination
559-570
Peer review
Yes
Identifiers
- ISSN
- 1481-8531
Article
- Journal title
- Canada Communicable Disease Report
- Journal volume
- 48
- Journal issue
- 11/12
Relation
- Is translation of:
- https://open-science.canada.ca/handle/123456789/540
Citation(s)
Thomas S, Gravel Tropper D, Knight B, Sheppard D, Lary T, Mackenzie J, German G, Frenette C, Bush K, Ellison J, Happe J, Shurgold J. Prevalence of antimicrobial-resistant organisms in smaller Canadian hospitals: Community, Rural, and Northern Acute Care Point Prevalence (CNAPP-19) Survey, 2019. Can Commun Dis Rep 2022;48(11/12):559−70. https://doi.org/10.14745/ccdr.v48i1112a09