Table 3. Personnel involved in data collection for healthcare-associated infection (HCAI) surveillance in European acute care hospitals with HCAI surveillance, stratified by healthcare expenditure, United Nation regions, hospital size and infection control nurse rate – the Prevention of Hospital Infection by Intervention and Training (PROHIBIT) survey, 2011–2012 (n = 297 hospitals).
| Personnel involved in data collection for HCAI surveillance | Total | HCEa | United Nation regionb | Hospital sizec in terms of number of beds |
ICN/1,000 bedsd | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Low | High | Eastern | Northern | Southern | Western | ≤ 300 | 301–600 | > 600 | ≤ median | > median | ||||||||||||||
| n = 297 | % | n = 127 | % | n = 170 | % | n = 82 | % | n = 70 | % | n = 81 | % | n = 64 | % | n = 87 | % | n = 109 | % | n = 98 | % | n = 150 | % | n = 147 | % | |
| ICNe | 217 | 73 | 70 | 55 | 147 | 86 | 45 | 55 | 50 | 71 | 65 | 80 | 57 | 89 | 62 | 71 | 79 | 72 | 73 | 74 | 99 | 66 | 118 | 80 |
| Infection control physicianf | 146 | 49 | 54 | 43 | 92 | 54 | 34 | 41 | 36 | 51 | 51 | 63 | 25 | 39 | 32 | 37 | 54 | 50 | 58 | 59 | 79 | 53 | 67 | 46 |
| Ward nurse | 61 | 21 | 31 | 24 | 30 | 18 | 21 | 26 | 22 | 31 | 13 | 16 | 5 | 8 | 19 | 22 | 28 | 26 | 13 | 13 | 28 | 19 | 33 | 22 |
| Ward physician | 97 | 33 | 39 | 31 | 58 | 34 | 26 | 32 | 29 | 41 | 25 | 31 | 17 | 27 | 31 | 36 | 39 | 36 | 26 | 27 | 44 | 29 | 53 | 36 |
| Specific surveillance staff e.g. nurse or administrator | 9 | 3 | 5 | 4 | 4 | 2 | 5 | 6 | 2 | 3 | 2 | 2 | 0 | 0 | 1 | 1 | 4 | 4 | 3 | 3 | 6 | 4 | 3 | 2 |
| Audit nurse | 46 | 15 | 22 | 17 | 24 | 14 | 13 | 16 | 18 | 26 | 9 | 11 | 6 | 9 | 10 | 11 | 16 | 15 | 19 | 19 | 23 | 15 | 23 | 16 |
| Infection control personnel exclusively (ICN and/or infection control physician) | 143 | 48 | 56 | 44 | 87 | 51 | 36 | 44 | 24 | 34 | 43 | 53 | 40 | 63 | 39 | 45 | 49 | 45 | 53 | 54 | 76 | 51 | 67 | 46 |
| Ward personnel exclusively (ward nurse and/or ward physician) | 27 | 9 | 19 | 15 | 8 | 5 | 15 | 18 | 7 | 10 | 4 | 5 | 1 | 2 | 13 | 15 | 12 | 11 | 2 | 2 | 14 | 9 | 13 | 9 |
| Infection control personnel and ward personnel | 97 | 33 | 38 | 30 | 59 | 35 | 24 | 29 | 29 | 41 | 27 | 33 | 17 | 27 | 28 | 32 | 38 | 35 | 30 | 31 | 45 | 30 | 52 | 35 |
FTE: full time equivalent; GDP: gross domestic product; HCE: healthcare expenditure; ICN: infection control nurse.
P values were calculated by logistic regression using generalised estimating equations, which account for cluster effects by country.
a Low/high HCE defined as the share of the GDP ≤ / > the European mean in 2010 (9%) [16].
b Geographical regions according to United Nations grouping [15]; Eastern Europe, Northern Europe, Southern Europe, Western Europe.
c Hospital size according to number of acute care beds; ≤ 300 beds, 301 – 600 beds, > 600 beds; information available for 294 hospitals.
d ≤ / > median defined as FTE ICN (internal staff and external staff) per 1,000 acute care hospital beds ≤ / > the median of all participating hospitals (3.72 FTE ICN/1,000 beds).
e Differences between ≤ 300 beds / 301 – 600 beds / > 600 beds p < 0.05.
f Differences between low/high HCE p < 0.05.