Table I.
Incidence of healthcare-associated infections and the proportion by site and pathogen at the National Taiwan University Hospital, 1981–2007
| Parameters | 1981 | 2007 | Average annual change, % (95% CI) | P-valuea |
|---|---|---|---|---|
| Total no. of discharges | 25 074 | 91 234 | ||
| Total no. of infections | 1002 | 4125 | ||
| Total no. of pathogens | 1181 | 5081 | ||
| Overall incidence, per 100 discharges | 4.00 | 4.52 | 0.3 (−0.1 to 0.7) | 0.1621 |
| Site-specific infection | ||||
| Surgical site | ||||
| No. of episodes | 374 | 279 | ||
| Incidence, per 100 procedures | 2.5 | 0.5 | −6.1 (−7.2 to −5.0) | <0.0001 |
| Proportion (%) | 37.3 | 6.8 | ||
| Urinary tract | ||||
| No. of episodes | 208 | 1340 | ||
| Incidence, per 100 discharges | 0.83 | 1.47 | 1.9 (1.2 to 2.5) | <0.0001 |
| Proportion (%) | 20.8 | 32.5 | ||
| Respiratory | ||||
| No. of episodes | 100 | 347 | ||
| Incidence, per 100 discharges | 0.40 | 0.38 | −1.0 (−1.7 to −0.3) | 0.0083 |
| Proportion (%) | 10.0 | 8.4 | ||
| Bloodstream | ||||
| No. of episodes | 98 | 1714 | ||
| Incidence, per 100 discharges | 0.39 | 1.88 | 6.4 (5.5 to 7.4) | <0.0001 |
| Proportion (%) | 9.8 | 41.6 | ||
| Others | ||||
| No. of episodes | 222 | 445 | ||
| Incidence, per 100 discharges | 0.89 | 0.49 | −3.6 (−5.1 to −2.1) | <0.0001 |
| Proportion (%) | 22.2 | 10.8 | ||
| Pathogens | ||||
| Gram-positive aerobic bacteria | ||||
| Incidence, per 100 discharges | 0.91 | 1.25 | 1.1 (0.5 to 1.7) | 0.0006 |
| Proportion (%) | 21.8 | 24.6 | ||
| Gram-negative aerobic bacteria | ||||
| Incidence, per 100 discharges | 2.01 | 2.63 | 0.8 (0.3 to 1.2) | 0.0018 |
| Proportion (%) | 65.5 | 57.5 | ||
| Anaerobic bacteria | ||||
| Incidence, per 100 discharges | 0.34 | 0.16 | −4.9 (−6.3 to −3.6) | <0.0001 |
| Proportion (%) | 10.5 | 3.1 | ||
| Fungi | ||||
| Incidence, per 100 discharges | 0.09 | 0.79 | 7.0 (5.5 to 8.5) | <0.0001 |
| Proportion (%) | 1.9 | 14.6 | ||
CI, confidence interval.
Negative binomial regression was used to model the secular trends of the annual incidence.