RESUMEN
This article (a follow on from an article concentrating on Northern Ireland) examines the relationship between percentage bed occupancy (PO), turnover interval (TI) and methicillin-resistant Staphylococcus aureus (MRSA) rates in the acute beds of specialist English hospital trusts and describes the TI and levels of bed occupancy. The data were collected from publicly available data: MRSA rates of blood-borne infection per 1000 bed days from the Department of Health; average length of stay from Hospital Episode Statistics; and percentage occupancy from the Department of Health Hospital Activity statistics were used. Pearson's Correlation coefficients were used as basis for inferential analysis. The mean TI for all trusts was as 0.94 days, median 0.95 days. Twenty percent of trusts had TIs, on average, of less than 0.58 days (13.9 hours) and 10% had a TI less than 0.32 days (7.6 hours). The mean PO was 84.98% and the median was 84.76%. Seventy percent of the trusts exceeded the recommended 82% bed occupancy. The inference from this study is that there is a relationship between TI and PO and rate of MRSA infection in specialist English hospitals and that PO rates are at a level which may interfere with good infection control procedures.
Asunto(s)
Ocupación de Camas/estadística & datos numéricos , Infección Hospitalaria/epidemiología , Tiempo de Internación/estadística & datos numéricos , Resistencia a la Meticilina , Infecciones Estafilocócicas/epidemiología , Staphylococcus aureus , Enfermedad Aguda , Infección Hospitalaria/etiología , Infección Hospitalaria/prevención & control , Notificación de Enfermedades , Inglaterra/epidemiología , Clausura de las Instituciones de Salud/estadística & datos numéricos , Investigación sobre Servicios de Salud , Capacidad de Camas en Hospitales/estadística & datos numéricos , Hospitales Especializados/estadística & datos numéricos , Servicio de Limpieza en Hospital/organización & administración , Humanos , Control de Infecciones/organización & administración , Vigilancia de la Población , Factores de Riesgo , Infecciones Estafilocócicas/etiología , Infecciones Estafilocócicas/prevención & controlRESUMEN
The data describe bed turnover intervals (TI), bed percentage occupancy (PO) and methicillin-resistant Staphylococcus aureus (MRSA) rates per 1000 bed days of patient episodes. It was collected from annual hospital statistics in Northern Ireland (NI) and from the Communicable Diseases Surveillance Centre (CDSC) NI. The descriptive data show 6 of the general 11 surgical Trusts, out of a total of 12 Trusts examined, had PO greater than 85%; and all 11 medical facilities in these Trusts had occupancy rates greater than 85%. A significant correlation was established between turnover interval and MRSA per 1000 bed days of patient episodes in acute services beds. The correlation of PO with MRSA rates was 0.49 (ns). The conclusions drawn from the study are that in many Trusts the rates of bed occupancy for general surgery and general medicine is in excess of national guidelines and rapid turnover of patients is related to rates of MRSA infection. The implications for nurses and managers are discussed.