Geographical information system and spatial–temporal statistics for monitoring infectious agents in hospital: a model using Klebsiella pneumoniae complex
Abstract Background The emergence and spread of antimicrobial resistance and infectious agents have challenged hospitals in recent decades. Our aim was to investigate the circulation of target infectious agents using Geographic Information System (GIS) and spatial–temporal statistics to improve surv...
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doaj-9a54ba9142ca44f9bab6138ca6cdfad32021-06-20T11:03:23ZengBMCAntimicrobial Resistance and Infection Control2047-29942021-06-0110111210.1186/s13756-021-00944-5Geographical information system and spatial–temporal statistics for monitoring infectious agents in hospital: a model using Klebsiella pneumoniae complexPriscila Pinho da Silva0Fabiola A. da Silva1Caio Augusto Santos Rodrigues2Leonardo Passos Souza3Elisangela Martins de Lima4Maria Helena B. Pereira5Claudio Neder Candella6Marcio Zenaide de Oliveira Alves7Newton D. Lourenço8Wagner S. Tassinari9Christovam Barcellos10Marisa Zenaide Ribeiro Gomes11on behalf of Nucleus of Hospital Research Study CollaboratorsLaboratório de Genética Molecular de Microrganismos, Instituto Oswaldo Cruz - Fundação Oswaldo CruzDepartment of Engineering, Hospital Federal Dos Servidores Do Estado (HFSE)Laboratory of Microbiology, HFSELaboratory of Microbiology, HFSEHospital Infection Control Committee, HFSEAdmitting Office, HFSEDepartment of Engineering, Hospital Federal Dos Servidores Do Estado (HFSE)Hospital Infection Control Committee, HFSELaboratory of Microbiology, HFSEDepartment of Mathematics, The Federal Rural University of Rio de JaneiroInstitute of Scientific and Technological Communication and Information in Health, FIOCRUZLaboratório de Genética Molecular de Microrganismos, Instituto Oswaldo Cruz - Fundação Oswaldo CruzAbstract Background The emergence and spread of antimicrobial resistance and infectious agents have challenged hospitals in recent decades. Our aim was to investigate the circulation of target infectious agents using Geographic Information System (GIS) and spatial–temporal statistics to improve surveillance and control of healthcare-associated infection and of antimicrobial resistance (AMR), using Klebsiella pneumoniae complex as a model. Methods A retrospective study carried out in a 450-bed federal, tertiary hospital, located in Rio de Janeiro. All isolates of K. pneumoniae complex from clinical and surveillance cultures of hospitalized patients between 2014 and 2016, identified by the use of Vitek-2 system (BioMérieux), were extracted from the hospital's microbiology laboratory database. A basic scaled map of the hospital’s physical structure was created in AutoCAD and converted to QGis software (version 2.18). Thereafter, bacteria according to resistance profiles and patients with carbapenem-resistant K. pneumoniae (CRKp) complex were georeferenced by intensive and nonintensive care wards. Space–time permutation probability scan tests were used for cluster signals detection. Results Of the total 759 studied isolates, a significant increase in the resistance profile of K. pneumoniae complex was detected during the studied years. We also identified two space–time clusters affecting adult and paediatric patients harbouring CRKp complex on different floors, unnoticed by regular antimicrobial resistance surveillance. Conclusions In-hospital GIS with space–time statistical analysis can be applied in hospitals. This spatial methodology has the potential to expand and facilitate early detection of hospital outbreaks and may become a new tool in combating AMR or hospital-acquired infection.https://doi.org/10.1186/s13756-021-00944-5SurveillanceHospital infectionAntimicrobial resistanceKlebsiella pneumoniaeTime seriesGeographic information system |
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DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Priscila Pinho da Silva Fabiola A. da Silva Caio Augusto Santos Rodrigues Leonardo Passos Souza Elisangela Martins de Lima Maria Helena B. Pereira Claudio Neder Candella Marcio Zenaide de Oliveira Alves Newton D. Lourenço Wagner S. Tassinari Christovam Barcellos Marisa Zenaide Ribeiro Gomes on behalf of Nucleus of Hospital Research Study Collaborators |
spellingShingle |
Priscila Pinho da Silva Fabiola A. da Silva Caio Augusto Santos Rodrigues Leonardo Passos Souza Elisangela Martins de Lima Maria Helena B. Pereira Claudio Neder Candella Marcio Zenaide de Oliveira Alves Newton D. Lourenço Wagner S. Tassinari Christovam Barcellos Marisa Zenaide Ribeiro Gomes on behalf of Nucleus of Hospital Research Study Collaborators Geographical information system and spatial–temporal statistics for monitoring infectious agents in hospital: a model using Klebsiella pneumoniae complex Antimicrobial Resistance and Infection Control Surveillance Hospital infection Antimicrobial resistance Klebsiella pneumoniae Time series Geographic information system |
author_facet |
Priscila Pinho da Silva Fabiola A. da Silva Caio Augusto Santos Rodrigues Leonardo Passos Souza Elisangela Martins de Lima Maria Helena B. Pereira Claudio Neder Candella Marcio Zenaide de Oliveira Alves Newton D. Lourenço Wagner S. Tassinari Christovam Barcellos Marisa Zenaide Ribeiro Gomes on behalf of Nucleus of Hospital Research Study Collaborators |
author_sort |
Priscila Pinho da Silva |
title |
Geographical information system and spatial–temporal statistics for monitoring infectious agents in hospital: a model using Klebsiella pneumoniae complex |
title_short |
Geographical information system and spatial–temporal statistics for monitoring infectious agents in hospital: a model using Klebsiella pneumoniae complex |
title_full |
Geographical information system and spatial–temporal statistics for monitoring infectious agents in hospital: a model using Klebsiella pneumoniae complex |
title_fullStr |
Geographical information system and spatial–temporal statistics for monitoring infectious agents in hospital: a model using Klebsiella pneumoniae complex |
title_full_unstemmed |
Geographical information system and spatial–temporal statistics for monitoring infectious agents in hospital: a model using Klebsiella pneumoniae complex |
title_sort |
geographical information system and spatial–temporal statistics for monitoring infectious agents in hospital: a model using klebsiella pneumoniae complex |
publisher |
BMC |
series |
Antimicrobial Resistance and Infection Control |
issn |
2047-2994 |
publishDate |
2021-06-01 |
description |
Abstract Background The emergence and spread of antimicrobial resistance and infectious agents have challenged hospitals in recent decades. Our aim was to investigate the circulation of target infectious agents using Geographic Information System (GIS) and spatial–temporal statistics to improve surveillance and control of healthcare-associated infection and of antimicrobial resistance (AMR), using Klebsiella pneumoniae complex as a model. Methods A retrospective study carried out in a 450-bed federal, tertiary hospital, located in Rio de Janeiro. All isolates of K. pneumoniae complex from clinical and surveillance cultures of hospitalized patients between 2014 and 2016, identified by the use of Vitek-2 system (BioMérieux), were extracted from the hospital's microbiology laboratory database. A basic scaled map of the hospital’s physical structure was created in AutoCAD and converted to QGis software (version 2.18). Thereafter, bacteria according to resistance profiles and patients with carbapenem-resistant K. pneumoniae (CRKp) complex were georeferenced by intensive and nonintensive care wards. Space–time permutation probability scan tests were used for cluster signals detection. Results Of the total 759 studied isolates, a significant increase in the resistance profile of K. pneumoniae complex was detected during the studied years. We also identified two space–time clusters affecting adult and paediatric patients harbouring CRKp complex on different floors, unnoticed by regular antimicrobial resistance surveillance. Conclusions In-hospital GIS with space–time statistical analysis can be applied in hospitals. This spatial methodology has the potential to expand and facilitate early detection of hospital outbreaks and may become a new tool in combating AMR or hospital-acquired infection. |
topic |
Surveillance Hospital infection Antimicrobial resistance Klebsiella pneumoniae Time series Geographic information system |
url |
https://doi.org/10.1186/s13756-021-00944-5 |
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