Aim: to describe nosocomial infections and risk factors for nosocomial infections in hospital
wards in Gävleborg, and to compare the results from 2001-2003 and between wards of
different types. A point-prevalence survey was conducted three years in a row in three county
hospitals. All patients admitted to the wards at 8:00 a.m. the chosen day were included.
In the study 148 of 1395 patients (11%) were identified as having a nosocomial infection.
Urinary tract infection dominated. Patients with surgical site infections were found in surgical
wards as well as in medical wards. A total of 425 patients (31%) had an infection, and 441
(32%) were treated with antibacterial agents. During the period 835 patients (60%) had an
indwelling device or catheter, 317 (46%) had peripheral venous catheter, 280 (20%) had a
urinary catheter and 111 (8%) had a central venous catheter or a subcutaneous port.
During the period there were differences concerning nosocomial infections in surgical wards,
nosocomial urinary tract infections in Gävleborg, the proportion of patients with infection in
surgical wards and the proportion of patients with indwelling device, peripheral venous
catheter or central catheter in medical wards and in Gävleborg totally.
There were differences between medical and surgical wards were concerning nosocomial
urinary tract infections, the proportion of patients with infection, antibiotic prophylaxis and
the proportion of patients with indwelling device, peripheral venous catheter and pressure
Prevalence, nosocomial infection, antibacterial agents, risk factor, catheter.