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Point prevalence survey of healthcare-associated infections and antimicrobial use in European acute care hospitals
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Point prevalence survey of healthcare-associated infections and antimicrobial use in European acute care hospitals

2011-2012

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In 2011–2012, 29 EU/EEA Member States and Croatia participated in the first EU-wide, ECDC-coordinated point prevalence survey (PPS) of healthcare-associated infections (HAIs) and antimicrobial use in acute care hospitals. An estimated 2 800 healthcare workers from 1 200 hospitals across Europe were trained by national PPS coordinating staff to implement the standardised PPS methodology. Data from a total of 273 753 patients in 1 149 hospitals were submitted to ECDC. Of these, 231 459 patients from 947 hospitals were included in the final European sample for analysis. Data from a single ward were collected on a single day. The total time frame for data collection for all wards of a single hospital was 12 days on average (median nine days). The prevalence of patients with at least one HAI in acute care hospitals in the PPS sample was 6.0% (country range 2.3%–10.8%). When extrapolated to the average daily number of occupied beds per country obtained by national questionnaire, the HAI prevalence was estimated at 5.7% (95% confidence interval 4.5–7.4%). Of a total of 15 000 reported HAIs, the most frequently reported HAI types were respiratory tract infections (pneumonia 19.4% and lower respiratory tract 4.1%), surgical site infections (19.6%), urinary tract infections (19.0%), bloodstream infections (10.7%) and gastro-intestinal infections (7.7%), with Clostridium difficile infections accounting for 48% of the latter. Some 23% of HAIs (n=3503) were present on admission. One third of HAIs on admission were surgical site infections. The prevalence of HAIs varied from 4.8% (median HAI prevalence 3.9%, IQR 1.9–6.1%) in primary hospitals to 7.2% (median HAI prevalence 6.9% IQR 4.0–9.7%) in tertiary hospitals. HAI prevalence was highest in patients admitted to ICU, where 19.5% patients had at least one HAI compared with 5.2% on average for all other specialties combined.
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ISBN 978-92-9193-485-0
DOI 10.2900/86011
Katalognummer TQ-01-13-314-EN-C
Papir
ISSN ISBN 978-92-9193-485-0 DOI 10.2900/86011 Katalognummer TQ-01-13-314-EN-C
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