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Implementation of a centralized, web-based surveillance for healthcare associated infections among residents of long-term care facilities in Italy
OBJECTIVE: The Italian National Action Plan to contrast AMR identified among its objectives the development and implementation of a national Healthcare-Associated Infection (HAI) surveillance system based on European Centre for Disease Prevention and Control (ECDC) indications, through point prevale...
Autores principales: | , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10472289/ https://www.ncbi.nlm.nih.gov/pubmed/37661965 http://dx.doi.org/10.1016/j.puhip.2023.100421 |
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author | Vicentini, Costanza Russotto, Antonino Bazzolo, Stefano Rolfini, Edoardo Blengini, Valentina Gamba, Dario Agodi, Antonella Barchitta, Martina Bellio, Stefania Fabbri, Elisa Forni, Silvia Ricchizzi, Enrico Ripabelli, Giancarlo Sticchi, Camilla D’Ancona, Fortunato “Paolo” Zotti, Carla Maria |
author_facet | Vicentini, Costanza Russotto, Antonino Bazzolo, Stefano Rolfini, Edoardo Blengini, Valentina Gamba, Dario Agodi, Antonella Barchitta, Martina Bellio, Stefania Fabbri, Elisa Forni, Silvia Ricchizzi, Enrico Ripabelli, Giancarlo Sticchi, Camilla D’Ancona, Fortunato “Paolo” Zotti, Carla Maria |
author_sort | Vicentini, Costanza |
collection | PubMed |
description | OBJECTIVE: The Italian National Action Plan to contrast AMR identified among its objectives the development and implementation of a national Healthcare-Associated Infection (HAI) surveillance system based on European Centre for Disease Prevention and Control (ECDC) indications, through point prevalence surveys (PPS) of HAIs and antibiotic use in acute-care hospitals and long-term care facilities (LTCFs). We aimed to assess feasibility and appropriateness of proposed tools for a national surveillance system of HAIs and antibiotic use in LTCFs. STUDY DESIGN: Point prevalence survey. METHODS: A pilot PPS was conducted between May–June 2022, among 15 LTCFs of 7 Italian regions. Data were collected in a single day in each LTCF, at the LTCF, ward, and resident levels, using a web-based data collection tool developed ad hoc. Data collector teams of each facility were invited to complete a questionnaire investigating opinions on the proposed tools. RESULTS: Among 1025 included residents, the prevalence of residents with at least one HAI was 2.5% (95% CI 1.7%-3.7%) considering all HAIs and 2.2% (95% CI 1.3%–3%) without considering SARS-CoV-2 infections. The prevalence of antimicrobial use was 3% (95% CI 0.2%–4.3%). Overall, most respondents were satisfied with the web-based software, training and protocol, even though some difficulties were reported. CONCLUSIONS: A national surveillance network was established, which will facilitate future surveillance efforts. Further studies are necessary to evaluate the impact of the pandemic on HAI transmission and antibiotic use in LTCFs. |
format | Online Article Text |
id | pubmed-10472289 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-104722892023-09-02 Implementation of a centralized, web-based surveillance for healthcare associated infections among residents of long-term care facilities in Italy Vicentini, Costanza Russotto, Antonino Bazzolo, Stefano Rolfini, Edoardo Blengini, Valentina Gamba, Dario Agodi, Antonella Barchitta, Martina Bellio, Stefania Fabbri, Elisa Forni, Silvia Ricchizzi, Enrico Ripabelli, Giancarlo Sticchi, Camilla D’Ancona, Fortunato “Paolo” Zotti, Carla Maria Public Health Pract (Oxf) Original Research OBJECTIVE: The Italian National Action Plan to contrast AMR identified among its objectives the development and implementation of a national Healthcare-Associated Infection (HAI) surveillance system based on European Centre for Disease Prevention and Control (ECDC) indications, through point prevalence surveys (PPS) of HAIs and antibiotic use in acute-care hospitals and long-term care facilities (LTCFs). We aimed to assess feasibility and appropriateness of proposed tools for a national surveillance system of HAIs and antibiotic use in LTCFs. STUDY DESIGN: Point prevalence survey. METHODS: A pilot PPS was conducted between May–June 2022, among 15 LTCFs of 7 Italian regions. Data were collected in a single day in each LTCF, at the LTCF, ward, and resident levels, using a web-based data collection tool developed ad hoc. Data collector teams of each facility were invited to complete a questionnaire investigating opinions on the proposed tools. RESULTS: Among 1025 included residents, the prevalence of residents with at least one HAI was 2.5% (95% CI 1.7%-3.7%) considering all HAIs and 2.2% (95% CI 1.3%–3%) without considering SARS-CoV-2 infections. The prevalence of antimicrobial use was 3% (95% CI 0.2%–4.3%). Overall, most respondents were satisfied with the web-based software, training and protocol, even though some difficulties were reported. CONCLUSIONS: A national surveillance network was established, which will facilitate future surveillance efforts. Further studies are necessary to evaluate the impact of the pandemic on HAI transmission and antibiotic use in LTCFs. Elsevier 2023-08-23 /pmc/articles/PMC10472289/ /pubmed/37661965 http://dx.doi.org/10.1016/j.puhip.2023.100421 Text en © 2023 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original Research Vicentini, Costanza Russotto, Antonino Bazzolo, Stefano Rolfini, Edoardo Blengini, Valentina Gamba, Dario Agodi, Antonella Barchitta, Martina Bellio, Stefania Fabbri, Elisa Forni, Silvia Ricchizzi, Enrico Ripabelli, Giancarlo Sticchi, Camilla D’Ancona, Fortunato “Paolo” Zotti, Carla Maria Implementation of a centralized, web-based surveillance for healthcare associated infections among residents of long-term care facilities in Italy |
title | Implementation of a centralized, web-based surveillance for healthcare associated infections among residents of long-term care facilities in Italy |
title_full | Implementation of a centralized, web-based surveillance for healthcare associated infections among residents of long-term care facilities in Italy |
title_fullStr | Implementation of a centralized, web-based surveillance for healthcare associated infections among residents of long-term care facilities in Italy |
title_full_unstemmed | Implementation of a centralized, web-based surveillance for healthcare associated infections among residents of long-term care facilities in Italy |
title_short | Implementation of a centralized, web-based surveillance for healthcare associated infections among residents of long-term care facilities in Italy |
title_sort | implementation of a centralized, web-based surveillance for healthcare associated infections among residents of long-term care facilities in italy |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10472289/ https://www.ncbi.nlm.nih.gov/pubmed/37661965 http://dx.doi.org/10.1016/j.puhip.2023.100421 |
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