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Healthcare-associated pneumonia in acute care hospitals in European Union/European Economic Area countries: an analysis of data from a point prevalence survey, 2011 to 2012

An aim of the ECDC point prevalence survey (PPS) in European Union/European Economic Area acute care hospitals was to acquire standardised healthcare-associated infections (HAI) data. We analysed one of the most common HAIs in the ECDC PPS, healthcare-associated pneumonia (HAP). Standardised HAI cas...

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Autores principales: Walter, Jan, Haller, Sebastian, Quinten, Chantal, Kärki, Tommi, Zacher, Benedikt, Eckmanns, Tim, Abu Sin, Muna, Plachouras, Diamantis, Kinross, Pete, Suetens, Carl
Formato: Online Artículo Texto
Lenguaje:English
Publicado: European Centre for Disease Prevention and Control (ECDC) 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6092912/
https://www.ncbi.nlm.nih.gov/pubmed/30107871
http://dx.doi.org/10.2807/1560-7917.ES.2018.23.32.1700843
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author Walter, Jan
Haller, Sebastian
Quinten, Chantal
Kärki, Tommi
Zacher, Benedikt
Eckmanns, Tim
Abu Sin, Muna
Plachouras, Diamantis
Kinross, Pete
Suetens, Carl
author_facet Walter, Jan
Haller, Sebastian
Quinten, Chantal
Kärki, Tommi
Zacher, Benedikt
Eckmanns, Tim
Abu Sin, Muna
Plachouras, Diamantis
Kinross, Pete
Suetens, Carl
author_sort Walter, Jan
collection PubMed
description An aim of the ECDC point prevalence survey (PPS) in European Union/European Economic Area acute care hospitals was to acquire standardised healthcare-associated infections (HAI) data. We analysed one of the most common HAIs in the ECDC PPS, healthcare-associated pneumonia (HAP). Standardised HAI case definitions were provided and countries were advised to recruit nationally representative subsets of hospitals. We calculated 95% confidence intervals (CIs) around prevalence estimates and adjusted for clustering at hospital level. Of 231,459 patients in the survey, 2,902 (1.3%; 95% CI: 1.2–1.3) fulfilled the case definition for a HAP. HAPs were most frequent in intensive care units (8.1%; 95% CI: 7.4–8.9) and among patients intubated on the day of the survey (15%; 95% CI: 14–17; n = 737 with HAP). The most frequently reported microorganism was Pseudomonas aeruginosa (17% of 1,403 isolates), followed by Staphylococcus aureus (12%) and Klebsiella spp. (12%). Antimicrobial resistance was common among isolated microorganisms. The most frequently prescribed antimicrobial group was penicillins, including combinations with beta-lactamase inhibitors. HAPs occur regularly among intubated and non-intubated patients, with marked differences between medical specialities. HAPs remain a priority for preventive interventions, including surveillance. Our data provide a reference for future prevalence of HAPs at various settings.
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spelling pubmed-60929122018-08-29 Healthcare-associated pneumonia in acute care hospitals in European Union/European Economic Area countries: an analysis of data from a point prevalence survey, 2011 to 2012 Walter, Jan Haller, Sebastian Quinten, Chantal Kärki, Tommi Zacher, Benedikt Eckmanns, Tim Abu Sin, Muna Plachouras, Diamantis Kinross, Pete Suetens, Carl Euro Surveill Surveillance and Outbreak Report An aim of the ECDC point prevalence survey (PPS) in European Union/European Economic Area acute care hospitals was to acquire standardised healthcare-associated infections (HAI) data. We analysed one of the most common HAIs in the ECDC PPS, healthcare-associated pneumonia (HAP). Standardised HAI case definitions were provided and countries were advised to recruit nationally representative subsets of hospitals. We calculated 95% confidence intervals (CIs) around prevalence estimates and adjusted for clustering at hospital level. Of 231,459 patients in the survey, 2,902 (1.3%; 95% CI: 1.2–1.3) fulfilled the case definition for a HAP. HAPs were most frequent in intensive care units (8.1%; 95% CI: 7.4–8.9) and among patients intubated on the day of the survey (15%; 95% CI: 14–17; n = 737 with HAP). The most frequently reported microorganism was Pseudomonas aeruginosa (17% of 1,403 isolates), followed by Staphylococcus aureus (12%) and Klebsiella spp. (12%). Antimicrobial resistance was common among isolated microorganisms. The most frequently prescribed antimicrobial group was penicillins, including combinations with beta-lactamase inhibitors. HAPs occur regularly among intubated and non-intubated patients, with marked differences between medical specialities. HAPs remain a priority for preventive interventions, including surveillance. Our data provide a reference for future prevalence of HAPs at various settings. European Centre for Disease Prevention and Control (ECDC) 2018-08-09 /pmc/articles/PMC6092912/ /pubmed/30107871 http://dx.doi.org/10.2807/1560-7917.ES.2018.23.32.1700843 Text en This article is copyright of The Authors, 2018. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution (CC BY 4.0) Licence. You may share and adapt the material, but must give appropriate credit to the source, provide a link to the licence, and indicate if changes were made.
spellingShingle Surveillance and Outbreak Report
Walter, Jan
Haller, Sebastian
Quinten, Chantal
Kärki, Tommi
Zacher, Benedikt
Eckmanns, Tim
Abu Sin, Muna
Plachouras, Diamantis
Kinross, Pete
Suetens, Carl
Healthcare-associated pneumonia in acute care hospitals in European Union/European Economic Area countries: an analysis of data from a point prevalence survey, 2011 to 2012
title Healthcare-associated pneumonia in acute care hospitals in European Union/European Economic Area countries: an analysis of data from a point prevalence survey, 2011 to 2012
title_full Healthcare-associated pneumonia in acute care hospitals in European Union/European Economic Area countries: an analysis of data from a point prevalence survey, 2011 to 2012
title_fullStr Healthcare-associated pneumonia in acute care hospitals in European Union/European Economic Area countries: an analysis of data from a point prevalence survey, 2011 to 2012
title_full_unstemmed Healthcare-associated pneumonia in acute care hospitals in European Union/European Economic Area countries: an analysis of data from a point prevalence survey, 2011 to 2012
title_short Healthcare-associated pneumonia in acute care hospitals in European Union/European Economic Area countries: an analysis of data from a point prevalence survey, 2011 to 2012
title_sort healthcare-associated pneumonia in acute care hospitals in european union/european economic area countries: an analysis of data from a point prevalence survey, 2011 to 2012
topic Surveillance and Outbreak Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6092912/
https://www.ncbi.nlm.nih.gov/pubmed/30107871
http://dx.doi.org/10.2807/1560-7917.ES.2018.23.32.1700843
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