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

• Type: Article in International Scientific Journal
• Date: 2018

Authors

Walter, J (Author) Other; Haller, S (Author) Other; Quinten, C (Author) Other; Kärki, T (Author) Other; Zacher, B (Author) Other; Eckmanns, T (Author) Other; Abu Sin, M (Author) Other; Plachouras, D (Author) Other; Kinross, P (Author) Other; Suetens, C (Author) Other; Strauss, R (Author) Other; Mertens, K (Author) Other; Dobreva, E (Author) Other; Budimir, A (Author) Other; Hadjiloucas, A (Author) Other; Prattingerová, J (Author) Other; Kristensen, B (Author) Other; Monnet, DL (Author) Other; Märtin, P (Author) Other; Lyytikäinen, O (Author) Other; Giard, M (Author) Other; Piening, B (Author) Other; Kritsotakis, EI (Author) Other; Kurcz, A (Author) Other; Gudlaugsson, Ó (Author) Other; Burns, K (Author) Other; Moro, ML (Author) Other; Dumpis, U (Author) Other; A¨embergien¿, J (Author) Other; Heisbourg, E (Author) Other; Xuereb, D (Author) Other; Hopmans, T (Author) Other; Sorknes, NK (Author) Other; Deptu¿a, A (Author) Other; Paiva, J-A (Author) FMUP; Serban, R (Author) Other; Litvová, S (Author) Other; Kolman, J (Author) Other; Lozano, J (Author) Other; Struwe, J (Author) Other; Hopkins, S (Author) Other; Doherty, L (Author) Other; Reilly, JS (Author) Other; Harrison, W (Author) Other

Journal

Title: Eurosurveillance

Vol. 23

ISSN: 1560-7917

Publisher: European Centre for Disease Prevention and Control (ECDC)

Indexing

Scopus - 27 Citations

Other information

Authenticus ID: P-00P-HTC

DOI: 10.2807/1560-7917.es.2018.23.32.1700843

Abstract (EN): 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.

Language: English

Type (Professor's evaluation): Scientific