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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
- Source :
- Eurosurveillance
- Publication Year :
- 2018
-
Abstract
- 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.
- Subjects :
- Point prevalence survey
Male
030501 epidemiology
Surveillance and Outbreak Report
point prevalence survey
antibiotic use
0302 clinical medicine
Anti-Infective Agents
Acute care
Klebsiella
Epidemiology
Medicine
030212 general & internal medicine
infection prevention and control
Child
media_common
Aged, 80 and over
Cross Infection
Middle Aged
Anti-Bacterial Agents
Europe
Intensive Care Units
healthcare-associated infections
Child, Preschool
Pseudomonas aeruginosa
surveillance
Female
epidemiology
0305 other medical science
Adult
medicine.medical_specialty
Staphylococcus aureus
Adolescent
Gram-Positive Bacteria
03 medical and health sciences
Young Adult
Antibiotic resistance
stomatognathic system
Virology
Intensive care
Gram-Negative Bacteria
media_common.cataloged_instance
Humans
pneumonia
ddc:610
European Union
antimicrobial resistance
European union
Aged
Inpatients
business.industry
Public Health, Environmental and Occupational Health
Healthcare-Associated Pneumonia
Infant, Newborn
Infant
Length of Stay
medicine.disease
Confidence interval
Pneumonia
Emergency medicine
610 Medizin und Gesundheit
business
Subjects
Details
- ISSN :
- 15607917
- Volume :
- 23
- Issue :
- 32
- Database :
- OpenAIRE
- Journal :
- Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin
- Accession number :
- edsair.doi.dedup.....56660249fd4aeb323630b113c6833671