1887
Research article Open Access
Like 0

Abstract

Introduction

Hospitals from 24 European countries were asked for information on infection prevention and control (IPC) indicators as part of the Prevention of Hospital Infections by Intervention and Training (PROHIBIT) survey. Leading IPC personnel of 297 hospitals with established healthcare-associated infection (HCAI) surveillance provided information on local surveillance and feedback by using a questionnaire. Most hospitals focused on bloodstream infection (BSI) (n = 251) and surgical site infection (SSI) (n = 254), with a SSI post-discharge surveillance in 148 hospitals. As part of the HCAI surveillance, meticillin-resistant (MRSA) was the leading multidrug-resistant organism (MDRO) under surveillance. Seventy-nine per cent of hospitals (n = 236) monitored alcohol-based hand rub (ABHR) consumption. Feedback to the local IPC committees mainly included outcome data on HCAI (n = 259; 87%) and MDRO among HCAI (n = 245; 83%); whereupon a feedback of MDRO data depended on hospital size (p = 0.012). Objectives and methods of surveillance vary across Europe, with BSI, SSI and MRSA receiving considerably more attention than indicators such as pneumonia and urinary tract infection, which may be equally important. In order to maximise prevention and control of HCAI and MDRO in Europe, surveillance should be further improved by targeting relevant HCAI. The role of feedback should be explored in more detail.

Loading

Article metrics loading...

/content/10.2807/1560-7917.ES.2018.23.21.1700513
2018-05-24
2018-12-13
http://instance.metastore.ingenta.com/content/10.2807/1560-7917.ES.2018.23.21.1700513
Loading
Loading full text...

Full text loading...

/deliver/fulltext/eurosurveillance/23/21/eurosurv-23-21-5.html?itemId=/content/10.2807/1560-7917.ES.2018.23.21.1700513&mimeType=html&fmt=ahah

References

  1. European Centre for Disease Prevention and Control (ECDC). Point prevalence survey of healthcare-associated infections and antimicrobial use in European acute care hospitals. 2011-2012. Stockholm: ECDC; 2013. [Accessed 24Jul 2017]. Available from: http://www.ecdc.europa.eu/en/publications/Publications/healthcare-associated-infections-antimicrobial-use-PPS.pdf
  2. Cassini A, Plachouras D, Eckmanns T, Abu Sin M, Blank HP, Ducomble T, et al. Burden of Six Healthcare-Associated Infections on European Population Health: Estimating Incidence-Based Disability-Adjusted Life Years through a Population Prevalence-Based Modelling Study. PLoS Med. 2016;13(10):e1002150.  https://doi.org/10.1371/journal.pmed.1002150  PMID: 27755545 
  3. Langmuir AD. The surveillance of communicable diseases of national importance. N Engl J Med. 1963;268(4):182-92.  https://doi.org/10.1056/NEJM196301242680405  PMID: 13928666 
  4. Haley RW, Culver DH, White JW, Morgan WM, Emori TG, Munn VP, et al. The efficacy of infection surveillance and control programs in preventing nosocomial infections in US hospitals. Am J Epidemiol. 1985;121(2):182-205.  https://doi.org/10.1093/oxfordjournals.aje.a113990  PMID: 4014115 
  5. Gastmeier P, Schwab F, Sohr D, Behnke M, Geffers C. Reproducibility of the surveillance effect to decrease nosocomial infection rates. Infect Control Hosp Epidemiol. 2009;30(10):993-9.  https://doi.org/10.1086/605720  PMID: 19719414 
  6. Gaynes R, Richards C, Edwards J, Emori TG, Horan T, Alonso-Echanove J, et al. Feeding back surveillance data to prevent hospital-acquired infections. Emerg Infect Dis. 2001;7(2):295-8.  https://doi.org/10.3201/eid0702.010230  PMID: 11294727 
  7. Gastmeier P, Sohr D, Schwab F, Behnke M, Zuschneid I, Brandt C, et al. Ten years of KISS: the most important requirements for success. J Hosp Infect. 2008;70(Suppl 1):11-6.  https://doi.org/10.1016/S0195-6701(08)60005-5  PMID: 18994676 
  8. Zingg W, Holmes A, Dettenkofer M, Goetting T, Secci F, Clack L, et al. systematic review and evidence-based guidance on organization of hospital infection control programmes (SIGHT) study group. Hospital organisation, management, and structure for prevention of health-care-associated infection: a systematic review and expert consensus. Lancet Infect Dis. 2015;15(2):212-24.  https://doi.org/10.1016/S1473-3099(14)70854-0  PMID: 25467650 
  9. Gastmeier P. European perspective on surveillance. J Hosp Infect. 2007;65(Suppl 2):159-64.  https://doi.org/10.1016/S0195-6701(07)60036-X  PMID: 17540263 
  10. European Centre for Disease Prevention and Control (ECDC). Healthcare-associated Infections Surveillance Network (HAI-Net). Stockholm: ECDC. [Accessed 24 Jul 2017]. Available from: https://ecdc.europa.eu/en/about-us/partnerships-and-networks/disease-and-laboratory-networks/hai-net
  11. Carlet J, Astagneau P, Brun-Buisson C, Coignard B, Salomon V, Tran B, et al. French National Program for Prevention of Healthcare-Associated Infections and Antimicrobial Resistance. French national program for prevention of healthcare-associated infections and antimicrobial resistance, 1992-2008: positive trends, but perseverance needed. Infect Control Hosp Epidemiol. 2009;30(8):737-45.  https://doi.org/10.1086/598682  PMID: 19566444 
  12. Behnke M, Gastmeier P, Geffers C, Mönch N, Reichardt C. Establishment of a national surveillance system for alcohol-based hand rub consumption and change in consumption over 4 years. Infect Control Hosp Epidemiol. 2012;33(6):618-20.  https://doi.org/10.1086/665729  PMID: 22561718 
  13. Wetzker W, Bunte-Schönberger K, Walter J, Pilarski G, Gastmeier P, Reichardt Ch. Compliance with hand hygiene: reference data from the national hand hygiene campaign in Germany. J Hosp Infect. 2016;92(4):328-31.  https://doi.org/10.1016/j.jhin.2016.01.022  PMID: 26984282 
  14. Hansen S, Zingg W, Ahmad R, Kyratsis Y, Behnke M, Schwab F, et al. PROHIBIT study group. Organization of infection control in European hospitals. J Hosp Infect. 2015;91(4):338-45.  https://doi.org/10.1016/j.jhin.2015.07.011  PMID: 26542950 
  15. United Nations. Composition of macro geographic (continental) regions, geographical sub-regions, and selected economic and other groupings. New York: United Nations Statistics Division; 31 Oct 2013. [Accessed 24 Jul 2017]. Available from: http://unstats.un.org/unsd/methods/m49/m49regin.htm
  16. Organisation for Economic Co-operation and Development (OECD). Health at a glance: Europe 2012. Health expenditure in relation to GDP. Paris: OECD Publishing; 2012.
  17. Pronovost P, Needham D, Berenholtz S, Sinopoli D, Chu H, Cosgrove S, et al. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med. 2006;355(26):2725-32.  https://doi.org/10.1056/NEJMoa061115  PMID: 17192537 
  18. Geubbels EL, Bakker HG, Houtman P, van Noort-Klaassen MA, Pelk MS, Sassen TM, et al. Promoting quality through surveillance of surgical site infections: five prevention success stories. Am J Infect Control. 2004;32(7):424-30.  https://doi.org/10.1016/j.ajic.2004.07.001  PMID: 15525920 
  19. Dellinger EP, Hausmann SM, Bratzler DW, Johnson RM, Daniel DM, Bunt KM, et al. Hospitals collaborate to decrease surgical site infections. Am J Surg. 2005;190(1):9-15.  https://doi.org/10.1016/j.amjsurg.2004.12.001  PMID: 15972163 
  20. Woelber E, Schrick EJ, Gessner BD, Evans HL. Proportion of Surgical Site Infections Occurring after Hospital Discharge: A Systematic Review. Surg Infect (Larchmt). 2016;17(5):510-9.  https://doi.org/10.1089/sur.2015.241  PMID: 27463235 
  21. European Centre for Disease Prevention and Control (ECDC). Surveillance of surgical site infections in Europe 2010-2011. Stockholm: ECDC; 2013. [Accessed 24 Jul 2017]. Available from: https://ecdc.europa.eu/en/publications-data/surveillance-surgical-site-infections-europe-2010-2011
  22. Vanhems P, Baratin D, Voirin N, Savey A, Caillat-Vallet E, Metzger MH, et al. Reduction of urinary tract infections acquired in an intensive care unit during a 10-year surveillance program. Eur J Epidemiol. 2008;23(9):641-5.  https://doi.org/10.1007/s10654-008-9270-2  PMID: 18618273 
  23. Zuschneid I, Schwab F, Gastmeier P, Geffers C, Behnke M, Rüden H. Trends in ventilator-associated pneumonia rates within the German nosocomial infection surveillance system (KISS). Infect Control Hosp Epidemiol. 2007;28(3):314-8.  https://doi.org/10.1086/507823  PMID: 17326022 
  24. Vonberg RP, Kuijper EJ, Wilcox MH, Barbut F, Tüll P, Gastmeier P, et al. European C difficile-Infection Control GroupEuropean Centre for Disease Prevention and Control (ECDC). Infection control measures to limit the spread of Clostridium difficile. Clin Microbiol Infect. 2008;14(Suppl 5):2-20.  https://doi.org/10.1111/j.1469-0691.2008.01992.x  PMID: 18412710 
  25. Kola A, Wiuff C, Akerlund T, van Benthem BH, Coignard B, Lyytikäinen O, et al. members of ECDIS-Net. Survey of Clostridium difficile infection surveillance systems in Europe, 2011. Euro Surveill. 2016;21(29):30291.  https://doi.org/10.2807/1560-7917.ES.2016.21.29.30291  PMID: 27469420 
  26. van Dorp SM, Kinross P, Gastmeier P, Behnke M, Kola A, Delmée M, et al. European Clostridium difficile Infection Surveillance Network (ECDIS-Net) on behalf of all participants. Standardised surveillance of Clostridium difficile infection in European acute care hospitals: a pilot study, 2013. Euro Surveill. 2016;21(29):30293.  https://doi.org/10.2807/1560-7917.ES.2016.21.29.30293  PMID: 27472820 
  27. Lee TB, Montgomery OG, Marx J, Olmsted RN, Scheckler WEAssociation for Professionals in Infection Control and Epidemiology. Recommended practices for surveillance: Association for Professionals in Infection Control and Epidemiology (APIC), Inc. Am J Infect Control. 2007;35(7):427-40.  https://doi.org/10.1016/j.ajic.2007.07.002  PMID: 17765554 
  28. Behnke M, Clausmeyer JO, Reichardt C, Gastmeier P. Alcohol-based hand rub consumption surveillance in German hospitals—latest results. Antimicrob Resist Infect Control. 2015;4(Suppl 1):P293.  https://doi.org/10.1186/2047-2994-4-S1-P293 
  29. Edwards R, Sevdalis N, Vincent C, Holmes A. Communication strategies in acute health care: evaluation within the context of infection prevention and control. J Hosp Infect. 2012;82(1):25-9.  https://doi.org/10.1016/j.jhin.2012.05.016  PMID: 22809856 
  30. Brannigan ET, Murray E, Holmes A. Where does infection control fit into a hospital management structure? J Hosp Infect. 2009;73(4):392-6.  https://doi.org/10.1016/j.jhin.2009.03.031  PMID: 19699008 
/content/10.2807/1560-7917.ES.2018.23.21.1700513
Loading

Data & Media loading...

Comment has been disabled for this content
Submit comment
Close
Comment moderation successfully completed
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error