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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 (17% of 1,403 isolates), followed by us (12%) and 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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/content/10.2807/1560-7917.ES.2018.23.32.1700843
2018-08-09
2024-11-21
http://instance.metastore.ingenta.com/content/10.2807/1560-7917.ES.2018.23.32.1700843
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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
<p class="citation"> <span>Citation style for this article:</span> <span class="meta-value authors"> <a href="/search?value1=Jan+Walter&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Walter Jan</a>, <a href="/search?value1=Sebastian+Haller&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Haller Sebastian</a>, <a href="/search?value1=Chantal+Quinten&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Quinten Chantal</a>, <a href="/search?value1=Tommi+K%C3%A4rki&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Kärki Tommi</a>, <a href="/search?value1=Benedikt+Zacher&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Zacher Benedikt</a>, <a href="/search?value1=Tim+Eckmanns&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Eckmanns Tim</a>, <a href="/search?value1=Muna+Abu+Sin&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Abu Sin Muna</a>, <a href="/search?value1=Diamantis+Plachouras&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Plachouras Diamantis</a>, <a href="/search?value1=Pete+Kinross&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Kinross Pete</a>, <a href="/search?value1=Carl+Suetens&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Suetens Carl</a>, <a href="/search?value1=ECDC+PPS+study+group&option1=author&noRedirect=true" class="nonDisambigAuthorLink">ECDC PPS study group</a></span>. 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. <a href="/content/ecdc">Euro Surveill.</a> 2018;23(32):pii=1700843. <a href="https://doi.org/10.2807/1560-7917.ES.2018.23.32.1700843" title="doi link" target="_blank">https://doi.org/10.2807/1560-7917.ES.2018.23.32.1700843</a> <span class="ES_Article_citation"> <span class="generated">Received</span>: 20 Dec 2017;&nbsp;&nbsp; <span class="generated">Accepted</span>: 02 Jul 2018 </span> </p>
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