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Abstract

Point prevalence surveys of healthcare-associated infections (HAI) and antimicrobial use in the European Union and European Economic Area (EU/EEA) from 2016 to 2017 included 310,755 patients from 1,209 acute care hospitals (ACH) in 28 countries and 117,138 residents from 2,221 long-term care facilities (LTCF) in 23 countries. After national validation, we estimated that 6.5% (cumulative 95% confidence interval (cCI): 5.4–7.8%) patients in ACH and 3.9% (95% cCI: 2.4–6.0%) residents in LTCF had at least one HAI (country-weighted prevalence). On any given day, 98,166 patients (95% cCI: 81,022–117,484) in ACH and 129,940 (95% cCI: 79,570–197,625) residents in LTCF had an HAI. HAI episodes per year were estimated at 8.9 million (95% cCI: 4.6–15.6 million), including 4.5 million (95% cCI: 2.6–7.6 million) in ACH and 4.4 million (95% cCI: 2.0–8.0 million) in LTCF; 3.8 million (95% cCI: 3.1–4.5 million) patients acquired an HAI each year in ACH. Antimicrobial resistance (AMR) to selected AMR markers was 31.6% in ACH and 28.0% in LTCF. Our study confirmed a high annual number of HAI in healthcare facilities in the EU/EEA and indicated that AMR in HAI in LTCF may have reached the same level as in ACH.

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2018-11-15
2024-12-21
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Prevalence of healthcare-associated infections, estimated incidence and composite antimicrobial resistance index in acute care hospitals and long-term care facilities: results from two European point prevalence surveys, 2016 to 2017
<p class="citation"> <span>Citation style for this article:</span> <span class="meta-value authors"> <a href="/search?value1=Carl+Suetens&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Suetens Carl</a>, <a href="/search?value1=Katrien+Latour&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Latour Katrien</a>, <a href="/search?value1=Tommi+K%C3%A4rki&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Kärki Tommi</a>, <a href="/search?value1=Enrico+Ricchizzi&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Ricchizzi Enrico</a>, <a href="/search?value1=Pete+Kinross&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Kinross Pete</a>, <a href="/search?value1=Maria+Luisa+Moro&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Moro Maria Luisa</a>, <a href="/search?value1=B%C3%A9atrice+Jans&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Jans Béatrice</a>, <a href="/search?value1=Susan+Hopkins&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Hopkins Susan</a>, <a href="/search?value1=Sonja+Hansen&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Hansen Sonja</a>, <a href="/search?value1=Outi+Lyytik%C3%A4inen&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Lyytikäinen Outi</a>, <a href="/search?value1=Jacqui+Reilly&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Reilly Jacqui</a>, <a href="/search?value1=Aleksander+Deptula&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Deptula Aleksander</a>, <a href="/search?value1=Walter+Zingg&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Zingg Walter</a>, <a href="/search?value1=Diamantis+Plachouras&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Plachouras Diamantis</a>, <a href="/search?value1=Dominique+L+Monnet&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Monnet Dominique L</a>, <a href="/search?value1=the+Healthcare-Associated+Infections+Prevalence+Study+Group&option1=author&noRedirect=true" class="nonDisambigAuthorLink">the Healthcare-Associated Infections Prevalence Study Group</a></span>. Prevalence of healthcare-associated infections, estimated incidence and composite antimicrobial resistance index in acute care hospitals and long-term care facilities: results from two European point prevalence surveys, 2016 to 2017. <a href="/content/ecdc">Euro Surveill.</a> 2018;23(46):pii=1800516. <a href="https://doi.org/10.2807/1560-7917.ES.2018.23.46.1800516" title="doi link" target="_blank">https://doi.org/10.2807/1560-7917.ES.2018.23.46.1800516</a> <span class="ES_Article_citation"> <span class="generated">Received</span>: 20 Sept 2018;&nbsp;&nbsp; <span class="generated">Accepted</span>: 07 Nov 2018 </span> </p>
/content/10.2807/1560-7917.ES.2018.23.46.1800516
/content/10.2807/1560-7917.ES.2018.23.46.1800516
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    • Supplements I–III. Prevalence of healthcare-associated infections, estimated incidence, and composite antimicrobial resistance index in acute care hospitals and long-term care facilities: results from two European point prevalence surveys, 2016–2017

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