Intensive Care Medicine

, Volume 35, Issue 1, pp 91–100 | Cite as

Surveillance of microbial resistance in European Intensive Care Units: a first report from the Care-ICU programme for improved infection control

  • Håkan Hanberger
  • Dilek Arman
  • Hans Gill
  • Vlastimil Jindrák
  • Smilja Kalenic
  • Andrea Kurcz
  • Monica Licker
  • Paul Naaber
  • Elizabeth A. Scicluna
  • Václav Vanis
  • Sten M. Walther
Original

Abstract

Purpose

To report initial results from a European ICU surveillance programme focussing on antibiotic consumption, microbial resistance and infection control.

Methods

Thirty-five ICUs participated during 2005. Microbial resistance, antibiotic consumption and infection control stewardship measures were entered locally into a web-application. Results were validated locally, aggregated by project leaders and fed back to support local audit and benchmarking.

Results

Median (range) antibiotic consumption was 1,254 (range 348–4,992) DDD per 1,000 occupied bed days. The proportion of MRSA was median 11.6% (range 0–100), for ESBL phenotype of E. coli and K. pneumoniae 3.9% (0–80) and 14.3% (0–77.8) respectively, and for carbapenem-resistant P. aeruginosa 22.5% (0–100). Screening on admission for alert pathogens was commonly omitted, and there was a lack of single rooms for isolation.

Conclusions

The surveillance programme demonstrated wide variation in antibiotic consumption, microbial resistance and infection control measures. The programme may, by providing rapid access to aggregated results, promote local and regional audit and benchmarking of antibiotic use and infection control practices.

Keywords

Intensive care Antibiotic consumption Microbial resistance Infection control 

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Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  • Håkan Hanberger
    • 1
    • 13
  • Dilek Arman
    • 2
  • Hans Gill
    • 3
  • Vlastimil Jindrák
    • 4
  • Smilja Kalenic
    • 5
  • Andrea Kurcz
    • 6
  • Monica Licker
    • 7
  • Paul Naaber
    • 8
  • Elizabeth A. Scicluna
    • 9
  • Václav Vanis
    • 4
  • Sten M. Walther
    • 10
    • 11
    • 12
  1. 1.Swedish Institute for Infectious Disease ControlSolnaSweden
  2. 2.Department of Clinical Microbiology and Infectious DiseasesGazi University School of MedicineAnkaraTurkey
  3. 3.Medical Informatics, Department of Biomedical EngineeringLinköpings UniversitetLinköpingSweden
  4. 4.Department of Clinical Microbiology Antibiotic CentreNa Homolce HospitalPrahaCzech Republic
  5. 5.Reference Centre for Hospital Infections, Clinical Hospital CentreZagrebCroatia
  6. 6.National Centre for EpidemiologiaBudapestHungary
  7. 7.Department of Microbiology“Victor Babes” University of Medicine and PharmacyTimisoaraRomania
  8. 8.Department of Clinical Microbiology, United LaboratoriesTartu University ClinicsTartuEstonia
  9. 9.Infection Control UnitMater Dei HospitalMsidaMalta 
  10. 10.Department of Cardiovascular Anaesthesia and Intensive Care Linköping University HospitalLinköpingSweden
  11. 11.Division of Cardiovascular Medicine, Department of Medical and Health Sciences, Faculty of Health Sciences Linköpings UniversitetLinköpingSweden
  12. 12.Depatment of Anaesthesia, Faculty Division Ullevaal University Hospital, Faculty of MedicineUniversity of OsloOsloNorway
  13. 13.Division of Infectious Diseases, Institution of Clinical and Experimental Medicine, Faculty of Health SciencesLinköpings UniversitetLinköpingSweden

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