Burden of healthcare-associated infections in European acute care hospitals
- 14 Downloads
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 in 28 countries. After national validation, we estimated that 6.5% (cumulative 95% confidence interval (cCI): 5.4–7.8%) patients in acute care hospitals had at least one HAI (country-weighted prevalence). On any given day, 98,166 patients (95% cCI: 81,022–117,484) in acute care hospitals had an HAI; 3.8 million (95% cCI: 3.1–4.5 million) patients acquired an HAI each year. Our study confirmed a high annual number of HAI in healthcare facilities in the EU/EEA.
KeywordsHAI Point prevalence survey PPS Incidence Prevalence
The authors would like to thank all the participating hospitals and long-term care facilities in EU/EEA countries, and in particular the staff that collected, validated and entered the data during the PPS and the national teams that coordinated the PPS in each participating country and performed the validation studies.
Conflict of interest
T. Kärki, D. Plachouras, A. Cassini, and C. Suetens declare that they have no competing interests.
- 1.Suetens C, Latour K, Kärki T, Ricchizzi E, Kinross P, Moro ML, et al. 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. Euro Surveill. 2018; https://doi.org/10.2807/1560-7917.ES.2018.23.46.1800516.CrossRefPubMedPubMedCentralGoogle Scholar
- 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.CrossRefPubMedPubMedCentralGoogle Scholar
- 3.Cassini A, Colzani E, Pini A, Mangen MJ, Plass D, McDonald SA, et al. Impact of infectious diseases on population health using incidence-based disability-adjusted life years (DALYs): results from the Burden of Communicable Diseases in Europe study, European Union and European Economic Area countries, 2009 to 2013. Euro Surveill. 2018;23(16):17–00454–29692315. https://doi.org/10.2807/1560-7917.ES.2018.23.16.17-00454.CrossRefPubMedCentralGoogle Scholar
- 4.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. http://www.ecdc.europa.eu/en/publications/Publications/healthcare-associated-infections-antimicrobial-use-PPS.pdf.Google Scholar
- 7.Council of the European Union. Council Recommendation of 9 June 2009 on patient safety, including the prevention and control of healthcare associated infections. Official Journal of the European Union. 2009. C 151/1. 2009. http://eur-lex.europa.eu/LexUriServ/LexUriServ.do?uri=OJ:C:2009:151:0001:0006:EN:PDF. Zugegriffen: 30. November 2018Google Scholar
- 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.CrossRefPubMedGoogle Scholar
- 9.World Health Organization (WHO). Guidelines on core components of infection prevention and control programmes at the national and acute health care facility level. Geneva: WHO; 2016. http://www.who.int/gpsc/ipc-components-guidelines/en/.Google Scholar
- 10.World Health Organization (WHO). Global guidelines for the prevention of surgical site infection. Geneva: WHO; 2016. http://apps.who.int/iris/bitstream/handle/10665/250680/9789241549882-eng.pdf;jsessionid=D9392589CE8819145EC804EA139481F3?sequence=1.Google Scholar
- 12.European Centre for Disease Prevention and Control (ECDC). Systematic review and evidence-based guidance on perioperative antibiotic prophylaxis. Stockholm: ECDC; 2013. https://www.ecdc.europa.eu/sites/portal/files/media/en/publications/Publications/Perioperative%20antibiotic%20prophylaxis%20-%20June%202013.pdf.Google Scholar