A Point Prevalence Survey of Healthcare-Associated Infections and Antimicrobial Use in Public Acute Care Hospitals in Crete, Greece

被引：9

作者：

Ioannou, Petros ^{[1
]}

Astrinaki, Eirini ^{[2
]}

Vitsaxaki, Efsevia ^{[2
]}

Bolikas, Emmanouil ^{[3
]}

Christofaki, Despoina ^{[4
]}

Salvaraki, Apostolia ^{[5
]}

Lagoudaki, Eirini ^{[6
]}

Ioannidou, Eleni ^{[5
]}

Karakonstantis, Stamatis ^{[1
]}

Saplamidou, Stamatina ^{[2
]}

Cleovoulou, Christos ^{[6
]}

Stamataki, Eleni ^{[6
]}

Ilia, Stavroula ^{[7
,8
]}

Messaritaki, Argyri ^{[9
]}

Avdi, Michaela ^{[10
]}

Chalkiadaki, Anthoula ^{[4
]}

Papathanasaki, Styliani ^{[11
]}

Markopoulou, Chrisanthi ^{[12
]}

Magouli, Evagelia ^{[13
]}

Moustaki, Maria ^{[11
]}

Kataxaki, Vasileia-Athina ^{[11
]}

Skevakis, Panagiotis ^{[14
]}

Spernovasilis, Nikolaos ^{[8
,15
]}

Chamilos, Georgios ^{[16
]}

Kofteridis, Diamantis P. ^{[1
]}

机构：

[1] Univ Hosp Heraklion, Dept Internal Med, Iraklion 71500, Greece

[2] Univ Hosp Heraklion, Infect Control Comm, Iraklion 71500, Greece

[3] Venizeleio Pananeio Gen Hosp Heraklion, Infect Control Comm, Iraklion 71409, Greece

[4] Gen Hosp Hlth Ctr Neapoli Dialinakio, Gen Hosp Lasithi, Infect Control Comm, Organ Unit Agios Nikolaos, Agios Nikolaos 72100, Greece

[5] Gen Hosp Rethymno, Infect Control Comm, Rethimnon 74132, Greece

[6] Gen Hosp Chania St George, Infect Control Comm, Khania 73300, Greece

[7] Univ Hosp Heraklion, Pediat Intens Care Unit, Iraklion 71500, Greece

[8] Univ Crete, Sch Med, Iraklion 71500, Greece

[9] Univ Hosp Heraklion, Off Nursing Serv, Iraklion 71500, Greece

[10] Gen Hosp Rethymno, Internal Med, Rethimnon 74132, Greece

[11] Gen Hosp Hlth Ctr Neapoli Dialinakio, Gen Hosp Lasithi, Infect Control Comm, Decentralized Organ Unit Sitia, Sitia 72300, Greece

[12] Gen Hosp Hlth Ctr Neapoli Dialinakio, Gen Hosp Lasithi, Infect Control Comm, Decentralized Organ Unit Ierapetra, Ierapetra 72200, Greece

[13] Gen Hosp Hlth Care Ctr Neapoli Dialinakeio, Infect Control Comm, Neapoli 72400, Greece

[14] Collaborat Ctr Clin Epidemiol & Outcomes Res CLEO, Athens 15451, Greece

[15] German Oncol Ctr, CY-4108 Limassol, Cyprus

[16] Univ Hosp Heraklion, Dept Clin Microbiol, Iraklion 71500, Greece

来源：

ANTIBIOTICS-BASEL | 2022年 / 11卷 / 09期

关键词：

infection control; point prevalence survey; antimicrobial stewardship; COVID-19; hospital acquired infection; antimicrobial resistance; LONG-TERM; CONTROL PROGRAMS; PREVENTION; IMPACT; REQUIREMENTS; SURVEILLANCE; CONSUMPTION; RESISTANCE; COVID-19; NETWORK;

D O I：

10.3390/antibiotics11091258

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

Background: Both healthcare-associated infections (HAIs) and antimicrobial resistance are associated with an increased length of stay and hospital costs, while they have also been linked to high morbidity and mortality rates. In 2016 and 2017, the latest point prevalence survey (PPS) of HAIs and antimicrobial use in European acute care hospitals highlighted an HAI prevalence of 6.5%, while Greece had a higher HAI prevalence of 10%. The aim of this PPS was to record the prevalence of HAIs and antimicrobial use in all eight public acute care hospitals in Crete, Greece during the COVID-19 pandemic in order to highlight the types of infections and antimicrobial practices that need to be prioritized for infection control initiatives. Methods: The PPS was conducted between 30 March and 15 April 2022, according to the ECDC standardized relevant protocol (version 5.3). Statistics were extracted using the ECDC Helics.Win.Net application (software version 4.1.0). Results: A total of 1188 patients were included. The overall point prevalence of patients with at least one HAI was 10.6%. The most frequent types of infections were pneumonia (34.3%), bloodstream infections (10.5%), systemic infections and urinary tract infections (10.5% and 9.1%, respectively). In 14 (12.4%) cases, the pathogen responsible for HAI was SARS-CoV-2 following onsite spread, accounting for almost 10% of all HAIs. Microorganisms were identified in 60.1% of HAIs. Antimicrobials were administered in 711 (59.8%) patients, with 1.59 antimicrobials used per patient. Conclusion: The prevalence of HAI and antimicrobial use among hospitalized patients in Crete, Greece was similar to the national HAI prevalence in 2016 despite the enormous pressure on public hospitals due to the COVID-19 pandemic. Nevertheless, both HAI prevalence and antimicrobial use remain high, underlining the need to implement adequate infection control and antimicrobial stewardship interventions.

引用

页数：11

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