학술논문
Point prevalence survey of antimicrobial use and healthcare-associated infections in Belgian acute care hospitals: results of the Global-PPS and ECDC-PPS 2017
Document Type
Academic Journal
Author
Vandael, Eline; Latour, Katrien; Goossens, Herman; Magerman, Koen; Drapier, Nico; Catry, Boudewijn; Versporten, Ann; Andre, Marie; Aouachria, Samy; Aoun, Mickael; Bafort, Kristof; Bartholomeus, Sofie; Blumental, Sophie; Bothy, Anaïs; Brands, Christiane; Brassinne, Laetitia; Briquet, Caroline; Cartuyvels, Reinoud; Ceyssens, Clara; Cooreman, Sarah; Decleire, Pierre-Yves; Declercq, Philippe; De Cooman, Liesbeth; De Cuyper, Inge; Degraeve, Dirk; Delaere, Bénédicte; Delvallée, Mélanie; Desmedt, Marjoleine; Diaz, Victoria; Dragos, Ilisei; Dugernier, Thierry; Elsen, Elodie; Filippin, Lorenzo; Firre, Eric; Frans, Johan; Gabriëls, Patrick; Gadisseux, Philippe; Gerard, Michele; Glibert, Bart; Goegebuer, Truus; Gonissen, Viviane; Harrouk, Antoine; Holemans, Xavier; Honore, Aline; Ide, Louis; Jansens, Hilde; Kidd, François; Koch, Annelies; Konopnicki, Deborah; Lefèvre, Philippe; Lespagnard, Marc; Lorent, Sophie; Maillart, Evelyne; Mallet, Martine; Markowicz, Samuel; Mathieu, Delphine; Michel, Philippe; Noirhomme, Séverine; Papin, Pauline; Piette, Anne; Pollet, Leen; Rossi, Camelia; Schatt, Patricia; Sermijn, Erica; Sterckx, Astrid; Steyaert, Sophia; Swinnen, Walter; Teixeira Lopes, Liliana; Thoelen, Inge; Turkova, Myriam; Van den Abeele, Anne-Marie; van den Berg, Valérie; Van der beek, Danielle; Vanderper, Vanessa; Vandevelde, Marc; Vandewal, Wouter; Van Herendael, Bruno; Vanheule, Geert; Van Hoecke, Frederik; Van Kerkhoven, Dana; Van Liedekerke, Ann; Vanneste, Lorenz; Vekemans, Marc; Vercheval, Christelle; Verhamme, Katia; Verniest, Thessa; Westerlinck, Veerle; Wybo, Ingrid
Source
Antimicrobial Resistance and Infection Control. January 13, 2020, Vol. 9 Issue 1
Subject
Language
English
ISSN
2047-2994
Abstract
Background The point prevalence survey of healthcare-associated infections (HAIs) and antimicrobial use organized by the European Centre for Disease Prevention and Control (ECDC-PPS) and the Global Point Prevalence Survey of antimicrobial consumption (Global-PPS) were simultaneously performed in Belgian acute care hospitals in 2017. Methods Belgian acute care hospitals were invited to participate in either the ECDC or Global-PPS. Hospital/ward/patient-level data were collected between September-December 2017. All patients present in the wards at 8 a.m. on the day of the PPS were included. The data of the ECDC and Global-PPS on antimicrobial consumption were pooled. Detailed data on HAIs were analysed for ECDC-PPS. Results Overall, 110 Belgian acute care hospital sites participated in the ECDC and Global-PPS (countrywide participation rate: 81.4%, 28,007 patients). Overall, a crude prevalence of patients with at least one antimicrobial of 27.1% (95% confidence interval (CI) 26.5-27.6%) was found. The most frequently reported indications were pneumonia (23.2%), urinary tract infections (15.2%) and skin and soft tissue infections (11.9%). The reason for antimicrobial use was recorded for 81.9% of the prescriptions, a stop/review date for 40.8% and compliance with local antibiotic guidelines for 76.6%. In the ECDC-PPS, the crude prevalence of patients with at least one HAI was 7.3% (95%CI 6.8-7.7%). Most frequently reported HAIs were pneumonia (21.6%) and urinary tract infections (21.3%). Conclusions HAI and antimicrobial use prevalence remained stable in comparison with the previous PPS (7.1% and 27.4% in 2011 and 2015, respectively). Belgian hospitals should be further stimulated to set local targets to improve antibiotic prescribing and reduce HAI. Keywords: Point prevalence survey, Antimicrobial consumption, Healthcare-associated infections, Belgium, Acute care hospitals
Author(s): Eline Vandael[sup.1], Katrien Latour[sup.1], Herman Goossens[sup.2], Koen Magerman[sup.3,4], Nico Drapier[sup.2], Boudewijn Catry[sup.1,5], Ann Versporten[sup.2,3], Marie Andre, Samy Aouachria, Mickael Aoun, Kristof Bafort, Sofie Bartholomeus, Sophie Blumental, Anaïs Bothy, Christiane [...]
Author(s): Eline Vandael[sup.1], Katrien Latour[sup.1], Herman Goossens[sup.2], Koen Magerman[sup.3,4], Nico Drapier[sup.2], Boudewijn Catry[sup.1,5], Ann Versporten[sup.2,3], Marie Andre, Samy Aouachria, Mickael Aoun, Kristof Bafort, Sofie Bartholomeus, Sophie Blumental, Anaïs Bothy, Christiane [...]