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Title: | Point prevalence survey of antimicrobial use and healthcare-associated infections in Belgian acute care hospitals: results of the Global-PPS and ECDC-PPS 2017 | Authors: | 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, Anais 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, Benedicte Delvallee, Melanie Desmedt, Marjoleine Diaz, Victoria Dragos, Ilisei Dugernier, Thierry Elsen, Elodie Filippin, Lorenzo Firre, Eric Frans, Johan Gabriels, Patrick Gadisseux, Philippe Gerard, Michele Gilbert, Bart Goegebuer, Truus Gonissen, Viviane Harrouk, Antoine Holemans, Xavier Honore, Aline Ide, Louis Jansens, Hilde Kidd, Francois Koch, Annelies Konopnicki, Deborah Lefevre, Philippe Lespagnard, Marc Lorent, Sophie Maillart, Evelyne Mallet, Martine Markowicz, Samuel Mathieu, Delphine Michel, Philippe Noirhomme, Severine 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, Valerie 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 |
Issue Date: | 2020 | Publisher: | BMC | Source: | Antimicrobial Resistance and Infection Control, 9 (1) (Art N° 13) | 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. | Notes: | Vandael, E (reprint author), Sciensano, Healthcare Asociated Infect & Antimicrobial Resis, Juliette Wytsmanstr 14, B-1050 Brussels, Belgium. Eline.Vandael@sciensano.be |
Other: | Vandael, E (reprint author), Sciensano, Healthcare Asociated Infect & Antimicrobial Resis, Juliette Wytsmanstr 14, B-1050 Brussels, Belgium. Eline.Vandael@sciensano.be | Keywords: | Point prevalence survey;Antimicrobial consumption;Healthcare-associated infections;Belgium;Acute care hospitals | Document URI: | http://hdl.handle.net/1942/30779 | ISSN: | 2047-2994 | e-ISSN: | 2047-2994 | DOI: | 10.1186/s13756-019-0663-7 | ISI #: | WOS:000513556400001 | Rights: | The Author(s). 2020 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2021 |
Appears in Collections: | Research publications |
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