Activities of the Healthcare-associated Infections Surveillance Network (HAI-Net):
| 1. ECDC point prevalence survey (PPS) of healthcare-associated infections (HAI) and antimicrobial use in acute care hospitals|
The main objectives of the ECDC PPS of healthcare-associated infections (HAI) and antimicrobial use in acute care hospitals are to estimate the total burden of HAI and antimicrobial use in acute care hospitals in the EU, to describe the distribution of HAI and antimicrobials prescribed by type of patients and healthcare facilities and by country, to raise awareness and reinforce surveillance structures and skills, and to identify targets for quality improvement and evaluate the effect of strategies at the hospital, national and European level. Read more
The ECDC surveillance of SSIs (former HELICS-SSI surveillance network) aims to describe and monitor the epidemiology of SSIs at European level and to draw up European reference tables for inter-hospital comparisons of risk-adjusted SSI rates. Seven surgical categories are under surveillance: coronary artery bypass grafting, cholecystectomy, colon surgery, caesarean section, hip prosthesis, knee prosthesis and laminectomy. Read more
Patients admitted to ICUs are at higher risk of acquiring an infection because of the severity of the underlying illness and the use of invasive devices such as central vascular catheters and mechanical ventilation. As a continuation of the former HELICS-ICU surveillance network, the ECDC surveillance of infections acquired in ICUs collects data from the dedicated national surveillance networks. Read more
Due to the ageing of the population, the number of elderly people in need of care in LTCFs (including nursing homes) increases across Europe. Residents of these facilities often have a high risk for the acquisition and development of HAI and antimicrobial-resistant microorganisms. ECDC supports the prevention and control of HAI and antimicrobial resistance in LTCFs in Europe by organising repeated point prevalence measurements of HAI, antibiotic use and infection control indicators. From December 2008 to May 2011 these activities are carried out within the HAI in long-term care facilities project (HALT project).
Building on IPSE activities, ECDC continues agreeing infection control SPIs for the evaluation of HAI control and prevention programmes. Some SPIs were integrated in the point prevalence surveys of HAI and antimicrobial use for both acute care hospitals and LTCFs, while other indicators are developed as a function of the development of guidance for the prevention and control of HAI.
The ARHAI EPIS is a tool that allows information exchange, risk assessment and timely risk communication between EU Member States and ECDC regarding antimicrobial resistance and HAI events with a potential impact at European level.