Antimicrobial Resistance and Healthcare-associated Infections Programme

networks and partnerships

The programme on Antimicrobial Resistance and Healthcare-Associated Infections (ARHAI) covers two major public health issues:  

The ARHAI programme focuses on 4 areas of public health: surveillance, response and scientific advice, training and communication to address the threat of antimicrobial resistance and healthcare-associated infections.


Antimicrobial resistance (AMR) and healthcare-associated infections (HAI) are among the most serious public health problems, globally and in Europe. ECDC estimated that approximately 4 million patients acquire a HAI each year in all EU Member States and that approximately 37,000 deaths directly result from these infections. A large proportion of these deaths are due to the most common multidrug-resistant bacteria, i.e. Staphylococcus aureus, Enterobacteriaceae, Pseudomonas aeruginosa for which the number of directly attributable deaths is currently estimated at 25,000. The issues of AMR and HAI overlap widely, but are not synonymous. HAI are often due to antibiotic-resistant bacteria, but not always. Inversely, antibiotic-resistant bacteria, including multidrug resistant types, are not only responsible for HAI but are also responsible for infections in outpatients and found as part of the flora of healthy individuals, in pet animals and in the environment. They are also isolated from food-producing animals and sometimes from food products.
In November 2001, the EU Health Ministers adopted the Council Recommendation on the prudent use of antimicrobial agents in human medicine (2002/77/EC). In June 2009 they adopted the Council Recommendation on patient safety, including the prevention and control of healthcare associated infections (2009/C 151/01). These Recommendations ask Member States to adopt and implement specific strategies for the prudent use of antimicrobial agents - aiming at containing antimicrobial resistance, and for the prevention and control of healthcare-associated infections - aiming at improving patient safety. 


  • Head of programme: Dominique L. Monnet
  • Programme officer: Egle Obcarskaite