The rise in Europe of Candida auris infections, a difficult-to-control fungus, is of concern. The fungus spreads easily in healthcare settings, can cause invasive infections, and is also associated with resistance to multiple classes of anti-fungal medication.
The main objective of the course was to strengthen capacity in EU Member States for control of healthcare-associated infections due to multidrug-resistant organisms (MDROs) in acute health care settings and to promote the broadest possible implementation of appropriate methods.
The survey results show more frequent detections and geographical dispersion of LA-MRSA in humans in the EU/EEA since 2007, and highlight the public health and veterinary importance of LA-MRSA as a ‘One Health’ issue. The ECDC advocates for periodic systematic surveys or integrated multi-sectorial surveillance to facilitate control measures.
Antibiotic resistance is a threat to public health. It compromises the treatment of infected patients, in particular that of the most severely ill patients. Increasingly, intensive care physicians in Europe are confronted with infections caused by bacteria for which limited or no adequate treatment options are available.
Today, the World Health Organization publishes its Global Guidelines for the Prevention of Surgical Site Infections, which include a list of recommendations prepared by top leading experts and based on a review of the latest evidence in the area.
On 21 May, Public Health England (PHE) reported that a retrospective investigation identified 13 patients with endocarditis, surgical site infection or disseminated infection with Mycobacterium chimaera or other Mycobacterium avium complex (MAC) species within four years of surgery involving cardiopulmorary bypass.
Today, ECDC’s Healthcare-associated Infections Surveillance Network (HAI-Net) publishes two updated protocols for the surveillance of healthcare-associated infections (HAIs): one for surgical site infections (SSIs) and prevention indicators, and another one for HAIs and prevention indicators in intensive care units (ICUs), both to be used by European hospitals. An update of the protocol for the surveillance of Clostridium difficile infections (CDIs) was published on 21 April.
ECDC point prevalence surveys (PPSs) estimate that each year 3.5 million healthcare-associated infections occur in acute care hospitals, and 4.2 million in long-term care facilities (LTCFs) across Europe.
An EU-wide survey estimated that 4.2 million healthcare-associated infections occur every year in European long-term care facilities, compared to an estimated 3.5 million occurring in European acute care hospitals, and that on any given day, over 116 400 residents have at least one active healthcare-associated infection. Pete Kinross, an expert in surveillance of healthcare-associated infections at the European Centre for Disease Prevention and Control (ECDC), speaks about these findings during a session on antimicrobial resistance in these healthcare settings, at ECCMID 2017.