ECDC tools: surveillance is essential to prevent and control healthcare-associated infections
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.
Point prevalence surveys of healthcare-associated infections and antimicrobial use in hospitals and long-term care facilities across Europe are ongoing
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.
Healthcare-associated infections pose a major public health threat in long-term care facilities in 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.
Emerging spread of new fungal species poses risk for healthcare settings in the EU/EEA
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.
Hospital professionals should strictly follow standard precautions to avoid rare, but possible hospital-acquired malaria
The occurrence of sporadic cases of hospital-acquired malaria in the EU is a reminder that such transmission is possible, although uncommon.
Panton-Valentine leukocidin-positive Staphylococcus aureus infections in returning travelersArchived
The authors present data on 15 individuals infected by Panton-Valentine leukocidin (PVL) -producing strains of Staphylococcus aureus. Intra-familial spread was documented in one case, and occupational transmission was most likely in another case. spa typing of the strains revealed a broad range of variants, though some strains were clonally related. Methicillin-resistant Staphylococcus aureus (MRSA) was found in three cases.
Imported methicillin-resistant Staphylococcus aureus, SwedenArchived
The authors analyzed data on 444 imported cases of methicillin-resistant Staphylococcus aureus (MRSA) in Sweden during the period 2000-2003. The risk for MRSA carriage or infection in returning travellers ranged from 0.1 per million travellers returning from Nordic countries to 59.4 per million travellers returning from North Africa and the Middle East.
ECDC releases new web pages on the Surveillance of Healthcare-associated InfectionsArchived
On the occasion of World Hand Hygiene Day, 5th May, ECDC is releasing new web pages dedicated to the Healthcare-associated Infections Surveillance Network (HAI-Net) – a European network for HAI surveillance, coordinated by ECDC.
Country-to-country transfer of patients and the risk of multi-resistant bacterial infectionArchived
This review outlines how increasing modalities of travel, such as aeromedical evacuation of civilians and of military personnel, medical tourism and any shared healthcare across countries, are risks for the transmission of multidrug-resistant organisms via the patient, from country to country.
Cross-border transfer increases patients’ risk of resistant bacteriaArchived
Patient transfer between hospitals and in particular between countries, is a risk factor for the spread of bacteria that are resistant to last-line antibiotics. More specifically, for highly resistant bacteria, like carbapenamase-producing Enterobacteriaceae (CPE), the risk is heightened when patients are transferred from, or have received previous medical care in areas with high rates of bacterial resistance. These are conclusions from a risk assessment produced by ECDC that evaluated the risk to the citizens of Europe, of the spread of CPE through patient transfer between healthcare facilities, with special emphasis on cross-border transfer.