Healthcare-associated pneumonia in acute care hospitals in European Union/European Economic Area countries: an analysis of data from a point prevalence survey, 2011 to 2012
Jan Walter, Sebastian Haller, Chantal Quinten, Tommi Kärki, Benedikt Zacher, Tim Eckmanns, Muna Abu Sin, Diamantis Plachouras, Pete Kinross, Carl Suetens, ECDC PPS Study Group
SHLS School Office
An aim of the ECDC point prevalence survey (PPS) in European Union/European Economic Area acute care hospitals was to acquire standardised healthcare-associated infections (HAI) data. We analysed one of the most common HAIs in the ECDC PPS, healthcare-associated pneumonia (HAP). Standardised HAI case definitions were provided and countries were advised to recruit nationally representative subsets of hospitals. We calculated 95% confidence intervals (CIs) around prevalence estimates and adjusted for clustering at hospital level. Of 231,459 patients in the survey, 2,902 (1.3%; 95% CI: 1.2–1.3) fulfilled the case definition for a HAP. HAPs were most frequent in intensive care units (8.1%; 95% CI: 7.4–8.9) and among patients intubated on the day of the survey (15%; 95% CI: 14–17; n = 737 with HAP). The most frequently reported microorganism was Pseudomonas aeruginosa (17% of 1,403 isolates), followed by Staphylococcus aureus (12%) and Klebsiella spp. (12%). Antimicrobial resistance was common among isolated microorganisms. The most frequently prescribed antimicrobial group was penicillins, including combinations with beta-lactamase inhibitors. HAPs occur regularly among intubated and non-intubated patients, with marked differences between medical specialities. HAPs remain a priority for preventive interventions, including surveillance. Our data provide a reference for future prevalence of HAPs at various settings.
Eurosurveillance
https://doi.org/10.2807/1560-7917.ES.2018.23.32.1700843
healthcare-associated infection
antibiotic use
point prevalence survey
10.2807/1560-7917.ES.2018.23.32.1700843
Walter, J. et al (2018) Healthcare-associated pneumonia in acute care hospitals in European Union/European Economic Area countries: an analysis of data from a point prevalence survey, 2011 to 2012
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acute care hospitals Social Sciences 100%
EEA Social Sciences 89%
Healthcare-Associated Pneumonia Medicine & Life Sciences 85%
European Union Medicine & Life Sciences 73%
Economics Medicine & Life Sciences 50%
Statistics Medicine & Life Sciences 50%
Healthcare Social Sciences 50%
Walter, J., Haller, S., Quinten, C., Kärki, T., Zacher, B., Eckmanns, T., Sin, M. A., Plachouras, D., Kinross, P., Suetens, C., & ECDC PPS Study Group (2018). Healthcare-associated pneumonia in acute care hospitals in European Union/European Economic Area countries: an analysis of data from a point prevalence survey, 2011 to 2012. Eurosurveillance, 23(32). https://doi.org/10.2807/1560-7917.ES.2018.23.32.1700843
Walter, Jan ; Haller, Sebastian ; Quinten, Chantal et al. / Healthcare-associated pneumonia in acute care hospitals in European Union/European Economic Area countries: an analysis of data from a point prevalence survey, 2011 to 2012. In: Eurosurveillance. 2018 ; Vol. 23, No. 32.
@article{0d73afe45ba04694b018c79f7d974c3e,
title = "Healthcare-associated pneumonia in acute care hospitals in European Union/European Economic Area countries: an analysis of data from a point prevalence survey, 2011 to 2012",
abstract = "An aim of the ECDC point prevalence survey (PPS) in European Union/European Economic Area acute care hospitals was to acquire standardised healthcare-associated infections (HAI) data. We analysed one of the most common HAIs in the ECDC PPS, healthcare-associated pneumonia (HAP). Standardised HAI case definitions were provided and countries were advised to recruit nationally representative subsets of hospitals. We calculated 95% confidence intervals (CIs) around prevalence estimates and adjusted for clustering at hospital level. Of 231,459 patients in the survey, 2,902 (1.3%; 95% CI: 1.2–1.3) fulfilled the case definition for a HAP. HAPs were most frequent in intensive care units (8.1%; 95% CI: 7.4–8.9) and among patients intubated on the day of the survey (15%; 95% CI: 14–17; n = 737 with HAP). The most frequently reported microorganism was Pseudomonas aeruginosa (17% of 1,403 isolates), followed by Staphylococcus aureus (12%) and Klebsiella spp. (12%). Antimicrobial resistance was common among isolated microorganisms. The most frequently prescribed antimicrobial group was penicillins, including combinations with beta-lactamase inhibitors. HAPs occur regularly among intubated and non-intubated patients, with marked differences between medical specialities. HAPs remain a priority for preventive interventions, including surveillance. Our data provide a reference for future prevalence of HAPs at various settings.",
keywords = "healthcare-associated infection, pneumonia, epidemiology, surveillance, antimicrobial resistance, antibiotic use, infection prevention and control, point prevalence survey, Europe",
author = "Jan Walter and Sebastian Haller and Chantal Quinten and Tommi K{\"a}rki and Benedikt Zacher and Tim Eckmanns and Sin, {Muna Abu} and Diamantis Plachouras and Pete Kinross and Carl Suetens and {ECDC PPS Study Group} and Jacqui Reilly",
note = "Acceptance in SAN J. Reilly added as individual author to affiliate to GCU. Part of the group author entry. ET OA journal (VoR is preferred)",
doi = "10.2807/1560-7917.ES.2018.23.32.1700843",
journal = "Eurosurveillance",
publisher = "European Centre for Disease Prevention and Control",
Walter, J, Haller, S, Quinten, C, Kärki, T, Zacher, B, Eckmanns, T, Sin, MA, Plachouras, D, Kinross, P, Suetens, C & ECDC PPS Study Group 2018, 'Healthcare-associated pneumonia in acute care hospitals in European Union/European Economic Area countries: an analysis of data from a point prevalence survey, 2011 to 2012', Eurosurveillance, vol. 23, no. 32. https://doi.org/10.2807/1560-7917.ES.2018.23.32.1700843
Healthcare-associated pneumonia in acute care hospitals in European Union/European Economic Area countries: an analysis of data from a point prevalence survey, 2011 to 2012. / Walter, Jan; Haller, Sebastian; Quinten, Chantal et al.
In: Eurosurveillance, Vol. 23, No. 32, 09.08.2018.
T1 - Healthcare-associated pneumonia in acute care hospitals in European Union/European Economic Area countries: an analysis of data from a point prevalence survey, 2011 to 2012
AU - Walter, Jan
AU - Haller, Sebastian
AU - Quinten, Chantal
AU - Kärki, Tommi
AU - Zacher, Benedikt
AU - Eckmanns, Tim
AU - Sin, Muna Abu
AU - Plachouras, Diamantis
AU - Kinross, Pete
AU - Suetens, Carl
AU - ECDC PPS Study Group
AU - Reilly, Jacqui
N1 - Acceptance in SAN J. Reilly added as individual author to affiliate to GCU. Part of the group author entry. ET OA journal (VoR is preferred)
N2 - An aim of the ECDC point prevalence survey (PPS) in European Union/European Economic Area acute care hospitals was to acquire standardised healthcare-associated infections (HAI) data. We analysed one of the most common HAIs in the ECDC PPS, healthcare-associated pneumonia (HAP). Standardised HAI case definitions were provided and countries were advised to recruit nationally representative subsets of hospitals. We calculated 95% confidence intervals (CIs) around prevalence estimates and adjusted for clustering at hospital level. Of 231,459 patients in the survey, 2,902 (1.3%; 95% CI: 1.2–1.3) fulfilled the case definition for a HAP. HAPs were most frequent in intensive care units (8.1%; 95% CI: 7.4–8.9) and among patients intubated on the day of the survey (15%; 95% CI: 14–17; n = 737 with HAP). The most frequently reported microorganism was Pseudomonas aeruginosa (17% of 1,403 isolates), followed by Staphylococcus aureus (12%) and Klebsiella spp. (12%). Antimicrobial resistance was common among isolated microorganisms. The most frequently prescribed antimicrobial group was penicillins, including combinations with beta-lactamase inhibitors. HAPs occur regularly among intubated and non-intubated patients, with marked differences between medical specialities. HAPs remain a priority for preventive interventions, including surveillance. Our data provide a reference for future prevalence of HAPs at various settings.
AB - An aim of the ECDC point prevalence survey (PPS) in European Union/European Economic Area acute care hospitals was to acquire standardised healthcare-associated infections (HAI) data. We analysed one of the most common HAIs in the ECDC PPS, healthcare-associated pneumonia (HAP). Standardised HAI case definitions were provided and countries were advised to recruit nationally representative subsets of hospitals. We calculated 95% confidence intervals (CIs) around prevalence estimates and adjusted for clustering at hospital level. Of 231,459 patients in the survey, 2,902 (1.3%; 95% CI: 1.2–1.3) fulfilled the case definition for a HAP. HAPs were most frequent in intensive care units (8.1%; 95% CI: 7.4–8.9) and among patients intubated on the day of the survey (15%; 95% CI: 14–17; n = 737 with HAP). The most frequently reported microorganism was Pseudomonas aeruginosa (17% of 1,403 isolates), followed by Staphylococcus aureus (12%) and Klebsiella spp. (12%). Antimicrobial resistance was common among isolated microorganisms. The most frequently prescribed antimicrobial group was penicillins, including combinations with beta-lactamase inhibitors. HAPs occur regularly among intubated and non-intubated patients, with marked differences between medical specialities. HAPs remain a priority for preventive interventions, including surveillance. Our data provide a reference for future prevalence of HAPs at various settings.
KW - healthcare-associated infection
KW - pneumonia
KW - epidemiology
KW - surveillance
KW - antimicrobial resistance
KW - antibiotic use
KW - infection prevention and control
KW - point prevalence survey
KW - Europe
U2 - 10.2807/1560-7917.ES.2018.23.32.1700843
DO - 10.2807/1560-7917.ES.2018.23.32.1700843
JO - Eurosurveillance
JF - Eurosurveillance
Walter J, Haller S, Quinten C, Kärki T, Zacher B, Eckmanns T et al. Healthcare-associated pneumonia in acute care hospitals in European Union/European Economic Area countries: an analysis of data from a point prevalence survey, 2011 to 2012. Eurosurveillance. 2018 Aug 9;23(32). doi: 10.2807/1560-7917.ES.2018.23.32.1700843