Literature DB >> 27225779

Key priorities in the prevention and control of healthcare-associated infection: a survey of European and other international infection prevention experts.

Markus Dettenkofer1, Hilary Humphreys2,3, Henri Saenz4, Jean Carlet5, Håkan Hanberger6, Christian Ruef7, Andreas Widmer8, Martin Wolkewitz9, Barry Cookson10.   

Abstract

PURPOSE: Prevention and control of healthcare-associated infection (HCAI) are important within and beyond Europe. However, it is unclear which areas are considered important by HCAI prevention and control professionals. This study assesses the priorities in the prevention and control of HCAI as judged by experts in the field.
METHODS: A survey was conducted by the European Society of Clinical Microbiology and Infectious Diseases focussing on seven topics using SurveyMonkey®. Through a newsletter distributed by email, about 5000 individuals were targeted throughout the world in February and March 2013. Participants were asked to rate the importance of particular topics from one (low importance) to ten (extraordinary importance), and there was no restriction on giving equal importance to more than one topic.
RESULTS: A total of 589 experts from 86 countries participated including 462 from Europe (response rate: 11.8 %). Physicians accounted for 60 % of participants, and 57 % had ten or more years' experience in this area. Microbial epidemiology/resistance achieved the highest priority scoring with 8.9, followed by surveillance 8.2, and decolonisation/disinfection/antiseptics with 7.9. Under epidemiology/resistance, highly resistant Gram-negative bacilli scored highest (9.0-9.2). The provision of computerised healthcare information systems for the early detection of outbreaks was accorded the top priority under surveillance. The prevention of surgical site and central line infections ranked highest under the category of specific HCAI and HCAI in certain settings. Differences between regions are described.
CONCLUSION: These findings reflect the concerns of experts in HCAI prevention and control. The results from this survey should inform national and international agencies on future action and research priorities.

Entities:  

Keywords:  Antimicrobial resistance; Decolonisation/decontamination; Highly resistant Gram-negative bacilli; Information systems; Microbial epidemiology

Mesh:

Year:  2016        PMID: 27225779     DOI: 10.1007/s15010-016-0904-0

Source DB:  PubMed          Journal:  Infection        ISSN: 0300-8126            Impact factor:   3.553


  9 in total

Review 1.  Accelerating resistance, inadequate antibacterial drug pipelines and international responses.

Authors:  Ursula Theuretzbacher
Journal:  Int J Antimicrob Agents       Date:  2012-02-14       Impact factor: 5.283

2.  Pathways to clean hands: highlights of successful hand hygiene implementation strategies in Europe.

Authors:  A P Magiorakos; E Leens; V Drouvot; L May-Michelangeli; C Reichardt; P Gastmeier; K Wilson; M Tannahill; E McFarlane; A Simon
Journal:  Euro Surveill       Date:  2010-05-06

3.  Infection control--a European research perspective for the next decade.

Authors:  M Dettenkofer; A Ammon; P Astagneau; S J Dancer; P Gastmeier; S Harbarth; H Humphreys; W V Kern; O Lyytikäinen; H Sax; A Voss; A F Widmer
Journal:  J Hosp Infect       Date:  2010-12-09       Impact factor: 3.926

4.  New Delhi metallo-beta-lactamase 1-producing Enterobacteriaceae: emergence and response in Europe.

Authors:  M J Struelens; D L Monnet; A P Magiorakos; F Santos O'Connor; J Giesecke
Journal:  Euro Surveill       Date:  2010-11-18

Review 5.  Priorities in the prevention and control of multidrug-resistant Enterobacteriaceae in hospitals.

Authors:  A S Khan; S J Dancer; H Humphreys
Journal:  J Hosp Infect       Date:  2012-08-03       Impact factor: 3.926

6.  Public reporting of healthcare-associated infection data in Europe. What are the views of infection prevention opinion leaders?

Authors:  M Martin; W Zingg; S Hansen; P Gastmeier; A W Wu; D Pittet; M Dettenkofer
Journal:  J Hosp Infect       Date:  2012-12-27       Impact factor: 3.926

Review 7.  Burden of endemic health-care-associated infection in developing countries: systematic review and meta-analysis.

Authors:  Benedetta Allegranzi; Sepideh Bagheri Nejad; Christophe Combescure; Wilco Graafmans; Homa Attar; Liam Donaldson; Didier Pittet
Journal:  Lancet       Date:  2010-12-09       Impact factor: 79.321

8.  Targeted versus universal decolonization to prevent ICU infection.

Authors:  Susan S Huang; Edward Septimus; Ken Kleinman; Julia Moody; Jason Hickok; Taliser R Avery; Julie Lankiewicz; Adrijana Gombosev; Leah Terpstra; Fallon Hartford; Mary K Hayden; John A Jernigan; Robert A Weinstein; Victoria J Fraser; Katherine Haffenreffer; Eric Cui; Rebecca E Kaganov; Karen Lolans; Jonathan B Perlin; Richard Platt
Journal:  N Engl J Med       Date:  2013-05-29       Impact factor: 91.245

9.  Interventions to reduce colonisation and transmission of antimicrobial-resistant bacteria in intensive care units: an interrupted time series study and cluster randomised trial.

Authors:  Lennie P G Derde; Ben S Cooper; Herman Goossens; Surbhi Malhotra-Kumar; Rob J L Willems; Marek Gniadkowski; Waleria Hryniewicz; Joanna Empel; Mirjam J D Dautzenberg; Djillali Annane; Irene Aragão; Annie Chalfine; Uga Dumpis; Francisco Esteves; Helen Giamarellou; Igor Muzlovic; Giuseppe Nardi; George L Petrikkos; Viktorija Tomic; Antonio Torres Martí; Pascal Stammet; Christian Brun-Buisson; Marc J M Bonten
Journal:  Lancet Infect Dis       Date:  2013-10-23       Impact factor: 25.071

  9 in total
  1 in total

1.  Variability in contact precautions to control the nosocomial spread of multi-drug resistant organisms in the endemic setting: a multinational cross-sectional survey.

Authors:  Danielle Vuichard Gysin; Barry Cookson; Henri Saenz; Markus Dettenkofer; Andreas F Widmer
Journal:  Antimicrob Resist Infect Control       Date:  2018-07-09       Impact factor: 4.887

  1 in total

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