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ECDC – Annual Epidemiological Report for 2015 – Healthcare-associated infections acquired in intensive care units (ICUs)

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    Tim Spencer
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    Author:
    Tim Spencer

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    Good morning everyone,
    Not sure if you may have seen this recent 2017 publication, but I have posted it if you would like recent surveillance information on European ICUs from 2015.

    I have copied the ‘key facts’ for you quick review below;
    Key facts

    In 2015, 11 788 (8.3%) of patients staying in an intensive care unit (ICU) for more than two days presented with at least one ICU-acquired healthcare-associated infection (HAI) under surveillance (pneumonia, bloodstream infection or urinary tract infection).

    Of all patients staying in an ICU for more than two days, 6% presented with pneumonia, 4% with bloodstream infection (BSI) and 2% with urinary tract infection (UTI).

    97% of pneumonia episodes were associated with intubation, 43% of BSI episodes were catheter- related, and 97% of UTI episodes were associated with presence of a urinary catheter.

    The most frequently isolated microorganism was Pseudomonas aeruginosa in ICU-acquired pneumonia episodes, coagulase-negative Staphylococcus spp. in ICU-acquired bloodstream infections and Escherichia coli in ICU-acquired urinary tract infections.

    23% of Staphylococcus aureus isolates were oxacillin-resistant (MRSA). Resistance to third-generation cephalosporins was reported in 20% of E. coli isolates, 43% of Klebsiella spp. isolates and 42% of Enterobacter spp. isolates. Carbapenem resistance was reported in 11% of Klebsiella spp. isolates, 24% of P. aeruginosa isolates and 69% of Acinetobacter baumannii isolates.

    Timothy R. Spencer, DipAppSc, BHSc, ICCert, RN, APRN, VA-BC
    Global Vascular Access, LLC
    E: tim.spencer68@icloud.com
    M: +1 (623) 326 8889 (USA)
    M: +61 409 463 428 (AU)
    http://www.vascularaccess.com.au
    http://orcid.org/0000-0002-3128-2034

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