[Healthcare-associated infections and antimicrobial use in long-term care facilities. German results of the third European point prevalence survey HALT-3]. / Nosokomiale Infektionen und Antibiotikaanwendung in Langzeitpflegeeinrichtungen. Deutsche Ergebnisse der dritten europäischen Punkt-Prävalenz-Erhebung HALT-3.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz
; 65(9): 863-871, 2022 Sep.
Article
en De
| MEDLINE
| ID: mdl-35951042
ABSTRACT
BACKGROUND AND OBJECTIVE:
The essential role of infection prevention in long-term care facilities has become evident during the current SARS-CoV2 pandemic. In order to obtain a reliable database on nosocomial infections and antibiotic use, the European Centre for Disease Prevention and Control (ECDC) initiated the third point prevalence survey in European long-term care facilities from 2016 to 2017 (HALT-3). MATERIAL ANDMETHODS:
In Germany, 131 facilities with 10,565 residents participated voluntarily. On a single day in 2016, the number of nosocomial infections and/or uses of antibiotics as well as care characteristics and risk factors of the residents were recorded. Infections were documented based on symptoms using an algorithm in accordance with the McGeer surveillance criteria for long-term care facilities.RESULTS:
A nosocomial infection was documented in 177 residents, which corresponds to a prevalence of 1.7% (95% CI 1.3-2.1), still low in comparison with the European prevalence (mean value 3.9%). Urinary tract infections were the most common infections at almost 50%, followed by respiratory, skin, and soft-tissue infections. The type of infection was consistent with the most common indications for antibiotic use. Antibiotic use was documented in 143 residents (prevalence of 1.4%, 95% CI 1.1-1.7). The frequent use of fluoroquinolones with over 20% of all prescriptions was noticeable.CONCLUSIONS:
The establishment of facility-based surveillance of the most common infections and antibiotic consumption, together with the creation of guidelines specifically tailored to the geriatric population, could contribute to improving infection prevention and control as well as a more rational use of antibiotics, thus increasing the quality and safety of care.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Infección Hospitalaria
/
COVID-19
/
Antiinfecciosos
Tipo de estudio:
Prevalence_studies
/
Qualitative_research
/
Risk_factors_studies
Límite:
Aged
/
Humans
País como asunto:
Europa
Idioma:
De
Año:
2022
Tipo del documento:
Article