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A Point Prevalence Survey of Healthcare-Associated Infections and Antimicrobial Use in Public Acute Care Hospitals in Crete, Greece.
Ioannou, Petros; Astrinaki, Eirini; Vitsaxaki, Efsevia; Bolikas, Emmanouil; Christofaki, Despoina; Salvaraki, Apostolia; Lagoudaki, Eirini; Ioannidou, Eleni; Karakonstantis, Stamatis; Saplamidou, Stamatina; Cleovoulou, Christos; Stamataki, Eleni; Ilia, Stavroula; Messaritaki, Argyri; Avdi, Michaela; Chalkiadaki, Anthoula; Papathanasaki, Styliani; Markopoulou, Chrisanthi; Magouli, Evagelia; Moustaki, Maria; Kataxaki, Vasileia-Athina; Skevakis, Panagiotis; Spernovasilis, Nikolaos; Chamilos, Georgios; Kofteridis, Diamantis P.
  • Ioannou P; Department of Internal Medicine, University Hospital of Heraklion, 71500 Heraklion, Greece.
  • Astrinaki E; Infection Control Committee, University Hospital of Heraklion, 71500 Heraklion, Greece.
  • Vitsaxaki E; Infection Control Committee, University Hospital of Heraklion, 71500 Heraklion, Greece.
  • Bolikas E; Infection Control Committee, "Venizeleio-Pananeio" General Hospital of Heraklion, 71409 Heraklion, Greece.
  • Christofaki D; Infection Control Committee, Organic Unit of Agios Nikolaos, General Hospital of Lasithi/General Hospital-Health Center of Neapoli "Dialinakio", 72100 Agios Nikolaos, Greece.
  • Salvaraki A; Infection Control Committee, General Hospital of Rethymno, 74132 Rethymno, Greece.
  • Lagoudaki E; Infection Control Committee, General Hospital of Chania "St. George", 73300 Chania, Greece.
  • Ioannidou E; Infection Control Committee, General Hospital of Rethymno, 74132 Rethymno, Greece.
  • Karakonstantis S; Department of Internal Medicine, University Hospital of Heraklion, 71500 Heraklion, Greece.
  • Saplamidou S; Infection Control Committee, University Hospital of Heraklion, 71500 Heraklion, Greece.
  • Cleovoulou C; Infection Control Committee, General Hospital of Chania "St. George", 73300 Chania, Greece.
  • Stamataki E; Infection Control Committee, General Hospital of Chania "St. George", 73300 Chania, Greece.
  • Ilia S; Pediatric Intensive Care Unit, University Hospital of Heraklion, 71500 Heraklion, Greece.
  • Messaritaki A; School of Medicine, University of Crete, 71500 Heraklion, Greece.
  • Avdi M; Office of Nursing Services, University Hospital of Heraklion, 71500 Heraklion, Greece.
  • Chalkiadaki A; Internal Medicine, General Hospital of Rethymno, 74132 Rethymno, Greece.
  • Papathanasaki S; Infection Control Committee, Organic Unit of Agios Nikolaos, General Hospital of Lasithi/General Hospital-Health Center of Neapoli "Dialinakio", 72100 Agios Nikolaos, Greece.
  • Markopoulou C; Infection Control Committee, Decentralized Organic Unit of Sitia, General Hospital of Lasithi/General Hospital-Health Center of Neapoli "Dialinakio", 72300 Sitia, Greece.
  • Magouli E; Infection Control Committee, Decentralized Organic Unit of Ierapetra, General Hospital of Lasithi/General Hospital-Health Center of Neapoli "Dialinakio", 72200 Ierapetra, Greece.
  • Moustaki M; Infection Control Committee, General Hospital-Health Care Center of Neapoli "Dialinakeio", 72400 Neapoli, Greece.
  • Kataxaki VA; Infection Control Committee, Decentralized Organic Unit of Sitia, General Hospital of Lasithi/General Hospital-Health Center of Neapoli "Dialinakio", 72300 Sitia, Greece.
  • Skevakis P; Infection Control Committee, Decentralized Organic Unit of Sitia, General Hospital of Lasithi/General Hospital-Health Center of Neapoli "Dialinakio", 72300 Sitia, Greece.
  • Spernovasilis N; Collaborative Center for Clinical Epidemiology and Outcomes Research (CLEO), 15451 Athens, Greece.
  • Chamilos G; School of Medicine, University of Crete, 71500 Heraklion, Greece.
  • Kofteridis DP; German Oncology Center, 4108 Limassol, Cyprus.
Antibiotics (Basel) ; 11(9)2022 Sep 16.
Article in English | MEDLINE | ID: covidwho-2043552
ABSTRACT

BACKGROUND:

Both healthcare-associated infections (HAIs) and antimicrobial resistance are associated with an increased length of stay and hospital costs, while they have also been linked to high morbidity and mortality rates. In 2016 and 2017, the latest point prevalence survey (PPS) of HAIs and antimicrobial use in European acute care hospitals highlighted an HAI prevalence of 6.5%, while Greece had a higher HAI prevalence of 10%. The aim of this PPS was to record the prevalence of HAIs and antimicrobial use in all eight public acute care hospitals in Crete, Greece during the COVID-19 pandemic in order to highlight the types of infections and antimicrobial practices that need to be prioritized for infection control initiatives.

METHODS:

The PPS was conducted between 30 March and 15 April 2022, according to the ECDC standardized relevant protocol (version 5.3). Statistics were extracted using the ECDC Helics.Win.Net application (software version 4.1.0).

RESULTS:

A total of 1188 patients were included. The overall point prevalence of patients with at least one HAI was 10.6%. The most frequent types of infections were pneumonia (34.3%), bloodstream infections (10.5%), systemic infections and urinary tract infections (10.5% and 9.1%, respectively). In 14 (12.4%) cases, the pathogen responsible for HAI was SARS-CoV-2 following onsite spread, accounting for almost 10% of all HAIs. Microorganisms were identified in 60.1% of HAIs. Antimicrobials were administered in 711 (59.8%) patients, with 1.59 antimicrobials used per patient.

CONCLUSION:

The prevalence of HAI and antimicrobial use among hospitalized patients in Crete, Greece was similar to the national HAI prevalence in 2016 despite the enormous pressure on public hospitals due to the COVID-19 pandemic. Nevertheless, both HAI prevalence and antimicrobial use remain high, underlining the need to implement adequate infection control and antimicrobial stewardship interventions.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Observational study Language: English Year: 2022 Document Type: Article Affiliation country: Antibiotics11091258

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Observational study Language: English Year: 2022 Document Type: Article Affiliation country: Antibiotics11091258