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Key priorities in the prevention and control of healthcare-associated infection: a survey of European and other international infection prevention experts
University of Freiburg, Germany.
Royal Coll Surg, Ireland; Beaumont Hospital, Ireland.
European Soc Clin Microbiol and Infect Disease, Switzerland.
Grp Hospital Paris St Joseph, France.
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2016 (English)In: Infection. Zeitschrift für Klinik und Therapie der Infektionen, ISSN 0300-8126, E-ISSN 1439-0973, Vol. 44, no 6, 719-724 p.Article in journal (Refereed) Published
Abstract [en]

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 (R). 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.

Place, publisher, year, edition, pages
SPRINGER HEIDELBERG , 2016. Vol. 44, no 6, 719-724 p.
Keyword [en]
Microbial epidemiology; Antimicrobial resistance; Decolonisation/decontamination; Highly resistant Gram-negative bacilli; Information systems
National Category
Infectious Medicine
Identifiers
URN: urn:nbn:se:liu:diva-133510DOI: 10.1007/s15010-016-0904-0ISI: 000388827600004PubMedID: 27225779OAI: oai:DiVA.org:liu-133510DiVA: diva2:1060896
Note

Funding Agencies|ESCMID (ESCMID Study Group for Nosocomial Infections-ESGNI), Basel, Switzerland

Available from: 2016-12-30 Created: 2016-12-29 Last updated: 2016-12-30

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Hanberger, Håkan
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Division of Microbiology and Molecular MedicineFaculty of Medicine and Health SciencesDepartment of Infectious Diseases
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