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Surveillance of microbial resistance in European Intensive Care Units: a first report from the Care-ICU programme for improved infection control
Linköping University, Department of Clinical and Experimental Medicine, Infectious Diseases . Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Centre for Medicine, Department of Infectious Diseases in Östergötland.
Gazi University School of Medicine.
Linköping University, Department of Biomedical Engineering, Medical Informatics. Linköping University, The Institute of Technology.
Na Homolce Hospital, Praha, Czech Republic.
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2009 (English)In: Intensive Care Medicine, ISSN 0342-4642, Vol. 35, no 1, 91-100 p.Article in journal (Refereed) Published
Abstract [en]

Purpose: To report initial results from a European ICU surveillance programme focussing on antibiotic consumption, microbial resistance and infection control.

Methods: Thirty-five ICUs participated during 2005. Microbial resistance, antibiotic consumption and infection control stewardship measures were entered locally into a web-application. Results were validated locally, aggregated by project leaders and fed back to support local audit and benchmarking.

Results: Median (range) antibiotic consumption was 1,254 (range 348–4,992) DDD per 1,000 occupied bed days. The proportion of MRSA was median 11.6% (range 0–100), for ESBL phenotype of E. coli and K. pneumoniae 3.9% (0–80) and 14.3% (0–77.8) respectively, and for carbapenem-resistant P. aeruginosa 22.5% (0–100). Screening on admission for alert pathogens was commonly omitted, and there was a lack of single rooms for isolation.

Conclusions: The surveillance programme demonstrated wide variation in antibiotic consumption, microbial resistance and infection control measures. The programme may, by providing rapid access to aggregated results, promote local and regional audit and benchmarking of antibiotic use and infection control practices.

Place, publisher, year, edition, pages
2009. Vol. 35, no 1, 91-100 p.
Keyword [en]
Intensive care, Antibiotic consumption, Microbial resistance, Infection control
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-12628DOI: 10.1007/s00134-008-1237-yOAI: diva2:15024
The original publication is available at Håkan Hanberger, Dilek Arman, Hans Gill, Vlastimil Jindrák, Smilja Kalenic, Andrea Kurcz, Monica Licker, Paul Naaber, Elizabeth A. Scicluna, Václav Vanis and Sten M. Walther, Surveillance of microbial resistance in European Intensive Care Units: a first report from the Care-ICU programme for improved infection control, 2009, (35), 1, 91-100, Intensive Care Medicine. Copyright: Springer-Verlag, Available from: 2008-09-19 Created: 2008-09-19 Last updated: 2009-08-18

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Hanberger, HåkanGill, HansWalther, Sten M.
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Infectious Diseases Faculty of Health SciencesDepartment of Infectious Diseases in ÖstergötlandMedical InformaticsThe Institute of TechnologyPhysiology Department of Thoracic and Vascular Surgery
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