Healthcare-associated infections and antimicrobial use in long-term care facilities (HALT3): an overview of the Italian situation

Autor: Furmenti, Mf, Rossello, P, Bianco, S, Olivero, E, Thomas, R, Emelurumonye, In, Zotti, Cm, Moro, Ml, Brusaferro, S, Sticchi, C, Chadenier, Gm, D'Errico, M, Ripabelli, G, Prato, R, Mura, Ii, Agodi, A, Collini, F, Torri, E, Novati, R, Fedeli, U, HALT3 Italian Collaborating Group
Rok vydání: 2019
Předmět:
Male
Microbiology (medical)
Healthcare associated infections
Healthcare Associated Infections
Long-Term Care Facility
Point-Prevalence Survey
medicine.medical_specialty
Population
Healthcare-associated infections
030501 epidemiology
Antimicrobial Stewardship
03 medical and health sciences
Antibiotic resistance
Anti-Infective Agents
Surveys and Questionnaires
80 and over
Prevalence
medicine
Humans
Antimicrobial stewardship
Infection control
Point prevalence survey
education
Aged
Aged
80 and over
Cross Infection
Infection Control
0303 health sciences
education.field_of_study
030306 microbiology
business.industry
General Medicine
Antimicrobial
Long-Term Care
Drug Utilization
Long-term care
Infectious Diseases
Antimicrobial use
Italy
Family medicine
Female
Long-term care facility
0305 other medical science
business
Zdroj: Journal of Hospital Infection. 102:425-430
ISSN: 0195-6701
Popis: Summary Background Awareness of healthcare-associated infections (HAIs) and antimicrobial use in long-term care facilities (LTCFs) is increasing. In 2017, the third national point prevalence survey (PPS) was conducted in Italy as part of the third ‘Healthcare-Associated Infections in European Long-Term Care Facilities’ (HALT3) study. Aim To report the results of HALT3 and analyse the resident population of LTCFs, implementation of good practices, prevalence of infections and antimicrobial use. Methods The survey was designed as a PPS, carried out from April to June 2017. All residents who lived full-time in the institution were included. All facilities were asked to complete an institutional questionnaire, a ward list for all residents, and a resident questionnaire for those residents presenting with signs/symptoms of active infection and/or receiving an antimicrobial agent. Findings In total, 418 facilities took part in the study; 24,132 residents were eligible, and most were aged >85 years, disoriented and incontinent. The prevalence of HAIs was 3.9%, and 50% of the institutions reported that they had a professional trained in infection control on their staff. Only 26.4% of infections were confirmed by a microbiological sample, and 26.9% of the isolated micro-organisms were resistant to at least one antimicrobial class. In total, 1022 residents received at least one antimicrobial agent, and cephalosporins were prescribed most commonly. Conclusion The number of infection control and antimicrobial stewardship measures implemented was found to be considerably higher in this study compared with previous studies. This could lead to a reduction in the prevalence of HAIs, antimicrobial use and antimicrobial resistance. Further studies are needed to monitor these aspects.
Databáze: OpenAIRE
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