Prevalence of healthcare-associated infections in Polish adult intensive care units: summary data from the ECDC European Point Prevalence Survey of Hospital-associated Infections and Antimicrobial Use in Poland 2012–2014

Deptuła, Aleksander; Trejnowska, Ewa; Dubiel, Grzegorz; Żukowski, Maciej; Misiewska-Kaczur, Agnieszka; Ozorowski, Tomasz; Hryniewicz, Waleria

doi:10.1016/j.jhin.2016.12.020

Cited by 17 publications

(14 citation statements)

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“…However, fluconazole can be successfully used in hospitals because the majority of infections are Candida albicans or Candida parapsilosis [ 7 ]. Echinocandins are left for targeted therapy or for patients in whom there are indications; for example, they have a multisite colonization of Candida nonalbicans [ 16 ]. The study showed for the first time how often fluconazole is used and indicates the need to increase the awareness in the field of therapy for fungal infections.…”

Section: Discussionmentioning

confidence: 99%

“…In the ICU setting itself, causes of AMR may conveniently be categorized by procedure-related, management-related, and antibiotic-related factors. Procedure-related factors include central venous catheters [ 18 , 19 ], and endotracheal intubation for mechanical ventilation [ 16 ]. Management-related factors include poor adherence to infection control policy, lack of microbiological surveillance with delayed/failed recognition of resistant isolates [ 18 , 20 ], patient overcrowding [ 21 ], understaffing, and implicit spread of AMR through human vectors [ 22 ], prolonged ICU length of stay [ 18 , 23 ], and pre-infection with resistant organisms at the time of ICU admission [ 18 , 23 ].…”

Section: Discussionmentioning

confidence: 99%

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Surveillance of Antibiotic Prescribing in Intensive Care Units in Poland

Trejnowska

Deptuła

Tarczyńska-Słomian

et al. 2018

Canadian Journal of Infectious Diseases and Medical Microbiolog

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Antibiotic use and microbial resistance in health care-associated infections are increasing globally and causing health care problems. Intensive Care Units (ICUs) represent the heaviest antibiotic burden within hospitals, and sepsis is the second noncardiac cause of mortality in ICUs. Optimizing appropriate antibiotic treatment in the management of the critically ill in ICUs became a major challenge for intensivists. We performed a surveillance study on the antibiotic consumption in 108 Polish ICUs. We determined which classes of antibiotics were most commonly consumed and whether they affected the length of ICU stay and the size and category of the hospital. A total of 292.389 defined daily doses (DDD) and 192.167 patient-days (pd) were identified. Antibiotic consumption ranged from 620 to 3960 DDD/1000 pd. The main antibiotic classes accounted for 59.6% of the total antibiotic consumption and included carbapenems (17.8%), quinolones (14%), cephalosporins (13.7%), penicillins (11.9%), and macrolides (2.2%), respectively, whereas the other antibiotic classes accounted for the remainder (40.4%) and included antifungals (34%), imidazoles (20%), aminoglycosides (18%), glycopeptides (15%), and polymyxins (6%). The most consumed antibiotic classes in Polish ICUs were carbapenems, quinolones, and cephalosporins, respectively. There was no correlation between antibiotic consumption in DDD/1000 patient-days, mean length of ICU stay, size of the hospital, size of the ICU, or the total amount of patient-days. It is crucial that surveillance systems are in place to guide empiric antibiotic treatment and to estimate the burden of resistance. Appropriate use of antibiotics in the ICU should be an important public health care issue.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Surveillance of Antibiotic Prescribing in Intensive Care Units in Poland

Trejnowska

Deptuła

Tarczyńska-Słomian

et al. 2018

Canadian Journal of Infectious Diseases and Medical Microbiolog

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“…There are 1-1.5 million kinds of fungi in nature, most of which are beneficial to human beings. However, a few of them could infect human beings (or animals) and cause mycosis (7)(8)(9). According to reports, under normal circumstances, pathogenic fungi of superficial mycosis are always in a dynamic state.…”

Section: Introductionmentioning

confidence: 99%

Analysis on the pathogenic fungi in patients with superficial mycosis in the Northeastern China during 10 years

Wang

Ding

et al. 2020

Exp Ther Med

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This study analyzed the infection of superficial mycosis and the relationship between the distribution characteristics of pathogenic fungi and age, time and sex in Northeast China in the past 10 years. We would like to provide a theoretical basis for the diagnosis and treatment of related diseases. From December 2008 to December 2018, 5,374 superficial mycoses from Northeast China were selected. The fungal species were identified by fungal microscopy, fungal culture, and species identification. Besides, the relationship between sex, age, time and the distribution of superficial mycosis and pathogenic fungi was analyzed. Among the 5,374 patients, the top three infections were tinea pedis (n=1,538, 28.62%), tinea cruris (n=1,018, 18.94%) and tinea corporis (n=938, 17.45%). The top three pathogens were Trichophyton rubrum (n=2,849, 48.65%), Trichophyton mentagrophytes (n=947, 16.14%) and Candida spp. (n=804, 13.70%). The main pathogenic fungi were dermatophytes. The age group with the highest incidence of tinea capitis was children (n=372, 6.92%). The highest incidence rate of tinea pedis was in 31-69-year adults (n=905, 16.84%); Malassezia mainly affects young people aged 15-30. Yeast and mold mostly invade the elderly patients >60 years old. The incidence of tinea cruris, tinea pedis and tinea corporis in male patients was higher than that in female patients. The incidence of onychomycosis in female patients was higher than that in male patients (P<0.05). The isolation rate of Candida, Mold, Microsporum canis, Malassezia and Sporothrix increased year by year, while that of Trichophyton rubrum, Trichophyton mentagrophyte, Trichophyton schoenleinii and Epidermophyton floccosum decreased. From December 2008 to December 2018, dermatophytes were the main pathogens of superficial mycosis in Northeast China. The distribution of disease species and pathogenic fungi varied in different gender, age and time.

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“…Diallo [11] reports an average age of 26.80 years with extremes of 16 and 45 years. Zhang [12] in China and Deptula [13] in Poland reported an average age of 55.90 ± 19.2 years and 64 ± 16 years, respectively. In our study, 22.00% of patients with low income had a HAI versus 9.00% for patients with a high-income level.…”

Section: Socio-demographic Datamentioning

confidence: 99%

Bacteriology of Healthcare-Associated Infections in the Gynecology and Obstetrics Department of CHU Gabriel Touré

Bocoum¹,

Seydou²,

Traoré³

et al. 2019

OJOG

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Introduction: Healthcare-associated infections (HAIs) are a public health issue. An infection is said to be associated with the care if it occurs during or after the care of a patient, and if it was neither present nor incubation at the beginning of the care. Objective: The purpose of this work was to study the bacteriology of infections associated with obstetric care in the gynecology-obstetrics department of CHU Gabriel Touré. Patients and Methods: This is an epidemiological, descriptive, analytical study conducted in the gynecology-obstetrics department of the CHU Gabriel Touré, from April 11 th , 2016 to August 29 th , 2016 (5 months). Data collection focused on the clinical and laboratory characteristics of healthcare-associated infections in patients during their hospitalization. Included in the study were any patients hospitalized in the Gynecology and Obstetrics Department who agreed to participate in the study. The criteria used to diagnose the associated infection were those of the Atlanta CDC. Operative wound monitoring was done up to the 30th postoperative day. Results: We have recorded 200 patients, out of whom 138 were operated on and 23 cases of bacterial infection associated with care (11.50%). The average age of the patients was 32.52 years ± 13.36 years against 29.36 years ± 10.28 years for the patients who did not present the infection. Seven point five percent of the evacuated patients had an infection associated with care. The most common types of infection were surgical site infection (60.86%), urinary tract infection (26.08%), endometritis and sepsis How to cite this paper: Bocoum, A., Fané, with 13.04% each. The isolated organisms were all resistant to Amoxicillin, to Amoxicillin + Clavulanic acid (88.88%) and to Ciprofloxacin (77.77%). The average duration of hospitalization for patients who developed the infection was 14.70 days. The lethality was 1.50%. The average cost of management of patients who developed the surgical site infection was 119,837 FCFA. Conclusion: The bacterial infections associated with the care remain frequent in our service and dominated by the infections of the operating site. Isolated organisms were all resistant to amoxicillin in 88.88% case ciprofloxacin. 20%15% 35% 10% 5% 15% Acinetobacter baumannii Enterococcus faecalis Escherichia coli Klebsiela pneumoniae Pseudomonas aeruginosa Staphylococcus aureus 39.13% 17.4% 17.4% Escherichia coli Acinetobacter baumannii Enterococcus faecalisA. Bocoum et al.

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Prevalence of healthcare-associated infections in Polish adult intensive care units: summary data from the ECDC European Point Prevalence Survey of Hospital-associated Infections and Antimicrobial Use in Poland 2012–2014

Cited by 17 publications

References 11 publications

Surveillance of Antibiotic Prescribing in Intensive Care Units in Poland

Surveillance of Antibiotic Prescribing in Intensive Care Units in Poland

Analysis on the pathogenic fungi in patients with superficial mycosis in the Northeastern China during 10 years

Bacteriology of Healthcare-Associated Infections in the Gynecology and Obstetrics Department of CHU Gabriel Touré

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Prevalence of healthcare-associated infections in Polish adult intensive care units: summary data from the ECDC European Point Prevalence Survey of Hospital-associated Infections and Antimicrobial Use in Poland 2012–2014

Cited by 17 publications

References 11 publications

Surveillance of Antibiotic Prescribing in Intensive Care Units in Poland

Surveillance of Antibiotic Prescribing in Intensive Care Units in Poland

Analysis on the pathogenic fungi in patients with superficial mycosis in the Northeastern China during 10&nbsp;years

Bacteriology of Healthcare-Associated Infections in the Gynecology and Obstetrics Department of CHU Gabriel Tour&#233;

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Analysis on the pathogenic fungi in patients with superficial mycosis in the Northeastern China during 10 years

Bacteriology of Healthcare-Associated Infections in the Gynecology and Obstetrics Department of CHU Gabriel Touré