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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

Håkan Hanberger| Dilek Arman| Hans Gill| Vlastimil Jindrák| Smilja Kalenic| Andrea Kurcz| Monica Licker| Paul Naaber| Elizabeth A. Scicluna| Václav Vanis| Sten M. Walther
Original
Volume 35, Issue 1 / January , 2009

Pages 91 - 100

Abstract

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.

Keywords

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