PDF(Pubmed)
Abstract：
UNASSIGNED: The Italian National Action Plan to contrast AMR identified among its objectives the development and implementation of a national Healthcare-Associated Infection (HAI) surveillance system based on European Centre for Disease Prevention and Control (ECDC) indications, through point prevalence surveys (PPS) of HAIs and antibiotic use in acute-care hospitals and long-term care facilities (LTCFs). We aimed to assess feasibility and appropriateness of proposed tools for a national surveillance system of HAIs and antibiotic use in LTCFs.
UNASSIGNED: Point prevalence survey.
UNASSIGNED: A pilot PPS was conducted between May-June 2022, among 15 LTCFs of 7 Italian regions. Data were collected in a single day in each LTCF, at the LTCF, ward, and resident levels, using a web-based data collection tool developed ad hoc. Data collector teams of each facility were invited to complete a questionnaire investigating opinions on the proposed tools.
UNASSIGNED: Among 1025 included residents, the prevalence of residents with at least one HAI was 2.5% (95% CI 1.7%-3.7%) considering all HAIs and 2.2% (95% CI 1.3%-3%) without considering SARS-CoV-2 infections. The prevalence of antimicrobial use was 3% (95% CI 0.2%-4.3%). Overall, most respondents were satisfied with the web-based software, training and protocol, even though some difficulties were reported.
UNASSIGNED: A national surveillance network was established, which will facilitate future surveillance efforts. Further studies are necessary to evaluate the impact of the pandemic on HAI transmission and antibiotic use in LTCFs.
UNASSIGNED: Point prevalence survey.
UNASSIGNED: A pilot PPS was conducted between May-June 2022, among 15 LTCFs of 7 Italian regions. Data were collected in a single day in each LTCF, at the LTCF, ward, and resident levels, using a web-based data collection tool developed ad hoc. Data collector teams of each facility were invited to complete a questionnaire investigating opinions on the proposed tools.
UNASSIGNED: Among 1025 included residents, the prevalence of residents with at least one HAI was 2.5% (95% CI 1.7%-3.7%) considering all HAIs and 2.2% (95% CI 1.3%-3%) without considering SARS-CoV-2 infections. The prevalence of antimicrobial use was 3% (95% CI 0.2%-4.3%). Overall, most respondents were satisfied with the web-based software, training and protocol, even though some difficulties were reported.
UNASSIGNED: A national surveillance network was established, which will facilitate future surveillance efforts. Further studies are necessary to evaluate the impact of the pandemic on HAI transmission and antibiotic use in LTCFs.
摘要：
与AMR对比的意大利国家行动计划在其目标中确定了基于欧洲疾病预防和控制中心（ECDC）适应症的国家医疗保健相关感染（HAI）监测系统的开发和实施，通过急性护理医院和长期护理机构（LTCF）中HAIs和抗生素使用的点患病率调查（PPS）。我们旨在评估在LTCF中建立HAIs和抗生素使用的国家监测系统的拟议工具的可行性和适当性。
■点患病率调查。
■在2022年5月至6月之间，在7个意大利地区的15个LTCF中进行了试点PPS。在每个LTCF中收集一天的数据，在LTCF,病房,和居民级别，使用临时开发的基于网络的数据收集工具。每个设施的数据收集器团队被邀请完成一份调查问卷，调查对拟议工具的意见。
■在1025名居民中，考虑所有HAIs,至少有一次HAI的居民患病率为2.5%(95%CI1.7%-3.7%),不考虑SARS-CoV-2感染的居民患病率为2.2%(95%CI1.3%-3%).抗菌药物使用率为3%（95%CI0.2%-4.3%）。总的来说,大多数受访者对基于Web的软件感到满意，培训和协议，尽管报道了一些困难。
■建立了国家监测网络，这将有助于未来的监测工作。需要进一步的研究来评估大流行对LTCF中HAI传播和抗生素使用的影响。
■点患病率调查。
■在2022年5月至6月之间，在7个意大利地区的15个LTCF中进行了试点PPS。在每个LTCF中收集一天的数据，在LTCF,病房,和居民级别，使用临时开发的基于网络的数据收集工具。每个设施的数据收集器团队被邀请完成一份调查问卷，调查对拟议工具的意见。
■在1025名居民中，考虑所有HAIs,至少有一次HAI的居民患病率为2.5%(95%CI1.7%-3.7%),不考虑SARS-CoV-2感染的居民患病率为2.2%(95%CI1.3%-3%).抗菌药物使用率为3%（95%CI0.2%-4.3%）。总的来说,大多数受访者对基于Web的软件感到满意，培训和协议，尽管报道了一些困难。
■建立了国家监测网络，这将有助于未来的监测工作。需要进一步的研究来评估大流行对LTCF中HAI传播和抗生素使用的影响。
