Hospital-acquired infections due to multidrug-resistant organisms in Hungary, 2005-2010
Healthcare-associated infections caused by multidrug-resistant organisms are associated with prolonged medical care, worse outcome and costly therapies. In Hungary, hospital-acquired infections (HAIs) due to epidemiologically important multidrug-resistant organisms are notifiable by law since 2004....
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| Veröffentlicht in: | Euro surveillance : bulletin européen sur les maladies transmissibles 2013-01, Vol.18 (2), p.1 |
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| creator | Caini, S Hajdu, A Kurcz, A Borocz, K |
| description | Healthcare-associated infections caused by multidrug-resistant organisms are associated with prolonged medical care, worse outcome and costly therapies. In Hungary, hospital-acquired infections (HAIs) due to epidemiologically important multidrug-resistant organisms are notifiable by law since 2004. Overall, 6,845 case-patients (59.8% men; median age: 65 years) were notified in Hungary from 2005 to 2010. One third of case-patients died in hospital. The overall incidence of infections increased from 5.4 in 2005 to 14.7 per 100,000 patient-days in 2010. Meticillin-resistant Staphylococcus aureus (MRSA) was the most frequently reported pathogen (52.2%), but while its incidence seemed to stabilise after 2007, notifications of multidrug-resistant Gram-negative organisms have significantly increased from 2005 to 2010. Surgical wound and bloodstream were the most frequently reported sites of infection. Although MRSA incidence has seemingly reached a plateau in recent years, actions aiming at reducing the burden of HAIs with special focus on Gram-negative multidrug-resistant organisms are needed in Hungary. Continuing promotion of antimicrobial stewardship, infection control methodologies, reinforced HAI surveillance among healthcare and infection control practitioners, and engagement of stakeholders, hospital managers and public health authorities to facilitate the implementation of existing guidelines and protocols are essential. |
| doi_str_mv | 10.2807/ese.18.02.20352-en |
| format | Article |
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In Hungary, hospital-acquired infections (HAIs) due to epidemiologically important multidrug-resistant organisms are notifiable by law since 2004. Overall, 6,845 case-patients (59.8% men; median age: 65 years) were notified in Hungary from 2005 to 2010. One third of case-patients died in hospital. The overall incidence of infections increased from 5.4 in 2005 to 14.7 per 100,000 patient-days in 2010. Meticillin-resistant Staphylococcus aureus (MRSA) was the most frequently reported pathogen (52.2%), but while its incidence seemed to stabilise after 2007, notifications of multidrug-resistant Gram-negative organisms have significantly increased from 2005 to 2010. Surgical wound and bloodstream were the most frequently reported sites of infection. Although MRSA incidence has seemingly reached a plateau in recent years, actions aiming at reducing the burden of HAIs with special focus on Gram-negative multidrug-resistant organisms are needed in Hungary. Continuing promotion of antimicrobial stewardship, infection control methodologies, reinforced HAI surveillance among healthcare and infection control practitioners, and engagement of stakeholders, hospital managers and public health authorities to facilitate the implementation of existing guidelines and protocols are essential.</description><identifier>ISSN: 1560-7917</identifier><identifier>ISSN: 1025-496X</identifier><identifier>EISSN: 1560-7917</identifier><identifier>DOI: 10.2807/ese.18.02.20352-en</identifier><identifier>PMID: 23324427</identifier><language>eng</language><publisher>Sweden: Centre Europeen pour la Surveillance Epidemiologique du SIDA (European Centre for the Epidemiological Monitoring of AIDS)</publisher><subject>Adolescent ; Adult ; Age Distribution ; Aged ; Aged, 80 and over ; Anti-Bacterial Agents - pharmacology ; Anti-Bacterial Agents - therapeutic use ; Child ; Child, Preschool ; Cross Infection - drug therapy ; Cross Infection - epidemiology ; Disease control ; Drug resistance ; Drug Resistance, Multiple, Bacterial ; Epidemiology ; Female ; Gram-negative bacteria ; Gram-Negative Bacterial Infections - epidemiology ; Gram-Negative Bacterial Infections - etiology ; Gram-Negative Bacterial Infections - microbiology ; Gram-Negative Bacterial Infections - transmission ; Gram-Positive Bacterial Infections - epidemiology ; Gram-Positive Bacterial Infections - etiology ; Gram-Positive Bacterial Infections - microbiology ; Gram-Positive Bacterial Infections - transmission ; Hospital Units ; Hospitalization - statistics & numerical data ; Humans ; Hungary - epidemiology ; Incidence ; Infant ; Infant, Newborn ; Male ; Microbial Sensitivity Tests ; Middle Aged ; Multidrug resistant organisms ; Nosocomial infections ; Population Surveillance ; Sex Distribution ; Staphylococcus infections ; Treatment Outcome ; Young Adult</subject><ispartof>Euro surveillance : bulletin européen sur les maladies transmissibles, 2013-01, Vol.18 (2), p.1</ispartof><rights>Copyright Centre Europeen pour la Surveillance Epidemiologique du SIDA (European Centre for the Epidemiological Monitoring of AIDS) Jan 10, 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c290n-b34b178711c449ee1c11f8077024c2af772fae250e6beeff8486049142fcfdf83</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,860,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23324427$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Caini, S</creatorcontrib><creatorcontrib>Hajdu, A</creatorcontrib><creatorcontrib>Kurcz, A</creatorcontrib><creatorcontrib>Borocz, K</creatorcontrib><title>Hospital-acquired infections due to multidrug-resistant organisms in Hungary, 2005-2010</title><title>Euro surveillance : bulletin européen sur les maladies transmissibles</title><addtitle>Euro Surveill</addtitle><description>Healthcare-associated infections caused by multidrug-resistant organisms are associated with prolonged medical care, worse outcome and costly therapies. In Hungary, hospital-acquired infections (HAIs) due to epidemiologically important multidrug-resistant organisms are notifiable by law since 2004. Overall, 6,845 case-patients (59.8% men; median age: 65 years) were notified in Hungary from 2005 to 2010. One third of case-patients died in hospital. The overall incidence of infections increased from 5.4 in 2005 to 14.7 per 100,000 patient-days in 2010. Meticillin-resistant Staphylococcus aureus (MRSA) was the most frequently reported pathogen (52.2%), but while its incidence seemed to stabilise after 2007, notifications of multidrug-resistant Gram-negative organisms have significantly increased from 2005 to 2010. Surgical wound and bloodstream were the most frequently reported sites of infection. Although MRSA incidence has seemingly reached a plateau in recent years, actions aiming at reducing the burden of HAIs with special focus on Gram-negative multidrug-resistant organisms are needed in Hungary. Continuing promotion of antimicrobial stewardship, infection control methodologies, reinforced HAI surveillance among healthcare and infection control practitioners, and engagement of stakeholders, hospital managers and public health authorities to facilitate the implementation of existing guidelines and protocols are essential.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Distribution</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anti-Bacterial Agents - pharmacology</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cross Infection - drug therapy</subject><subject>Cross Infection - epidemiology</subject><subject>Disease control</subject><subject>Drug resistance</subject><subject>Drug Resistance, Multiple, Bacterial</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Gram-negative bacteria</subject><subject>Gram-Negative Bacterial Infections - epidemiology</subject><subject>Gram-Negative Bacterial Infections - etiology</subject><subject>Gram-Negative Bacterial Infections - microbiology</subject><subject>Gram-Negative Bacterial Infections - transmission</subject><subject>Gram-Positive Bacterial Infections - epidemiology</subject><subject>Gram-Positive Bacterial Infections - etiology</subject><subject>Gram-Positive Bacterial Infections - microbiology</subject><subject>Gram-Positive Bacterial Infections - transmission</subject><subject>Hospital Units</subject><subject>Hospitalization - statistics & numerical data</subject><subject>Humans</subject><subject>Hungary - epidemiology</subject><subject>Incidence</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Microbial Sensitivity Tests</subject><subject>Middle Aged</subject><subject>Multidrug resistant organisms</subject><subject>Nosocomial infections</subject><subject>Population Surveillance</subject><subject>Sex Distribution</subject><subject>Staphylococcus infections</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>1560-7917</issn><issn>1025-496X</issn><issn>1560-7917</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkMGKFDEQhoMo7rr6Ah6kwYsHe6yqZDrpoyzqCAteFI8hk64MWbrTs0nn4Nsb3VXEU9Xh-4v6PyFeIuzIgH7HhXdodkA7ArmnntMjcYn7AXo9on78z34hnpVyC6AkjPRUXJCUpBTpS_H9sJZz3NzcO39XY-apiymw3-KaSjdV7ra1W-q8xSnXU5-5xLK5tHVrPrkUy1Ia3x1qOrn8421HAPueAOG5eBLcXPjFw7wS3z5--Hp96G--fPp8_f6m9zRC6o9SHVEbjeiVGpnRI4bWTQMpTy5oTcEx7YGHI3MIRpkB1IiKgg9TMPJKvLm_e87rXeWy2SUWz_PsEq-1WCQtB4mtbENf_4ferjWn9l2jhmbJjAYbRfeUz2spmYM957i0chbB_tJum3aLxgLZ39otpxZ69XC6Hhee_kb-eJY_Ab3cfYE</recordid><startdate>20130110</startdate><enddate>20130110</enddate><creator>Caini, S</creator><creator>Hajdu, A</creator><creator>Kurcz, A</creator><creator>Borocz, K</creator><general>Centre Europeen pour la Surveillance Epidemiologique du SIDA (European Centre for the Epidemiological Monitoring of AIDS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20130110</creationdate><title>Hospital-acquired infections due to multidrug-resistant organisms in Hungary, 2005-2010</title><author>Caini, S ; Hajdu, A ; Kurcz, A ; Borocz, K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c290n-b34b178711c449ee1c11f8077024c2af772fae250e6beeff8486049142fcfdf83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Distribution</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anti-Bacterial Agents - pharmacology</topic><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cross Infection - drug therapy</topic><topic>Cross Infection - epidemiology</topic><topic>Disease control</topic><topic>Drug resistance</topic><topic>Drug Resistance, Multiple, Bacterial</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Gram-negative bacteria</topic><topic>Gram-Negative Bacterial Infections - epidemiology</topic><topic>Gram-Negative Bacterial Infections - etiology</topic><topic>Gram-Negative Bacterial Infections - microbiology</topic><topic>Gram-Negative Bacterial Infections - transmission</topic><topic>Gram-Positive Bacterial Infections - epidemiology</topic><topic>Gram-Positive Bacterial Infections - etiology</topic><topic>Gram-Positive Bacterial Infections - microbiology</topic><topic>Gram-Positive Bacterial Infections - transmission</topic><topic>Hospital Units</topic><topic>Hospitalization - statistics & numerical data</topic><topic>Humans</topic><topic>Hungary - epidemiology</topic><topic>Incidence</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Microbial Sensitivity Tests</topic><topic>Middle Aged</topic><topic>Multidrug resistant organisms</topic><topic>Nosocomial infections</topic><topic>Population Surveillance</topic><topic>Sex Distribution</topic><topic>Staphylococcus infections</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Caini, S</creatorcontrib><creatorcontrib>Hajdu, A</creatorcontrib><creatorcontrib>Kurcz, A</creatorcontrib><creatorcontrib>Borocz, K</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Euro surveillance : bulletin européen sur les maladies transmissibles</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Caini, S</au><au>Hajdu, A</au><au>Kurcz, A</au><au>Borocz, K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hospital-acquired infections due to multidrug-resistant organisms in Hungary, 2005-2010</atitle><jtitle>Euro surveillance : bulletin européen sur les maladies transmissibles</jtitle><addtitle>Euro Surveill</addtitle><date>2013-01-10</date><risdate>2013</risdate><volume>18</volume><issue>2</issue><spage>1</spage><pages>1-</pages><issn>1560-7917</issn><issn>1025-496X</issn><eissn>1560-7917</eissn><abstract>Healthcare-associated infections caused by multidrug-resistant organisms are associated with prolonged medical care, worse outcome and costly therapies. In Hungary, hospital-acquired infections (HAIs) due to epidemiologically important multidrug-resistant organisms are notifiable by law since 2004. Overall, 6,845 case-patients (59.8% men; median age: 65 years) were notified in Hungary from 2005 to 2010. One third of case-patients died in hospital. The overall incidence of infections increased from 5.4 in 2005 to 14.7 per 100,000 patient-days in 2010. Meticillin-resistant Staphylococcus aureus (MRSA) was the most frequently reported pathogen (52.2%), but while its incidence seemed to stabilise after 2007, notifications of multidrug-resistant Gram-negative organisms have significantly increased from 2005 to 2010. Surgical wound and bloodstream were the most frequently reported sites of infection. Although MRSA incidence has seemingly reached a plateau in recent years, actions aiming at reducing the burden of HAIs with special focus on Gram-negative multidrug-resistant organisms are needed in Hungary. 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| subjects | Adolescent Adult Age Distribution Aged Aged, 80 and over Anti-Bacterial Agents - pharmacology Anti-Bacterial Agents - therapeutic use Child Child, Preschool Cross Infection - drug therapy Cross Infection - epidemiology Disease control Drug resistance Drug Resistance, Multiple, Bacterial Epidemiology Female Gram-negative bacteria Gram-Negative Bacterial Infections - epidemiology Gram-Negative Bacterial Infections - etiology Gram-Negative Bacterial Infections - microbiology Gram-Negative Bacterial Infections - transmission Gram-Positive Bacterial Infections - epidemiology Gram-Positive Bacterial Infections - etiology Gram-Positive Bacterial Infections - microbiology Gram-Positive Bacterial Infections - transmission Hospital Units Hospitalization - statistics & numerical data Humans Hungary - epidemiology Incidence Infant Infant, Newborn Male Microbial Sensitivity Tests Middle Aged Multidrug resistant organisms Nosocomial infections Population Surveillance Sex Distribution Staphylococcus infections Treatment Outcome Young Adult |
| title | Hospital-acquired infections due to multidrug-resistant organisms in Hungary, 2005-2010 |
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