Background The point prevalence survey of healthcare-associated infections (HAIs) and antimicrobial use organized by the European Centre for Disease Prevention and Control (ECDC-PPS) and the Global Point Prevalence Survey of antimicrobial consumption (Global-PPS) were simultaneously performed in Belgian acute care hospitals in 2017. Methods Belgian acute care hospitals were invited to participate in either the ECDC or Global-PPS. Hospital/ward/patient-level data were collected between September-December 2017. All patients present in the wards at 8 a.m. on the day of the PPS were included. The data of the ECDC and Global-PPS on antimicrobial consumption were pooled. Detailed data on HAIs were analysed for ECDC-PPS. Results Overall, 110 Belgian acute care hospital sites participated in the ECDC and Global-PPS (countrywide participation rate: 81.4%, 28,007 patients). Overall, a crude prevalence of patients with at least one antimicrobial of 27.1% (95% confidence interval (CI) 26.5-27.6%) was found. The most frequently reported indications were pneumonia (23.2%), urinary tract infections (15.2%) and skin and soft tissue infections (11.9%). The reason for antimicrobial use was recorded for 81.9% of the prescriptions, a stop/review date for 40.8% and compliance with local antibiotic guidelines for 76.6%. In the ECDC-PPS, the crude prevalence of patients with at least one HAI was 7.3% (95%CI 6.8-7.7%). Most frequently reported HAIs were pneumonia (21.6%) and urinary tract infections (21.3%). Conclusions HAI and antimicrobial use prevalence remained stable in comparison with the previous PPS (7.1% and 27.4% in 2011 and 2015, respectively). Belgian hospitals should be further stimulated to set local targets to improve antibiotic prescribing and reduce HAI.

中文翻译：

---

比利时急症护理医院抗菌药物使用和医疗保健相关感染的点流行率调查：2017 年 Global-PPS 和 ECDC-PPS 的结果。


背景 欧洲疾病预防和控制中心 (ECDC-PPS) 组织的医疗保健相关感染 (HAI) 和抗菌药物使用点流行率调查和全球抗菌药物消费点流行率调查 (Global-PPS) 在比利时同时进行2017 年急症护理医院。方法 比利时急症护理医院受邀参加 ECDC 或 Global-PPS。医院/病房/患者层面的数据是在 2017 年 9 月至 12 月期间收集的。PPS 当天上午 8 点在病房的所有患者都包括在内。汇总了 ECDC 和 Global-PPS 关于抗菌药物消耗的数据。 ECDC-PPS 分析了 HAI 的详细数据。结果 总体而言，110 个比利时急症护理医院参与了 ECDC 和 Global-PPS（全国参与率：81.4%，28,007 名患者）。总体而言，至少使用一种抗菌药物的患者的粗患病率为 27.1%（95% 置信区间 (CI) 26.5-27.6%）。最常报告的适应症是肺炎（23.2%）、尿路感染（15.2%）以及皮肤和软组织感染（11.9%）。 81.9% 的处方记录了使用抗菌药物的原因，40.8% 的处方记录了停止/审查日期，76.6% 的处方记录了遵守当地抗生素指南的情况。在 ECDC-PPS 中，患有至少一种 HAI 的患者的粗患病率为 7.3% (95%CI 6.8-7.7%)。最常报告的医院感染是肺炎（21.6%）和尿路感染（21.3%）。结论 与之前的 PPS 相比，HAI 和抗菌药物使用率保持稳定（2011 年和 2015 年分别为 7.1% 和 27.4%）。应进一步刺激比利时医院制定当地目标，以改善抗生素处方并减少医院感染。