hcai international experiences · e. coli and mssa bacteraemia, england . 30mm 10mm 10mm logo safe...
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HCAI – International Experiences 26/09/14
Jon Otter, PhD FRCPath
Scientific Director, Healthcare, Bioquell
Research Fellow, King’s College London
www.micro-blog.info
@jonotter
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MRSA bacteraemia, England 2001-2013
0
500
1.000
1.500
2.000
2.500
Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Num
ber
of
MRSA b
acte
raem
ias
All cases
Trust apportioned
1. Mandatory reporting, 2001
2. ‘Gettting ahead of the curve’, 2002
3. ‘Winning ways’, 2003
4. ‘Towards cleaner hospitals’, 2004
5. ‘Cleanyourhands’, 2004
6. Targets introduced, 2004
7. Cleanliness improvement, 2005
8. ‘Going further faster’, 2006
9. Root cause analysis, 2006
10.Revised national guidelines, 2006
11.Deep clean, 2007
12.Screening elective admissions, 2008
13.Universal screening, 2010
1 2 3
4 5 6
7
8 9
10
11
12
13
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0
2.000
4.000
6.000
8.000
10.000
12.000
14.000
16.000
18.000
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
Q1
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
C.
difficile infe
ction (
CD
I)I
cases
All cases
Trust apportioned
CDI cases, 2004-2013 C. difficile infection (CDI), England 2004-2013
1. Mandatory reporting, 2004
2. Targets, 2007
3. Revised guidelines, 2009
1
2
3
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2500
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3500
maio
2011
junho 2
011
julh
o 2
011
agosto
2011
sete
mbro
2011
outu
bro
2011
novem
bro
…
dezem
bro
…
janeiro 2
012
fevere
iro 2
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març
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abril 2012
maio
2012
junho 2
012
julh
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agosto
2012
sete
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2012
novem
bro
…
dezem
bro
…
janeiro 2
013
fevere
iro 2
013
març
o 2
013
abril 2013
maio
2013
Num
ber
of M
SSA b
acte
raem
ias
Num
ber
of E.
coli b
acte
raem
ias
Ecoli MSSA
E. coli and MSSA bacteraemia, England
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MRSA invasive infections, Europe
EARS-Net
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MRSA invasive isolates, UK v Portugal
EARS-Net
0,0%
10,0%
20,0%
30,0%
40,0%
50,0%
60,0%
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
% invsasiv
e isola
tions r
esis
tant
to m
eth
cillin
Portugal
UK
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MDR K. pneumoniae invasive isolates
EARS-Net
0,0%
5,0%
10,0%
15,0%
20,0%
25,0%
30,0%
2005 2006 2007 2008 2009 2010 2011 2012
% M
DR in K
. pneum
onia
e invasiv
e
isola
tes
Portugal
UK
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3rd gen cepalosporin resistance, E. coli
0,0%
5,0%
10,0%
15,0%
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
% E
. coli isola
tes r
esis
tant
to 3
rd
genera
tion c
ephalo
sporins
Portugal
UK
EARS-Net
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Invasive CRKP isolates (EARS-Net)
2009 2010
2011 2012
2009 2010
2011 2012
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ECDC Point Prevalence Survey, 2013.
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ECDC EARS-Net
Invasive CRKP isolates (EARS-Net)
0%
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20%
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40%
50%
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70%
2005 2006 2007 2008 2009 2010 2011 2012
% invasiv
e K
. pneum
onia
se isola
tes
resis
tant
to c
arb
apenem
s
Greece
Italy
UK
Portugal
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PHE AMRHAI, 24/01/14 Courtosy of Dr Neil Woodford
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CRE in the UK and US
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Antibiotic consumption
Van Boeckel et al. Lancet Infect Dis 2014;14:742-750
Consumption (standard units) per person, 2010
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Antibiotic consumption
Van Boeckel et al. Lancet Infect Dis 2014;14:742-750
Compound annual growth rate, 2000-2010
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Antibiotic use, Europe
ECDC Point Prevalence Survey, 2013.
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Carbapenem use, Europe
ECDC Point Prevalence Survey, 2013.
Single rooms
ECDC Point Prevalence Survey, 2013.
Infection control nurse staffing
ECDC Point Prevalence Survey, 2013.
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Messerli FH. N Engl J Med 2012;367:1562-1564.
Correlation between national chocolate consumption and rate of Nobel Prize Laureates!
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Meyer et al. Infection 2012 in press.
Correlation between the proportion of S. aureus bloodstream infections due to MRSA and an indicator for fair play from the European Football Championships (red or yellow cards / 100 min)
Key points for discussion
• What explains the UK success in reducing MRSA and CDI, but failure in reducing MSSA and E. coli?
• What is the relative importance of national strategy vs. local practices?
• How to we address the challenges posed by resistant Gram-negatives?
• How do we explain the differences in epidemiology of key HCAI pathogens between Portugal and the UK?