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Healthcare-associated infections and antimicrobial use in long-term care facilities: the Irish experience with the HALT surveys

Published:January 07, 2015DOI:https://doi.org/10.1016/j.jhin.2014.12.006

      Summary

      In the context of an ageing European population, point prevalence surveys (PPS) of healthcare-associated infection and antimicrobial use in long-term care facilities (HALT) in Europe were commissioned by the European Centre for Disease Prevention and Control. Sixty-nine Irish long-term care facilities (LTCFs) took part in the first survey in 2010. A series of interventions to raise the profile of infection prevention and control and antimicrobial stewardship in Irish LTCFs followed. HALT was repeated in Ireland in 2011, with 108 participating LTCFs, and again in 2013 as part of the second European HALT survey, with 190 participating LTCFs. The latest Irish HALT report incorporates data from the three PPSs to date, and discusses the findings and the national implementation priorities recommended by the Irish multi-disciplinary steering group. Ireland contributed ∼10% of the total resident population in both of the European HALT PPSs. This, and the growing number of participating LTCFs, shows that healthcare professionals in Irish LTCFs are committed to improving the quality and safety of resident care.

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      References

        • European Centre for Disease Prevention and Control
        Point prevalence survey of healthcare-associated infections and antimicrobial use in European long-term care facilities: May–September 2010.
        ECDC, Stockholm2014
        • Health Protection Surveillance Centre
        European point prevalence survey on healthcare-associated infections and antibiotic use in long-term care facilities (HALT). National Report 2010 – Republic of Ireland.
        HPSC, Dublin2010
        • Health Protection Surveillance Centre
        Second national prevalence survey on healthcare-associated infections and antibiotic use in long-term care facilities (HALT). National Report 2011 – Republic of Ireland.
        HPSC, Dublin2011
        • European Centre for Disease Prevention and Control
        Point prevalence survey of healthcare-associated infections and antimicrobial use in European long-term care facilities: April – May 2013.
        ECDC, Stockholm2014
        • Health Protection Surveillance Centre
        Point prevalence survey of healthcare-associated infections and antimicrobial use in long-term care facilities: May 2013 – Republic of Ireland National Report.
        HPSC, Dublin2014
        • Central Statistics Office
        This is Ireland: highlights from census 2011, Part 1.
        CSO, Dublin2012
        • Health Information and Quality Authority
        National quality standards for residential care settings for older people in Ireland.
        HIQA, Dublin2009
        • Health Information and Quality Authority
        National standards for residential services for children and adults with disabilities.
        HIQA, Dublin2013
        • Mental Health Commission
        Quality framework mental health services in Ireland.
        MHC, Dublin2007
        • European Centre for Disease Prevention and Control
        Protocol for point prevalence surveys of healthcare-associated infections and antimicrobial use in European long-term care facilities.
        (Version v. 2014) ECDC, Stockholm2014
        • Health Canada NaOIS
        Development of a resource model for infection prevention and control programs in acute, long term, and home care settings: Conference proceedings of the Infection Prevention and Control Alliance.
        Am J Infect Control. 2004; 32: 2-6
        • McGeer A.
        • Campbell B.
        • Emori T.G.
        • et al.
        Definitions of infection for surveillance in long-term care facilities.
        Am J Infect Control. 1991; 19: 1-7
        • Stone N.D.
        • Ashraf M.S.
        • Calder J.
        • et al.
        Surveillance definitions of infections in long-term care facilities: revisiting the McGeer criteria.
        Infect Control Hosp Epidemiol. 2012; 33: 965-977
        • Health Protection Surveillance Centre
        Guidelines for the prevention of catheter-associated urinary tract infection.
        HPSC, Dublin2011
        • Strategy for the Control of Antimicrobial Resistance in Ireland Working Group
        Diagnosis and management of urinary tract infection in long-term care residents aged over 65 years.
        Dublin, 2011
        • Cormican M.
        • Murphy A.W.
        • Vellinga A.
        Interpreting asymptomatic bacteriuria.
        BMJ. 2011; 343: d4780
        • Trautner B.W.
        • Petersen N.J.
        • Hysong S.J.
        • Horwitz D.
        • Kelly P.A.
        • Naik A.D.
        Overtreatment of asymptomatic bacteriuria: identifying provider barriers to evidence-based care.
        Am J Infect Control. 2014; 42: 653-658
        • Nace D.A.
        • Drinka P.J.
        • Crnich C.J.
        Clinical uncertainties in the approach to long term care residents with possible urinary tract infection.
        J Am Med Dir Assoc. 2014; 15: 133-139
        • Mody L.
        • Juthani-Mehta M.
        Urinary tract infections in older women.
        JAMA. 2014; 311: 844-854