Epidemiology of healthcare associated infections in Germany: Nearly 20 years of surveillance

International Journal of Medical Microbiology

Volumn 305, Issue 7, 2015, Pages 799-806

  Schroder C ^a   Schwab, F ^a   Behnke, M ^a   Breier, A C ^a   Maechler, F ^a   Piening, B ^a   Dettenkofer, M ^b   Geffers, C ^a   Gastmeier, P ^a  

^a CHARITÉ UNIVERSITÄTSMEDIZIN BERLIN   (Germany)

^b UNIVERSITY OF FREIBURG   (Germany)

Author keywords

Epidemiology; Healthcare associated infections; Nosocomial infections; Prevention; Surveillance

Indexed keywords

ARTICLE; BLOODSTREAM INFECTION; CONTROLLED STUDY; DATA BASE; DEVICE INFECTION; DISEASE SURVEILLANCE; EPIDEMIOLOGICAL DATA; GERMANY; HAZARD RATIO; HEALTH CARE SYSTEM; HEALTHCARE ASSOCIATED INFECTION; HOSPITAL; HUMAN; INCIDENCE; INFANT; INTENSIVE CARE UNIT; LOWER RESPIRATORY TRACT INFECTION; MAJOR CLINICAL STUDY; MULTICENTER STUDY; NEWBORN INTENSIVE CARE; NOSOCOMIAL INFECTIONS SURVEILLANCE SYSTEM; PNEUMONIA; PRIMARY BLOODSTREAM INFECTION; RISK FACTOR; RISK REDUCTION; SEASONAL VARIATION; SURGICAL INFECTION; SURGICAL PATIENT; URINARY TRACT INFECTION; VERY LOW BIRTH WEIGHT; ADOLESCENT; ADULT; AGED; CHILD; CROSS INFECTION; EPIDEMIOLOGICAL MONITORING; FEMALE; HOSPITAL DEPARTMENT; MALE; MIDDLE AGED; NEWBORN; PRESCHOOL CHILD; SEPSIS; SURGICAL WOUND INFECTION; VERY ELDERLY; YOUNG ADULT;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; CHILD; CHILD, PRESCHOOL; CROSS INFECTION; EPIDEMIOLOGICAL MONITORING; FEMALE; GERMANY; HOSPITAL DEPARTMENTS; HUMANS; INFANT; INFANT, NEWBORN; MALE; MIDDLE AGED; PNEUMONIA; RISK FACTORS; SEPSIS; SURGICAL WOUND INFECTION; YOUNG ADULT;

EID: 84944281545     PISSN: 14384221     EISSN: 16180607     Source Type: Journal    
DOI: 10.1016/j.ijmm.2015.08.034     Document Type: Article

References (28)

1. Anonym ECDC Report Surveillance of Surgical Site Infections 2011.
2. Bartels D., Wypij D., Wenzlaff P., Dammann O., Poets C. Hospital volume and neonatal mortality among very low birth weight infants. Pediatrics 2006, 117:2206-2214.
3. Bärwolff S., Sohr D., Geffers C., Brandt C., Vonberg R., Halle H., et al. Reduction of surgical site infections after Caesarean delivery using surveillance. J. Hosp. Infect. 2006, 64:156-161.
4. Brandt C., Hansen S., Sohr D., Daschner F., Ruden H., Gastmeier P. Finding a method for optimizing risk adjustment when comparing surgical-site infection rates. Infect. Control Hosp. Epidemiol. 2004, 25:313-318.
5. Brandt C., Sohr D., Behnke M., Daschner F., Rüden H., Gastmeier P. Reduction of surgical site infection rates with the help of benchmark data. Infect. Control Hosp. Epidemiol. 2006, 27:1347-1351.
6. Brümmer S., Sohr D., Rüden H., Gastmeier P. Surgical site infection rates using a laparoscopic approach: results of the German national nosocomial infections surveillance system. Der Chirurg 2007, 78:910-914.
7. ECDC Annual Epidemiological Report an Communicable Diseases in Europe 2010, http://ecdc.europe.eu/health_topics/HCAI/.
8. Gastmeier P., Sohr D., Brandt C., Eckmanns T., Behnke M., Rüden H. Reduction of orthopedic wound infections in 21 hospitals. Arch. Orthop. Trauma Surg. 2005, 125:526-530.
9. Gastmeier P., Geffers C., Brandt C., Zuschneid I., Sohr D., Schwab F., et al. Effectiveness of a nationwide nosocomial infection surveillance system for reducing nosocomial infetions. J. Hosp. Infect. 2006, 64:16-22.
10. Gastmeier P., Sohr D., Schwab F., Behnke M., Zuschneid I., Brandt C., et al. Ten years of KISS: the most important requirements for success. J. Hosp. Infect. 2008, 70(Suppl 1):11-16.
11. Gastmeier P., Schwab F., Sohr D., Behnke M., Geffers C. Reproducibility of the surveillance effect to decrease nosocomal infection rates. Infect. Control Hosp. Epidemiol. 2009, 30:993-999.
12. Gastmeier P., Schwab F., Behnke M., Geffers C. Wenige Blukulturproben - wenige Infektionen?. Anaesthesist 2011, 60:902-907.
13. Gastmeier P., Schröder C., Behnke M., Meyer E., Geffers C. Dramatic increase in vancomycin-resistant enterococci in Germany. J. Antimicrob. Chemother. 2014, 69(6):1660-1664.
14. Geffers C., Bärwolff S., Schwab F., Gastmeier P. Incidence of healthcare-associated infections in high-risk neonates: results from the German surveillance system for very-low-birthweight infants. J. Hosp. Infect. 2008.
15. Leistner R., Schröder C., Breier A.-C., Gastmeier P., Behnke M. Regional distribution of nosocomial infections due to ESBL-positive Enterobacteriaceae in Germany: data from the German National Reference Center for the Surveillance of Nosocomial Infections (KISS). Clin. Microbiol. Infect. 2015, 21(3):255.e1-255.e5.
16. Localio A., Berlin J., Ten Have T., Kimmel S. Adjustments for center in multicenter studies: an overview. Ann. Intern. Med. 2001, 135:112-123.
17. Meyer E., Weitzel-Kage D., Sohr D., Gastmeier P. Impact of department volume on surgical site infections following arthroscopy, knee replacement or hip replacement. BMJ Qual. Saf. 2011, 20(12):1069-1074.
18. Meyer E., Gastmeier P., Weizel-Kage D., Schwab F. Associations between nosocomial meticillin-resistant Staphylococcus aureus and nosocomial Clostridium difficile-associated diarrhoea in 89 German hospitals. J. Hosp. Infect. 2012, 82:181-186.
19. Meyer E., Schröder C., Gastmeier P., Geffers C. Rückgang von nosokomialen MRSA-Infektionen in Deutschland. Dtsch. Arztebl. 2014, 111:331-336.
20. Obladen M. Minimum patient volume in care for very low birthweight infants: a review of the literature. Z. Geburtshilfe Neonatol. 2007, 211:110-117.
21. Perencevich E., McGregor J., Shardell M., Furuno J., Harris A., Morris J.J., et al. Summer peaks in the incidences of gram-negative bacterial infection among hospitalized patients. Infect. Control Hosp. Epidemiol. 2008, 29:1124-1131.
22. Phibbs C., Baker L., Caughey A., Danielsen B., Schmitt S., Phibbs R. Level and volume of neonatal intensive care and mortality in very-low-birth-weight infants. N. Engl. J. Med. 2007, 356:2165-2175.
23. Schwab F., Geffers C., Bärwolff S., Rüden H., Gastmeier P. Reducing neonatal nosocomial bloodstream infections through participation in a national surveillance system. J. Hosp. Infect. 2007, 65:319-325.
24. Schwab F., Gastmeier P., Piening B., Geffers C. The step from a voluntary to a mandatory national nosocomial infections surveillance system: the influence on infection rates and surveilance effect. Antimicrob. Resist. Infect. Control 2012, 1:24.
25. Schwab F., Gastmeier P., Meyer E. The warmer the weather, the more gram-negative bacteria - impact of temperature on clinical isolates in intensive care units. PLOS ONE 2014, 9(3):e91105.
26. Zeger S., Liang K., Albert P. Models for longitudinal data: a generalized estimating equation approach. Biometrics 1988, 44:1049-1060.
27. Zuschneid I., Schwab F., Geffers C., Rüden H., Gastmeier P. Reduction of central venous catheter associated bloodstream infection through surveilance. Infect. Control Hosp. Epidemiol. 2003, 24:501-505.
28. Zuschneid I., Schwab F., Geffers C., Behnke M., Rüden H., Gastmeier P. Trends in ventilator-associated pneumonia rates within the German nosocomial infection surveillance system (KISS). Infect. Control Hosp. Epidemiol. 2007, 28:314-318.