<?xml version="1.0" encoding="UTF-8"?><xml><records><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>27</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Karl Mertens</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">National Surveillance of Infections acquired in Intensive Care Units: Annual Report 2015</style></title></titles><keywords><keyword><style  face="normal" font="default" size="100%">2015</style></keyword><keyword><style  face="normal" font="default" size="100%">infections</style></keyword><keyword><style  face="normal" font="default" size="100%">intensive care unit</style></keyword><keyword><style  face="normal" font="default" size="100%">report</style></keyword><keyword><style  face="normal" font="default" size="100%">Surveillance</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2017</style></year><pub-dates><date><style  face="normal" font="default" size="100%">09/2017</style></date></pub-dates></dates><publisher><style face="normal" font="default" size="100%">WIV-ISP</style></publisher><pub-location><style face="normal" font="default" size="100%">Brussels, Belgium</style></pub-location><pages><style face="normal" font="default" size="100%">10</style></pages><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;The annual upload of the national surveillance database to the TESSy system of&lt;br /&gt;
ECDC allows comparison of results with other EU networks following the ECDC&lt;br /&gt;
study protocol and case definitions. Based on the latest available report on incidence&lt;br /&gt;
of ICU-acquired Infections, BE results for 2015 rank lower than the EU mean of 7.7&lt;br /&gt;
ICU-acquired Pneumonia and 3.0 ICU-acquired Bloodstream infections per 1000&lt;br /&gt;
patient days (Ref 5).&lt;br /&gt;
The low participation to the NSIH-ICU surveillance in the last couple of years needs&lt;br /&gt;
extra attention. The reasons for this are multiple. First, collecting data for this&lt;br /&gt;
surveillance is only optional under current Federal law (Ref 6), and will normally&lt;br /&gt;
come second with respect to the mandatory participation of national NSIH-AMR and -&lt;br /&gt;
SEP surveillances under this law. Second, as far as collecting data on ICU-acquired&lt;br /&gt;
Bloodstream infection is concerned, double reporting exists with the national SEP&lt;br /&gt;
surveillance on Bloodstream infections hospital-wide. The participation to this&lt;br /&gt;
surveillance will normally be prioritized given its mandatory status. Furthermore,&lt;br /&gt;
single reporting of Pneumonia will ask for more efforts as compared to reporting&lt;br /&gt;
Bloodstream infection, given the case definition of the former being based on both&lt;br /&gt;
clinical and laboratory criteria.&lt;br /&gt;
Because the low number of participating ICUs makes extrapolation of results to a&lt;br /&gt;
national context problematic, the following simplifications were already implemented&lt;br /&gt;
in the last years: possibility to collect data using the unit-based registration option;&lt;br /&gt;
the possibility to choose one infection type and one ICU for registration; the&lt;br /&gt;
possibility to avoid re-registration by creating surveillance data directly from existing&lt;br /&gt;
electronic sources within the hospital. The following additions to enhance&lt;br /&gt;
participation are currently planned: migration to the new healthdata.be platform which&lt;br /&gt;
should allow improved electronic registration forms and integrated electronic data&lt;br /&gt;
upload; addition of a module on structure and process parameters for the prevention&lt;br /&gt;
of infection.&lt;/p&gt;
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