A Survey on National Pediatric Antibiotic Stewardship Programs, Networks and Guidelines in 23 European Countries

Ioannis Kopsidas, Stefania Vergnano, Nikos Spyridis, Theoklis Zaoutis, Sanjay Patel

The Pediatric Infectious Disease Journal, 2020 Jul;Online. DOI:https://doi.org/10.1097/inf.0000000000002835

Abstract

Background:Misuse, overuse of antimicrobials and increasing rates of antimicrobial resistance are well-recognized problems throughout Europe. The aim of this survey was to describe the current pediatric antibiotic stewardship (PAS) landscape across Europe and identify gaps, in terms of national programs, networks and guidelines.

Methods: A survey of 17 questions was circulated in July 2019 among 24 European pediatric infectious disease researchers and clinicians, professors and heads of department on the existence of PAS programs, national networks and meetings, established competencies, metrics and guidelines.

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Increasing healthcare workers’ uptake of seasonal influenza vaccination in a tertiary-care pediatric hospital in Greece with a low-cost, tailor-made, multifaceted strategy

Ioannis Kopsidas, Grammatiki-Christina Tsopela, Stefania Maroudi-Manta, Eleni Kourkouni, Dimitrios Charalampopoulos, Alexandra Sirogianni, Madeline E. Collins, Athanasia Lourida, Georgia Kourlaba, Theoklis E. Zaoutis, Susan E. Coffin

Vaccine, 2020 Jun;38(29):4609-4615. DOI:https://doi.org/10.1016/j.vaccine.2020.05.021

Abstract

Background: Healthcare workers’ (HCW) seasonal influenza vaccination (SIV) is critical to prevent nosocomial influenza. However, HCW vaccination rates remain unacceptably low in many European institutions. A two-year three-step initiative was implemented at a tertiary-care pediatric hospital with 750 beds in Athens, Greece with the aim of increasing SIV among HCW.

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Attributable length of stay and cost for pediatric and neonatal centralline-associated bloodstream infections in Greece

Sofia Karagiannidou, Theoklis Zaoutis, Nikolaos Maniadakis, Vassiliki Papaevangelou, Georgia Kourlaba

Journal of Infection and Public Health, 2019 May-June;12(3):372-79. DOI: https://doi.org/10.1016/j.jiph.2018.12.004

Abstract 

Background and objective: Central line-associated bloodstream infections (CLABSIs) are the most frequent pediatric hospital-acquired infections and are associated with significant morbidity and healthcare costs. The aim of our study was to determine the attributable length of stay (LOS) and cost for CLABSIs in pediatric patients in Greece, for which there is currently a paucity of data.

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Surveillance for central-line-associated bloodstream infections: Accuracy of different sampling strategies

Kourkouni E, Kourlaba G, Chorianopoulou E, Tsopela GC, Kopsidas I, Spyridaki I, Tsiodras S, Roilides E, Coffin S, Zaoutis TE; PHIG investigators.

Infection Control Hospital Epidemiology, 2018 Oct;39(10):1210-1215. DOI:https://doi.org/10.1017/ice.2018.187

Abstract 

Background: Active daily surveillance of central-line days (CLDs) in the assessment of rates of central-line-associated bloodstream infections (CLABSIs) is time-consuming and burdensome for healthcare workers. Sampling of denominator data is a method that could reduce the time necessary to conduct active surveillance.

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Establishing Nationally Representative Central Line-Associated Bloodstream Infection (CLABSI) Surveillance Data in Paediatric Patients in Greece

Kouni S, Tsolia M, Roilides E, Dimitriou G, Tsiodras S, Skoutelis A, Kourkouni E, Gkentzi D, Iosifidis E, Spyridis N, Kopsidas I, Karakosta P, Tsopela G.C, Spyridaki I, Kourlaba G, Coffin S, Zaoutis E.T, for the PHIG Investigators

Journal of Hospital Infection, 2019 Jan;101(1):53-59. DOI: https://doi.org/10.1016/j.jhin.2018.07.032

Abstract

Background: Healthcare-associated infections (HCAIs) are associated with increased morbidity and mortality and with excess costs. Central line-associated bloodstream infections (CLABSIs) are the most common HCAIs in neonates and children.

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