Antimicrobial Prophylaxis in Pediatric Surgical Patients: Identifying Targets for Improvement

Zoi Papanikolaou, Anastasia Dimopoulou, Katerina Mougkou, Georgia Kourlaba, Efthymios Choidis, Sofia Kouni, Stefania Maroudi-Manta, Susan Coffin, Theoklis Zaoutis, and Athanasia Lourida
Infectious Disease (ID) Week
San Francisco, California, October 2-6, 2013

BACKGROUND: Surgical site infection (SSIs) are the second most common healthcare-acquired infection (HAI) reported in children.  Guidelines for antimicrobial prophylaxis (AP) have been published. Data on the adherence to these guidelines are sparse in children. Determining adherence to these guidelines is particularly important in Greece because the rate of antimicrobial consumption and prevalence of multi-drug resistant organisms are amongst the highest observed in developed nations. The aim of the study was to determine current AP practices in pediatric surgery patients in Greece to identify opportunities for improvement. 

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Active surveillance for central line associated bloodstream infections in hospitalized children in Greece

K. Mougkou, S. Kouni, G. Kurlaba, M. Kitra, D. Gkentzi, S. Maroudi-Manta, A. Lourida, S. Coffin, T. Zaoutis
2nd International Conference on Prevention and Infection Control (ICPIC 2013)
Geneva, Switzerland, June 25-28, 2013

INTRODUCTION: Central line associated bloodstream infection (CLABSI) is the most common healthcare-associated infection in high risk children and is associated with significant mortality, increased length of hospital stay and increased healthcare costs. There are limited data on the epidemiology of CLABSIs in hospitalized children in Greece. Objectives The study aim was to prospectively assess the epidemiology of CLABSIs in 3 children`s hospitals in Greece.

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Assessment of hand hygiene practices at the two children’s hospitals in Greece

S. Kouni, K. Mougkou, G. Kurlaba, C. Nteli, A. Lourida, S. Maroudi-Manta, T. Zaoutis, S. Coffin
2nd International Conference on Prevention and Infection Control (ICPIC 2013)
Geneva, Switzerland, June 25-28, 2013

INTRODUCTION: Hand hygiene (HH) is one of the basic components of the infection control program and is frequently considered synonymous with hand washing. The use of a waterless, alcohol-based hand rub (ABHR) is more effective, saves time and promote better compliance than hand washing.

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Assessment of Hand Hygiene Resources and Practices at the two Children`S Hospitals in Greece

S.Kouni, G. Kourlaba, B. Chavela, C. Nteli, N. Spyridis, K. Mougkou, E. Critselis, M. Theodoridou-Papagrigoriou, T. Zaoutis, S. Coffin

31st Annual Meeting of the European Society for Paediatric Infectious Diseases (ESPID 2013)
Milan, Italy, May 28-June 1, 2013

BACKGROUND AND AIMS: Hand hygiene (HH) is critical to prevent healthcare associated infections. We systematically assessed existing HH resources and practices.

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Epidemiology of Antimicrobial Resistance and Utilization in Children with Central Line Associated Bloodstream Infections (CLABSIS) in Greece

K. Mougkou, S. Kouni, G. Kourlaba, E. Critseli, A. Harisiadou, E. Lebessi, N. Spyridis, M. Theodoridou, S. Coffin, T.E. Zaoutis

31st Annual Meeting of the European Society for Paediatric Infectious Diseases (ESPID 2013)
Milan, Italy, May 28-June 1, 2013

BACKGROUND: Healthcare associated infections are associated with significant morbidity, mortality, and costs worldwide; many are caused by multi-drug resistant organisms (MDROs) which further results in worse outcomes. We examined the prevalence of MDRO pathogens causing CLABSIs and antibiotic utilization.

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