Public Health Authorities, Frankfurt am Main, Germany.
Euro Surveill. 2012 Aug 30;17(35):20256.
Healthcare-associated infections (HAIs) are a potentially serious threat to elderly people living in longterm care facilities. Therefore, the European HALT (Healthcare-associated infections in long-term care facilities) project was launched in 2008. HAIs and the use of antibiotics were studied in all 40 nursing homes (100% response) in the city of Frankfurt am Main, Germany, from January to March 2011, using the HALT protocol. Of the 3,732 residents in the homes, 4.3% (n=161) had either signs or symptoms of infections and/or were on oral antibiotics. The most common infections were urinary tract infections (n=45; 1.2%), followed by infections of the respiratory tract (n=41; 1.1%) and skin except mycosis (n=25; 0.7%). The overall prevalence of oral antibiotic use was 2.4% (n=90). The most frequently prescribed oral antibiotics were quinolones (n=31), cephalosporins (n=19), penicillins (n=11) and co-trimoxazole (n=11). The prevalence of HAIs was about the same as that in a European pilot study carried out in November 2009 (5%), but was higher than in several national surveys carried out between May and September 2010 (1.6–3.6%).
医疗机构相关性感染（HAI）是长期护理机构中老年人面临的严重威胁。因此，欧洲 HALT（长期护理机构中的医疗机构相关性感染）项目于 2008 年启动。2011 年 1 月至 3 月，德国美因河畔法兰克福市的 40 家养老院（100%响应）使用 HALT 方案，按照 HALT 方案研究了 HAI 和抗生素的使用情况。在这些养老院的 3732 名居民中，4.3%（n=161）出现感染迹象或症状，或正在服用口服抗生素。最常见的感染是尿路感染（n=45；1.2%），其次是呼吸道感染（n=41；1.1%）和皮肤感染（除真菌感染外）（n=25；0.7%）。口服抗生素的总体使用率为 2.4%（n=90）。最常开的口服抗生素是喹诺酮类（n=31）、头孢菌素类（n=19）、青霉素类（n=11）和复方磺胺甲噁唑（n=11）。HAI 的患病率与 2009 年 11 月开展的一项欧洲试点研究（5%）大致相同，但高于 2010 年 5 月至 9 月开展的几项国家调查（1.6-3.6%）。
