{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T06:07:16Z","timestamp":1772345236686,"version":"3.50.1"},"reference-count":32,"publisher":"Springer Science and Business Media LLC","issue":"9","license":[{"start":{"date-parts":[[2022,8,11]],"date-time":"2022-08-11T00:00:00Z","timestamp":1660176000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,8,11]],"date-time":"2022-08-11T00:00:00Z","timestamp":1660176000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Robert Koch-Institut"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Bundesgesundheitsbl"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund und Ziel<\/jats:title>\n                <jats:p>Die wichtige Rolle der Ma\u00dfnahmen zur Infektionspr\u00e4vention und -kontrolle in Langzeitpflegeeinrichtungen ist im Kontext der aktuellen SARS-CoV-2-Pandemie besonders deutlich geworden. Um eine verl\u00e4ssliche Datenbasis zu nosokomialen Infektionen und Antibiotikaanwendung zu gewinnen, hat das European Centre for Disease Prevention and Control (ECDC) 2016\u20132017 die dritte Punkt-Pr\u00e4valenz-Erhebung in europ\u00e4ischen Langzeitpflegeeinrichtungen (HALT-3) initiiert.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material und Methoden<\/jats:title>\n                <jats:p>In Deutschland nahmen 131 Einrichtungen mit 10.565 Bewohnern teil. An einem Stichtag 2016 wurden die Anzahl von nosokomialen Infektionen, die Antibiotikaanwendung sowie Pflegecharakteristika und Risikofaktoren der Bewohner erhoben. Infektionen wurden symptombasiert anhand von Algorithmen entsprechend der McGeer-Surveillance-Definitionen f\u00fcr Pflegeeinrichtungen erfasst.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Bei 177 Bewohnern wurde eine nosokomiale Infektion dokumentiert, was einer Pr\u00e4valenz von 1,7\u202f% (95\u202f%-KI: 1,3\u20132,1) entspricht und im europ\u00e4ischen Vergleich (Mittelwert 3,9\u202f%) ein eher niedriger Wert ist. Harnwegsinfektionen waren mit knapp 50\u202f% die h\u00e4ufigsten Infektionen, gefolgt von Atemwegs\u2011, Haut- und Weichgewebeinfektionen. Die h\u00e4ufigsten Indikationen f\u00fcr eine Antibiotikaanwendung entsprechen den erfassten Infektionen. Bei 143 Bewohnern wurde eine Antibiotikaanwendung dokumentiert (Pr\u00e4valenz 1,4\u202f%, 95\u202f%-KI: 1,1\u20131,7). Auff\u00e4llig war der hohe Einsatz von Fluorchinolonen mit \u00fcber 20\u202f% aller Verordnungen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Diskussion<\/jats:title>\n                <jats:p>Der Aufbau einer einrichtungsbasierten Surveillance von nosokomialen Infektionen und Antibiotikaanwendung k\u00f6nnte zusammen mit der Zurverf\u00fcgungstellung von spezifisch auf die geriatrische Population zugeschnittenen Leitlinien zur Verbesserung der Infektionspr\u00e4vention und zum rationaleren Einsatz von Antibiotika beitragen sowie die Qualit\u00e4t und Sicherheit in der Pflege erh\u00f6hen.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00103-022-03566-3","type":"journal-article","created":{"date-parts":[[2022,8,11]],"date-time":"2022-08-11T10:04:02Z","timestamp":1660212242000},"page":"863-871","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Nosokomiale Infektionen und Antibiotikaanwendung in Langzeitpflegeeinrichtungen. Deutsche Ergebnisse der dritten europ\u00e4ischen Punkt-Pr\u00e4valenz-Erhebung HALT-3","Healthcare-associated infections and antimicrobial use in long-term care facilities. 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Von allen Bewohnern, f\u00fcr die ein Bewohnerfragebogen ausgef\u00fcllt wurde, liegt eine Einverst\u00e4ndniserkl\u00e4rung vor. Bei nicht einwilligungsf\u00e4higen Patienten wurde diese von der betreuenden Person eingeholt.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}