Presentation from the 3rd Joint Meeting of the Antimicrobial Resistance and Healthcare-Associated Infections (ARHAI) Networks, organised by the European Centre of Disease Prevention and Control - Stockholm, 11-13 February 2015

1. 3rd Joint Meeting of the Antimicrobial Resistance and
Healthcare-Associated Infections (ARHAI) Networks
What happened since the last annual
meeting with ESAC-Net?
Klaus Weist*, Arno Muller (Contractor to ECDC) for the
ARHAI Programme, European Centre for Disease Prevention and Control
Stockholm, 11‒13 February 2015 *Conflict of interests - none to disclose
Organised jointly with

2. 2
ESAC-Net Operational Contact Points, National Focal Points,
Coordination Committee Members in the ESAC-Net sessions
Country First Name Last name
Austria Gerhard FLUCH
Austria Reinhild STRAUSS
Belgium Anne INGENBLEEK
Belgium Katrien LATOUR
Bulgaria Bozhana TODOROVA
Croatia Marina PAYERL-PAL
Croatia Damijan DEBELEC
Czech Republic Jiří VLČEK
Czech Republic Tatiana BELKINA
Denmark Maja LAURSEN
Denmark Robert Leo SKOV
Estonia Katrin KURVITS
Estonia Ly ROOTSLANE
Finland Jaana VUOPIO
Finland Tinna VOIPIO
France Philippe CAVALIÉ
France Catherine DUMARTIN
Germany Birgitta SCHWEIKERT
Germany Muna ABU SIN
Greece Flora KONTOPIDOU
Greece Paraskevi TSONOU
Hungary Ria BENKŐ
Hungary Szilvia NYOLCZAS
Iceland Thorolful GUDNASON
Ireland Catherine MANNION
Ireland Ajay OZA
Latvia Elīna DIMIŅA
Lithuania Akvilė KENSTAVIČIENĖ
Lithuania Rolanda VALINTĖLIENĖ
Luxembourg Marcel BRUCH
Malta Peter ZARB
Norway Irene LITLESKARE
Norway Hege SalvesenBLIX
Poland Waleria HRYNIEWICZ
Poland Anna OLCZAK-PIEŃKOWSKA
Portugal Ana SILVA
Romania Lavinia CiprianaZOTA
Slovenia Milan CIŽMAN
Slovenia Tom BAJEC
Spain José CAMPOS
Spain César DE LA FUENTE
Sweden Jenny HELLMAN
Sweden Magdalena PRIOUX
United Kingdom Susan HOPKINS
United Kingdom Maggie HEGINBOTHOM
ESAC-Net CC Arno MULLER
ESAC-Net CC Theo VERHEIJ
Observer Mike SHARLAND
Observer Kari GRAVE
Observer Hanne BAK PEDERSEN
Presenter Ron POLK
Presenter Ann VERSPORTEN
Presenter Carlo GAGLIOTTI

3. 3
ESAC-Net Operational Contact Points, National Focal Points,
Coordination Committee Members in the ESAC-Net sessions
Country First Name Last name
Austria Gerhard FLUCH
Austria Reinhild STRAUSS
Belgium Anne INGENBLEEK
Belgium Katrien LATOUR
Bulgaria Bozhana TODOROVA
Croatia Marina PAYERL-PAL
Croatia Damijan DEBELEC
Czech Republic Jiří VLČEK
Czech Republic Tatiana BELKINA
Denmark Maja LAURSEN
Denmark Robert Leo SKOV
Estonia Katrin KURVITS
Estonia Ly ROOTSLANE
Finland Jaana VUOPIO
Finland Tinna VOIPIO
France Philippe CAVALIÉ
France Catherine DUMARTIN
Germany Birgitta SCHWEIKERT
Germany Muna ABU SIN
Greece Flora KONTOPIDOU
Greece Paraskevi TSONOU
Hungary Ria BENKŐ
Hungary Szilvia NYOLCZAS
Iceland Thorolful GUDNASON
Ireland Catherine MANNION
Ireland Ajay OZA
Latvia Elīna DIMIŅA
Lithuania Akvilė KENSTAVIČIENĖ
Lithuania Rolanda VALINTĖLIENĖ
Luxembourg Marcel BRUCH
Malta Peter ZARB
Norway Irene LITLESKARE
Norway Hege SalvesenBLIX
Poland Waleria HRYNIEWICZ
Poland Anna OLCZAK-PIEŃKOWSKA
Portugal Ana SILVA
Romania Lavinia CiprianaZOTA
Slovenia Milan CIŽMAN
Slovenia Tom BAJEC
Spain José CAMPOS
Spain César DE LA FUENTE
Sweden Jenny HELLMAN
Sweden Magdalena PRIOUX
United Kingdom Susan HOPKINS
United Kingdom Maggie HEGINBOTHOM
ESAC-Net CC Arno MULLER
ESAC-Net CC Theo VERHEIJ
Observer Mike SHARLAND
Observer Kari GRAVE
Observer Hanne BAK PEDERSEN
Presenter Ron POLK
Presenter Ann VERSPORTEN
Presenter Carlo GAGLIOTTI

4. 4
What happened since the last annual
meeting with ESAC-Net?
 2nd ARHAI Networks Meeting on 26-28 Nov. 2012, Berlin
 Status of participating countries
 Report publications and the interactive database
 Coordination Committee
 Cooperation with other partners
 ESAC-Net sessions during the next days
10th Annual Meeting
in Riga, Latvia, May 2011.
Introducing ESAC-Net

5. 5
Community antimicrobial consumption:
EU/EEA countries reporting for 2013
MT
Non-participating countries
Countries reporting community antimicrobial consumption*
PT
ES
UK
FR
IT
DE
NO
FI
LT
AT
HU
IE
IS
SE
DK
BE
LU
NL
EE
LV
PL
CZ
RO
BG
EL
CY
SI
SK
HR
Participating countries not reporting data
ESAC-Net participating countries

6. 6
Hospital sector antimicrobial consumption:
EU/EEA countries reporting for 2013
PT
ES
UK
FR
IT
DE
NO
FI
LT
AT
HU
IE
IS
SE
DK
BE
LU
NL
EE
LV
PL
CZ
RO
BG
EL
CY
SI
SK
HR
MT
Non-participating countries
Countries reporting community antimicrobial consumption*
Participating countries not reporting data
ESAC-Net participating countries

7. 7
Number of EU/EEA countries reporting data
Community
Hospital sector
ATC
group
Year
97 98 99 00 01 02 03 04 05 06 07 08 09 10* 11* 12* 13*
J01 10 12 12 12 14 17 15 17 15 15 16 16 16 18 17 20 19
D01B
A &
J02
9 14 15 14 17 16 18 17
J05
3 7 10 12 16 15 16 15
ATC
group
Year
97 98 99 00 01 02 03 04 05 06 07 08 09 10* 11* 12* 13*
J01 14 20 22 21 23 25 24 25 25 26 28 28 29 27 29 30 28
D01B
A &
J02
17 22 22 24 23 25 25 23
J05
7 13 17 21 23 24 24 23
*: data reported to ESAC-Net as of Feb. 2015 1997-09: ESAC project data

8. 8http://ecdc.europa.eu/en/EAAD/Pages/Home.aspx

9. 9
ESAC-Net reports 2010 - 2012
http://ecdc.europa.eu/en/eaad/Pages/antibiotics-data-reports.aspxs

10. 10
ESAC-Net interactive database
www.ecdc.europa.eu/en/activities/surveillance/ESAC-Net/database/Pages/database.aspx

11. 11
ESAC-Net Coordination Committee (CC)
and cooperation with other partners

12. 12
ESAC-Net Coordination Committee (CC)
and cooperation with other partners
 4 physical CC meetings
 ECCMID 2014 presentation in Barcelona
(integrated analyses of glycopeptide consumption/resistance)
 WHO/Euro project on surveillance of antimicrobial consumption
 European Surveillance of Veterinarian Consumption (ESVAC) project
 Joint Interagency Antimicrobial Consumption and Resistance
Analysis (JIACRA) Report

13. 13
A true story on needs
Needs assessment
1. Cold water needed from the start?
2. Warm water needed from the start?
3. Bad quality of flowers?
4. A clear case for disinfectants?
5. A clear case for antibiotics?
After 1.5 hours
1. Just fresh tap water refilled
(no need for antibiotics)

14. 14
3rd ARHAI Networks Meeting 11‒13 Feb. 2015
ESAC-Net session 5, 9, 10 and 16
(5) ESAC-Net
Moderators: Ria Benkő (HU), Oza Ajay (IE)
 ESAC-Net data collection – Meta data – Quiz
 Hospital sector I - Hospital sector definition
(9) Hospital-based surveillance
Moderators: Jiří Vlček (CZ), Elina Dimiņa (LV)
 Experiences national systems – Antimicrobial stewardship indicators
 Draft protocol for a pilot survey
(10) Community antimicrobial consumption
Moderators: Phillip Cavalié (FR), Theo Verheij (NL)
 2013 data – broad- narrow-spectrum antibiotics – age and gender
 Indicator packages per 1000 inhabitants and per day
(16) Cooperation and planning
Moderators: José Campos (ES), Rolanda Valinteliene (LT)
 WHO/Euro – TATFAR - ESVAC
 Future ESAC-Net outputs (Atlas of infectious diseases)