25 - 27 February 2013, Geneva, Switzerland

Course Objectives

This course provides participants with up-to-date background information and focuses on a practical approach to health-care associated infections (HAI). Through interactive sessions participants will follow the path of a real patient from hospital admission to discharge to long-term care facility in a European country. The course will cover HAI prevention, diagnosis and treatment with particular emphasis on infection control during routine clinical practice and aspects relevant to patient safety. Experienced international speakers will make presentations and stimulate the case discussion within interactive sessions.

Course Venue

Fondation Louis-Jeantet
Chemin Rieu 17
Case Postale 270
1211 Geneva 17, Switzerland
Phone +41 (0)22 704 36 36
www.jeantet.ch

Target Audience

30–50 specialists/MDs under training in the following disciplines: infectious diseases, infection control, clinical microbiology, patient safety.

Benedetta Allegranzi
WHO Patient Safety
1202 Geneva, Switzerland

Phone +41 (0)79 728 77 10
Fax +41 (0)22 791 13 88
Benedetta Allegranzi

Administrative Secretariat

Fabricio da Liberdade Jantarada
University Hospitals of Geneva / WHO
Collaborating Center on Patient Safety
4, Rue Gabrielle-Perret Gentil
1211 Geneva 14, Switzerland

Phone +41 (0)22 372 39 85
Fax +41 (0)22 372 39 87
Fabricio da Liberdade Jantarada

Presentations are availabe in the ESCMID Online Lecture Library.

Monday, 25 February 2013

• Welcome address from the Head of WHO Collaborating Center on Patient Safety, University of Geneva Hospitals and Faculty of Medicine (D. Pittet), and the Professor of Infectious Diseases, University of Tubingen (E. Tacconelli).
• Course introduction. E. Tacconelli & B. Allegranzi

Key-lectures
Moderators: D. Pittet & E. Kelley

• Epidemiology of healthcare-associated infection worldwide. B. Allegranzi
• Choosing the best method for healthcare-associated infection surveillance in your institution while taking benchmarking issues and caveats into consideration. P. Gastmeier
• Healthcare-associated infection: impact and burden. E. Tacconelli
• How to detect and investigate outbreaks in healthcare settings. P. Gastmeier
• Coffee break
• Interactive session – Challenges in healthcare-associated infection surveillance. Moderator: P. Gastmeier
• A global approach to infection control. D. Pittet
• Q/A and conclusions

Tuesday, 26 February 2013

All presentations will follow the history of Mrs Robinson (68 years, diabetes, BPCO, joint prosthesis and fever) and focus on the latest approaches on prevention, diagnosis and treatment.

• Discussion of Mrs Robinsons history. Moderator: I. Uckay

Mrs R. hospitalised for suspected joint prosthesis infection (JPI). During hospitalisation Mrs R. acquires E. coli colonisation, places urinary catheter and develops subsequent UTI due to ESBL+ E. coli.
Moderators: E. Tacconelli & S. Dancer

• Diagnosis and treatment of joint prosthesis infection. I. Uckay
• Catheter-related urinary tract infection. A. Cataldo
• Screening, masks and isolation precautions: when and for what microorganisms? S. Harbarth
• Coffee break
• Discussion of Mrs Robinsons history. Moderator: W. Zingg

After diagnosis and initial IV antibiotic treatment for the JPI, Mrs R. is discharged under antibiotic therapy; development of diarrhoea after 4-week antibiotic therapy. Moderators: W. Zingg & B. Allegranzi

• Latest update on Clostridium difficile. W. Zingg
• Does environmental cleaning make a difference? S. Dancer
• Lunch
• Discussion of Mrs Robinsons history. Moderator: E. Tacconelli

Mrs R. has a long hospitalisation for C. difficile diarrhoea difficult to treat, placement of CVC and development of CVC-related BSI and endocarditis due to methicillin-resistant Staphylococcus aureus. The patient is then discharged to a long-term care facility. L. Pagani & I. Uckay

• Detection and control of MRSA in healthcare settings. E. Tacconelli
• Multimodal approaches for catheter-related bloodstream infections. W. Zingg
• The golden rules for hand hygiene best practises. B. Allegranzi
• Coffee break
• Latest update on endocarditis. N. Petrosillo
• Infection control in non-hospital settings: the example of long-term and ambulatory care facilities. B. Allegranzi
• Interactive session – Implementation challenges of infection control strategies. Moderator: N. Petrosillo

Wednesday, 27 February 2013

• Discussion of Mrs Robinsons history. Moderator: B. Allegranzi

During her stay in the LTCF Mrs Robinson develops a catheter-related UTI due to KPC. Later on, Mrs Robinson is readmitted to the hospital for joint prosthesis removal because of treatment failure. For development of respiratory failure the patient is admitted to ICU and hospitalisation is complicated by VAP and candidaemia. Moderators: N. Petrosillo & D. Pittet

• Prevention of surgical site infection: the WHO Safe Surgery Checklist and more. G. De Angelis
• Candidaemia: an evidence-based approach. P. Eggimann
• Coffee break
• Multimodal approaches for ventilator-associated pneumonia. L. Brochard
• Antimicrobial stewardship: where and how. L. Pagani
• Mrs Robisons case from the patient safety perspective. E. Kelley
• Conclusions. S. Harbarth, E. Tacconelli & B. Allegranzi

• B. Allegranzi, Geneva, CH
• L. Brochard, Geneva, CH
• M. A. Cataldo, Rome, IT
• S. Dancer, London, UK
• G. De Angelis, Rome, IT
• P. Eggimann, Lausanne, CH
• P. Gastmeier, Berlin, DE
• S. Harbarth, Geneva, CH
• E. Kelley, Geneva, CH
• L. Pagani, Bolzano, IT
• N. Petrosillo, Rome, IT
• D. Pittet, Geneva, CH
• E. Tacconelli, Tubingen, DE
• I. Uckay, Geneva, CH
• W. Zingg, Geneva, CH