SEPSIS Improving prevention, diagnosis and...
Transcript of SEPSIS Improving prevention, diagnosis and...
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Improving prevention,diagnosis and clinicalmanagement
SEPSIS
About the ENSHThe European Network for Safer Healthcare is an informal group of health stakeholders working together to ensure patient and healthcare workforce safety is in the limelight of the EU policy agenda. Implementing the highest standards of safety for patients and the health workforce is the cornerstone of an effective health system and an indicator of quality of care.
The direct cost of unsafe care is about EUR 21 billion or 1.5 % of health expenditure for EU countries. Investing in safer healthcare will prevent 260 000 fewer incidents of permanent disability, and 95 000 fewer deaths per year. It is vitally important that safety in the healthcare system is safeguarded when devising policy responses to pressing health needs. For more information: www.eusaferhealthcare.eu
ENSH Members
About Sepsis
This project was made possible thanks to unrestricted grants from Becton, Dickinson and Company
Sepsis arises when the body’s response to infection injures its own tissues and organs. It can lead to septic shock, multiple organ failure and death, if not recognized early and managed promptly.
In the community, sepsis often presents as the clinical deterioration of common and preventable infections such as those of the respiratory, gastrointestinal and urinary tract, or of wounds and skin. Sepsis may also result from infections acquired in health care settings. In Europe, about 80 000 hospitalized patients are es-timated to have at least one health care-associated infection on any given day. Antimicrobial resistance is a major factor determining clinical unresponsiveness to treatment and rapid evolution to sepsis and septic shock. Around 214 000 neonatal deaths due to sepsis worldwide each year could be attributable to resistant pathogens. Sepsis is frequently under-diagnosed at an early stage when it is still potentially reversible. Early diagnosis and appropriate clinical management of sepsis is crucial to increase the likelihood of survival.
It is impossible to estimate precisely the global epidemiological burden of sepsis. According to crude in-cidence estimates extrapolated from data gathered in the United States of America, there could be 15–19 million cases of sepsis every year worldwide. Further data report up to 31 and 24 million cases of sepsis and septic shock respectively globally, with clinical conditions resulting in sepsis accounting for about 6 million deaths. The financial burden due to sepsis has been calculated to be more than US$ 24 billion, representing 6.2% of total hospital costs in 2013. Studies in Europe and Canada have estimated the daily costs of hospital care of a septic patient to be between €710 and €1033 in 2000.
Source: WHO Secretariat Report A70/13 - Improving the prevention, diagnosis and clinical management of sepsis
HFE - Health First Europe
GSA - Global Sepsis Alliance
EUSEM - The European Society for Emergency Medicine
EHMA - European Health Management Association
EUNETIPS - European network to promote infection prevention for patient safety
IAPO - International Alliance of Patients’ Organizations
SpeakersMEP José Inácio Faria, Member of the European Parliament (EPP, Portugal)
José Inácio Faria is member of the Committee on the Environment, Public Health and Food Safety at the European Parliament. During his mandate, he has been working on health issues, showing a great commitment toward boosting patient safety across Europe. He also closely follows policies related to primary immunodeficiency diseases, vaccination and AMR. He is a lawyer, graduated in Portugal.
Nicola Caputo, Member of the European Parliament (S&D, Italy)
Nicola Caputo serves as member of the Committee on Agriculture and Rural Development and as substitute of the Committee on the Environment, Public Health and Food Safety at the Euro-pean Parliament. His work on health has been focused on eHealth, heart failure, patient rights, prevention and self–care. He graduated from the Faculty of Economics and Business studies at the University of Naples ‘Federico II’.
Prof. Dr. Konrad Reinhart, Global Sepsis Alliance
Prof. Dr. Konrad Reinhart is a Board certified Anaesthesiologist and Professor of Anaesthesi-ology and Intensive Care Medicine at the Jena University Hospital in Germany. He is Chair of the Global Sepsis Alliance and one of the key initiators of World Sepsis Day. As speaker of the nation-wide German research network SepNethe, he initiated landmark studies on the efficacy and safety of therapeutic approaches in sepsis as well as on the epidemiology of sepsis in Ger-many. His research activities in the field of sepsis and intensive care medicine led to more than 750 peer reviewed publications and the Research Award of the State of Thuringia (Germany).
Prof. Luis Garcia-Castrillo Riesgo, European Society for Emergency Medicine
Dr. Luis Garcia-Castrillo Riesgo has been working in the international field of Emergency Med-icine and is the President-Elect of the European Society for Emergency Medicine (EUSEM). He has developed a strong interest in the field of early detection and treatment of sepsis out of the intensive care setting. As past Professor of the Cantabria University, he has lead European pro-jects related to the role of the Syndromic Surveillance system based on the Emergency Medical Services. His research has been focused on severity models, and dissemination of structured management of the septic patient.
Mr Dennis Kredler, Patient’s Perspective
Dennis Kredler is Director of EU affairs and Head of the Brussels office of the Dow Chemical Company. He has survived sepsis a few years ago and has been campaigning to raise awareness over what he calls ‘the most preventable cause of death and disability in Europe today’.
SpeakersCharles Price, DG Health and Food Safety, European Commission
Charles Price is Policy Officer for antimicrobial resistance and healthcare-associated infections in the European Commission Unit for Crisis Management and Preparedness in Health.
Dr. Barbara Kerstiens, DG Research and Innovation, European Commission
Ms. Kerstiëns is Deputy Head of Unit responsible for infectious diseases and public health at the European Commission. She has a long experience in international public health, working for Médecins Sans Frontières, Johns Hopkins Bloomberg School of Public health and DG De-velopment and Cooperation of the European Commission prior to joining DG Research and Innovation in 2012.
Prof. Thierry Calandra, European Society of Clinical Microbiology and Infectious Diseases
Mr. Calandra is Head of the Infectious Diseases Service at the University Hospital in Lausanne and member of many medical societies, including the European Society for Clinical Microbiolo-gy and Infectious Diseases (ESCMID). For the last 20 years, Dr. Calandra’s research interests have focused on innate immunity, sepsis, bacterial and fungal infections in the intensive care unit and in immunocompromised hosts. He has published more than 250 articles, reviews, book chapters and monographs on infectious diseases, sepsis and critical care.
Prof. Daniel De Backer, European Society of Intensive Medicine
Daniel De Backer is Head of Intensive Care departments at CHIREC Hospitals (Brussels – Walloon Brabant) and Professor of Intensive Care at the Université Libre de Bruxelles. He is past-presi-dent of the European Society of Intensive Care Medicine and a member of the steering commit-tee of Surviving Sepsis Campaign. Daniel De Backer has signed more than 150 articles, serves as reviewer for 30 journals, and is Associate Editor of several journals including “Critical Care” and “Intensive Care Medicine”. His main fields of investigations are sepsis, organ dysfunction and support and circulatory failure.
Mr. Usman Khan, European Health Management Association
Mr. Khan was appointed Executive Director of the European Health Management Association in April 2016. He is also Managing Director of Modus Europe, an organisation providing strategic public policy advice, and undertakes related economic and policy studies with a particular focus on health and social care. Usman has over 20 years public policy and management experi-ence. He currently holds a non-executive position within the NHS and is Professorial Lecturer in Health Policy and Management at George Washington University.
Dr. Ricard Ferrer, Coordinator of the Project “Time to decision in Sepsis”
Dr. Ricard Ferrer is the Head of the Intensive Care Department at Vall d’Hebron Research In-stitute in Barcelona. Dr. Ferrer is a member of the Steering Committee of the Surviving Sepsis Campaign. He is actively engaged in the field of sepsis, infection prevention and treatment. In 2015, he was awarded with the Global Sepsis Awards 2015, in recognition of his contributions in the fight against sepsis worldwide. Graduated from the Medical School of the University of Barcelona, he pursued his specialisation in Intensive Care.
Dr. Vida Hamilton, National Clinical Lead Sepsis, Ireland
Vida Hamilton is the National Clinical Lead for Sepsis, sits on the National Sepsis Steering Com-mittee and co-author of the National Guidelines on Sepsis Management, also leading the im-plementation programme. She graduated from RCSI in 1995 and started training in Anaesthesia in 1996. Dr Hamilton is Honarary Senior Lecturer at the Royal College of Surgeons in Ireland and Tutor in Anaesthesia for the College of Anaesthetists. She is a Council member of the Intensive Care Society of Ireland, representing the Council at the Sepsis Section of the European Society of Intensive Care Medicine.
Other AttendeesFirst Name Last Name Organisation
Ava Lloyd American Chamber of Commerce to the EU
José Luis Gómez Becton Dickinson
Nikoleta Arnaudova Council of European Dentists
Barbara Kerstiens European Commission - DG RTD
Charles Price European Commission - DG SANTE
João Tiago De Sousa Guimaraes European Federation on Clinical chemistry and laboratory medicine
Usman Khan European Health Management Association
Teuta Azizi European Medical Students' Association
Valentina Polylas European Regional and Local Health Authorities
Marc Gheeraert European Society for Anaesthiology
Luis Garcia Castrillo European Society For Emergency Medicine
Thierry Calandra European Society of Clinical Microbiology and Infectious Diseases
Daniel De Backer European Society of Intensive Medicine
Ber Oomen European Specialist Nurses Organisations
Ilaria Giannico European Union Private Hospitals
Laura Cigolot European Alliance for Access to Safe Medicines
Jean Carlet Expert
Giulio Toccafondi Expert
Giorgio Tulli Expert
Dennis Kredler Expert
Mike Weinbren Expert
First Name Last Name Organisation
Jakub Śmiechowicz Expert
Javier Gonzalez del Castillo Expert
Marcio Borges Expert
Juan Carlos Rodriguez Expert
Catherine Cotton Federation of European Microbiological Societies (FEMS)
Konrad Reinhart Global Sepsis Alliance
Nigel Clarke General Pharmaceutical Council
Wes Himes Health First Europe
Melina Raso Health First Europe
Lucia Medori Health First Europe
Adela Maghear Health Care Without Harm Europe
Ricard Ferrer Hospital Universitari Vall d’Hebron
Albert van der Zeijden International Alliance of Patients' Organizations
Jessica Carreno Louro International Association of Mutual Benefit Societies
David Vaughan International Society for Quality in Health Care
Arianna Scenna Regione Piemonte
Annelie Zapfe Representation of the Free State of Thuringia
Els Duysburgh Sciensano
Laure Mortgat Sciensano
Sven-Olaf Kuhn University Greifswald
Alexia Verroken Université Catholique de Louvain
ContactsThe initiatives of the European Network for Safer Healthcare are coordinated and
implemented under the supervision of Health First Europe.
www.eusaferhealthcare.eu
Rue du Trone 60, First Floor, 1050 Bruxelles, Belgium
Tel: +32(0)2 626.19.99
Twitter: @HealthFirstEU
LinkedIn: Health First Europe
www.healthfirsteurope.eu