Since 2004, the national REA-Raisin surveillance system has focused on infections associated with invasive devices: pneumonia and mechanical ventilation, local infections or bacteremia associated with central venous catheters, and all cases of bacteremia. Thanks to the participation of 199 reporting units, incidence rates of these nosocomial infections in intensive care units in mainland France were estimated for the year 2017. These baseline results are also broken down by region. Over the past five years, there has been an increase in the incidence of ventilator-associated pneumonia and a decrease in the incidence of central venous catheter-related bacteremia, with the latter reaching rates below the Propias targets.

These data enable participating units to evaluate and guide their prevention efforts. They also allow for a comparison of the situation in France with that of other European countries.

Starting in 2019, the surveillance of nosocomial infections in intensive care units is part of the national mission "Surveillance and Prevention of Infections Associated with Invasive Devices" (SPIADI: https://www.spiadi.fr). This new program aims to involve a greater number of intensive care units and to expand the surveillance of catheter-associated bacteremia beyond intensive care units and healthcare facilities.

All national initiatives for the surveillance of healthcare-associated infections (IAS) and antibiotic resistance (RATB) are described on the website https://www.preventioninfection.fr/.

Learn more:

Surveillance of Healthcare-Associated Infections in Adult Intensive Care Units, REA-Raisin Network, France. 2017 Results.

National survey on the prevalence of healthcare-associated infections and antimicrobial treatments in healthcare facilities, France, May–June 2017.