?e?t???? ???ast???? ??

1
?e?t???? ???ast???? ??µ?s?a? ??e?a?

• ????
• ?tt???

2
???ast???? ??µ?s?a? ??e?a? (???)

• ?a???? e??ast???a??? ?p?st?????? st??? F??e??
  ??µ?s?a? ??e?a? t?? ???a? µa? ?a? e?d???te?a
• Sta tµ?µata ?p?t???s?? ?a? ?a??µßas?? t?? ???t???
  ??????? ?a? ???????? ??s?µ?t??
• Sta ?µ?µata ??µ?s?a? ??e?a? t?? ?p????e??? t??
  ?e??fe?e??? ?a? t?? ??µa???a??? ??t?d?????s??,
• St?? ?p?t??p?? ??s???µe?a??? ???µ??e?? t??
  ??s???µe??? ?.?

3
???ast???? ??µ?s?a? ??e?a? (???)

• ? ???ast???a?? ?p?st????? t?? ??e????µ????
  e?????? p?? d?e?e????? ?? a?t?st???e? ?p??es?e?
  ??µ?s?a? ??e?a?.
• ??e????µ???? (µ????ß????????? ?a? ßas????
  ??µ????) ??e???? t??f?µ?? ?a? p?t??.
• ??e????µ???? (µ????ß????????? ?a? ßas????
  ??µ????) ?d?t?? a????p???? ?ata????s??.
• ??e????µ???? (µ????ß????????? ?a? ßas????
  ??µ????) ????µß?t???? de?aµe???, ?a?ass??? ?d?t??
  ??p
• ??e???? ?e??ß?????t?? ??a pa???s?a Legionella

• ? ???ast???a?? ?p?st????? t?? ?p?d?µ?????????
  ?p?t???s?? ?a? t?? ?p?d?µ????????? ??e?e???s??
  t?? ???µ?d?? ??s?µ?t??
• ??e????µ???? ??e???? (t??f?µ??, ?e??? ??p
  st???e??? t?? pe??ß?????t??) sta p?a?s?a t??
  d?e??????s?? s???e???µ???? ep?d?µ???? epe?s?d???
• ???ast???a?? te?µ????s? t?? t??p?? d?asp???? t??
  µ???????a??sµ?? a?t??? t?? ???µ?d?? ??s?µ?t??
  µeta?? t?? ????sµ?t??, te?µ????s? t??
  ???????t?ta?, (µ????ß?a?? t?p?p???s?).

4
???ast???? ??µ?s?a? ??e?a? (???)

• ???ep?d?µ??????a
• ??????? d?????s? s?µa?t???? ??a t?? ?. ??e?a
  ?s?e?e??? (?????a ??p)
• Ge?et???? ??e????
• ??µ???? ??e????

5
St?at????? S?µµa??a ?S??-??????? (2009 - )

• ???pt??? ?a? ?e?t?????a ???t??? ???ast?????
  ??µ?s?a? ??e?a?
• ?p?st?µ????? ?pe?????t?ta ?p?d?µ?????????
  ?p?t???s??

11/10/2010
6
???t?? ???? - ????

• ?p?st?µ?????? S??t???sµ?? ?S??
• ??????µ??? ??a?e???s? ?S??
• ??????t??? ?p?pte?a S?ed?asµ?? K??????

23/07/2015
7
????

• ???? ?S??
• ????sa ?a?/µ?? Tessa??a? (??? ???e????)
• ??e?a?d???p??? ?a?/µ?? T????? (??? ???e????)
• ???t?? ?a?/µ?? ???t??

• ??d?? ??s???µe?? ??d??
• ??t?a ?a?/µ?? ??t?a? (??? ?????ß??????a?)
• Tes/????? ?a?/µ?? Tes????? (??? ???ast????)
• ??a?????? ?a?/µ?? ??a?????? (??? ?????ß??????a?
  

8
?? ???t?? ???
??e?/p???
????sa
??d??
?????e??
23/07/2015
9
?e?t???? ???ast???? ??µ?s?a? ??e?a?

• ????
• ?tt???

10
S?????e?s? ???ast????? ?????ß??????a? ?S??
?e?t????? ???ast????? ??µ?s?a? ??e?a? ???????

• ?????ß????????? ??e???? ?e???
• ?????ß????????? ??e???? t??f?µ??
• ??µ???? ??e???? ?e???
• 10.000 de??µata 30.000 e?et?se?? et?s???
• ISO 17025

• ???t?? ??af???? Sa?µ??e???-S???e???
• ??e?d??e?µ??? ???ast???? ?e?e?????a? ??t???
  ????da?
• ?????ß?a?? ??t??? sta ??t?ß??t???
• S??t???sµ?? t?? ???t??? ?e??t?? t?? ?????ß?a???
  ??t???? (WHONET).
• ??s???µe?a??? ???µ??e??.
• ?????ß?a?? ??p?p???s?.
• ??ap?ste?s? ??et?se??

11/10/2010
11
??et?se?? p?? p?a?µat?p??????a? st? ???t??
(2012)
  ???G???? ?????S??S
???? 8869 32379
???? Tessa??a? 4254 16284
???? ??e?/p???? 3574 7623
???? ???t?? 4347 17929
???? ??d?? 984 1728
???? Tes/??? 50 31
S????? 22078 75974





12
?????e??µata a?? e??ast???? 2012
13
?????p?st?????te? F??e?? 2012
14
??ap?ste?s? ??et?se??

• ISO 17025

15
??ast????t?ta

• ???ast???a?? ?p?st?????.
• ?t?s???
• Sa?µ????e? 700 ste????
• ??t??? 800 ste????
• ?e??????e? 2000 de??µata
• ??e?e???s? ep?d?µ???
• ?e????e??e? se ?e??d??e?a ??p
• ???f?µ??e?e?? ep?d?µ?e?
• ??s???µe?a??? ???µ??e??

• ??pa?de?s?
• ?S??
• ?ate????s? ???µ?d??
• ???ast???a?? d?µ?s?a ??e?a
• ???ast???? a?a?????sµ??? ?? e?pa?de?t??? ap?
  ESCMID (????pa??? ?ta??e?a ?????ß??????a?)
• EUPHEM (????pa??? p????aµµa e?pa?de?s?? st??
  ?????ß??????a ??µ. ??e?a? ECDC) ??a ta e??ast???a
  t?? ?S??.

16
??de??t???? ?a?eµß?se?? ??µ?s?a? ??e?a?
17
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22
EARSS-NET ECDCKlebsiella pneumoniae
resistance in Imipenem 2010
23
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