Genomic epidemiology of nosocomial carbapenemase-producing in sewerage systems in the Helsinki metropolitan area, Finland.

Multi-drug resistance is emerging in , which is the third most common carbapenemase-producing (CP) in humans in Finland due to recent outbreaks. The objective of this study was to determine if wastewater surveillance (WWS) could detect CP strains causing infections in humans. Selective culturing was used to isolate CP from the hospital environment, hospital wastewater, and untreated municipal wastewater in Helsinki, Finland, between 2019 and 2022.

Qualitative Insights into Vaccine Uptake of Nursing Staff in Long-Term Care Facilities in Finland.

Vaccine hesitancy and refusal have undermined COVID-19 vaccination efforts of nursing staff. This study aimed to identify behavioral factors associated with COVID-19 vaccine uptake among unvaccinated nursing staff in long-term care facilities (LTCF) in Finland. Methodology: The study was based on the Theoretical Domains Framework.

Point prevalence survey is useful for introducing effective surveillance of healthcare-associated infections.

Background: In Finland, the surveillance of healthcare-associated infections (HAI) became obligatory by the renewed Communicable Diseases Act on the 1 March 2017.

Aim: To introduce HAI surveillance protocol (HALT-2 by ECDC) in primary care hospitals in the largest hospital district in Finland, and to measure the burden of HAIs and antimicrobial use patterns for improvement.

Methods: Two identical point prevalence surveys (PPS) were organized in autumn 2015 and in spring 2017.