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Bactiguard Infection Protection "Improving quality of care at Hospital" Webinar 21 August 2018 Cecilia Edstrm CFO and Business Development 1 2 Antimicrobial Resistance (AMR) European and Global Challenge by 2050 EU: 25 000


  1. Bactiguard Infection Protection "Improving quality of care at Hospital" Webinar 21 August 2018 Cecilia Edström CFO and Business Development 1

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  3. Antimicrobial Resistance (AMR) European and Global Challenge by 2050 EU: 25 000 patients die annually 392K Globally: Could be as high as 700 000 317K 4.7M 2050 => 10 million lives at risk globally 4.1M 392K 3

  4. Health care-associated infections HAI frequency 1 in n every ry 10 10 patients affected by health care-associated infections worldwide Source: WHO/HIS/SDS/2016.10 4

  5. Status in India Healthcare associated infections • India is the single largest antibiotics-consuming country in the world • At least 2 million patients affected by Hospital Acquired Infections every year • ¼ of infections occur in the ICUs Leading causes of death ( Western world) • At least 58,000 babies die each year from Rank Cause of death superbugs 1 Cardiovascular diseases incl. stroke • 60% to 80% of organisms that cause infections 2 Cancer in newborns are resistant to normal antibiotics. 3 Healthcare Associated Infections 5 Sources: Al Jazeera, The Lancet , apiindia.org and Frontline

  6. The challenge According to the World Health Organization (WHO): • Preventing healthcare associated infections (HAIs) has never been more important • Every infection prevented is an antibiotic treatment avoided Infection prevention and control actions can save millions of lives, every year World Health Organization 6

  7. Bactiguard’s vision Eliminate healthcare associated infections to: Save lives Reduce cost Reduce the use of antibiotics And thereby prevent the spread of multiresistant bacteria 7

  8. Common sources of infections and sepsis Where does HAI occur? 17% Urinary tract 32% Blood stream Respiratory tract BIP Foley Catheter 22% Surgical site 14% Other 15% USA BIP ETT BIP CVC 8 Source: Global Sepsis Alliance

  9. Bacterial colonization – causing infections Uncoated surface vs. Bactiguard coated surface sd sd sd A few seconds A few hours A few days A few seconds A few hours A few days Uncoated surface Bactiguard coated surface 9

  10. The technology The galvanic effect – effective and safe d u • When in contact with fluids the noble i r g metals create a galvanic effect a adiu d • The different electro potentials of the metals create a micro current • Preventing microbial adhesion • Non-releasing mechanism • Effective and safe 10

  11. Considerable higher HAIs at Intensive care units(ICU) Compared to hospitals in general Low to mid-income HAI Rates Sweden HAI Rates EU HAI Rates General General ICU General ICU ICU 15% 34 % 30% 60-90 % 9% 7% • Top three HAIs in ICUs ➢ VAP – Ventilator Associated Pneumonia ➢ CAUTI – Catheter Associated Urinary Tract Infection ➢ CRBSI – Catheter Related Blood Stream Infection • Cost of treating a case of VAP or CRBSI in ICU is in the range of 50-70k Euro • Additional length of stay up to additional 22 days in the ICU • Mortality for CRBSI and VAP up to 25% and 50% respectively 11 Source: WHO HAI Factsheet, Lakartidningen 2012, CDC

  12. Why Bactiguard should be standard in every ICU Bactiguard can offer protection against the 3 most common HAIs in the ICU BIP CVC to prevent CLABSI BIP ETT to prevent VAP BIP Foleys to prevent CAUTI 12

  13. Health economics 13 Reference: Saint S. et al. Arch Intern Med. 2000; 160:2670 – 2675.

  14. Concluding remarks • Preventing infections has never been more important • Address the problem at the source • Introduce preventive actions: - Focus on total cost of treatment - Quality critera in tenders and direct purchases - Develop new guidelines • Use clinical evidence and data as a reference 14

  15. More information available at www.bactiguard.com For questions and additional information, please contact: Cecilia Edström , CFO Cell phone +46 72-226 23 28 cecilia.edstrom@bactiguard.se @EdstromCecilia Munish Agarwal, Director India Operation Cell phone: +91 991 515 89 86 munish.agarwal@bactiguard.se 15

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