International Nosocomial Infection Control Consortiu (INICC) report, data summary of 43 countries for 2007-2012. Device-associated module

Rosenthal V. D., Maki D. G., Mehta Y., Leblebicioglu H., Memish Z. A., Al-Mousa H. H., ...Daha Fazla

AMERICAN JOURNAL OF INFECTION CONTROL, sa.9, ss.942-956, 2014 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Basım Tarihi: 2014
  • Doi Numarası: 10.1016/j.ajic.2014.05.029
  • Dergi Adı: AMERICAN JOURNAL OF INFECTION CONTROL
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.942-956
  • Anahtar Kelimeler: Hospital infection, Nosocomial infection, Health care-associated infection, Device-associated infection, Antibiotic resistance, Ventilator-associated pneumonia, Catheter-associated urinary tract infection, Central line-associated bloodstream infections, Bloodstream infection, Urinary tract infection, Developing countries, Limited resources countries, Low income countries, Network, INTENSIVE-CARE UNITS, VENTILATOR-ASSOCIATED PNEUMONIA, URINARY-TRACT-INFECTION, BLOOD-STREAM INFECTIONS, LIMITED-RESOURCE COUNTRIES, MULTIDIMENSIONAL APPROACH, PERFORMANCE FEEDBACK, SOCIOECONOMIC IMPACT, CONTROL STRATEGY, CONTROL PROGRAM
  • Ankara Üniversitesi Adresli: Evet

Özet

We report the results of an International Nosocomial Infection Control Consortium (INICC) surveillance study from January 2007-December 2012 in 503 intensive care units (ICUs) in Latin America, Asia, Africa, and Europe. During the 6-year study using the Centers for Disease Control and Prevention's (CDC) U.S. National Healthcare Safety Network (NHSN) definitions for device-associated health care-associated infection (DA-HAI), we collected prospective data from 605,310 patients hospitalized in the INICC's ICUs for an aggregate of 3,338,396 days. Although device utilization in the INICC's ICUs was similar to that reported from ICUs in the U.S. in the CDC's NHSN, rates of device-associated nosocomial infection were higher in the ICUs of the INICC hospitals: the pooled rate of central line-associated bloodstream infection in the INICC's ICUs, 4.9 per 1,000 central line days, is nearly 5-fold higher than the 0.9 per 1,000 central line days reported from comparable U. S. ICUs. The overall rate of ventilator-associated pneumonia was also higher (16.8 vs 1.1 per 1,000 ventilator days) as was the rate of catheter-associated urinary tract infection (5.5 vs 1.3 per 1,000 catheter days). Frequencies of resistance of Pseudomonas isolates to amikacin (42.8% vs 10%) and imipenem (42.4% vs 26.1%) and Klebsiella pneumoniae isolates to ceftazidime (71.2% vs 28.8%) and imipenem (19.6% vs 12.8%) were also higher in the INICC's ICUs compared with the ICUs of the CDC's NHSN. Copyright (C) 2014 by the Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.