Device-associated infection rates, bacterial resistance, length of stay, and mortality in Kuwait: International Nosocomial Infection Consortium findings.

Autor: Al-Mousa HH; Infection Control Directorate, Ministry of Health, Kuwait City, Kuwait., Omar AA; Infection Control Directorate, Ministry of Health, Kuwait City, Kuwait., Rosenthal VD; International Nosocomial Infection Control Consortium, Buenos Aires, Argentina. Electronic address: victor_rosenthal@inicc.org., Salama MF; Mubarak Al Kabir Hospital, Kuwait City, Kuwait., Aly NY; Farwaniya Hospital, Kuwait City, Kuwait; Department of Tropical Medicine and Hygiene, Faculty of Medicine, University of Alexandria, Alexandria, Egypt., El-Dossoky Noweir M; Farwaniya Hospital, Kuwait City, Kuwait., Rebello FM; Mubarak Al Kabir Hospital, Kuwait City, Kuwait., Narciso DM; Mubarak Al Kabir Hospital, Kuwait City, Kuwait., Sayed AF; Farwaniya Hospital, Kuwait City, Kuwait., Kurian A; Farwaniya Hospital, Kuwait City, Kuwait., George SM; Farwaniya Hospital, Kuwait City, Kuwait., Mohamed AM; Farwaniya Hospital, Kuwait City, Kuwait., Ramapurath RJ; Farwaniya Hospital, Kuwait City, Kuwait., Varghese ST; Farwaniya Hospital, Kuwait City, Kuwait.
Jazyk: angličtina
Zdroj: American journal of infection control [Am J Infect Control] 2016 Apr 01; Vol. 44 (4), pp. 444-9. Date of Electronic Publication: 2016 Jan 05.
DOI: 10.1016/j.ajic.2015.10.031
Abstrakt: Background: To report the results of the International Infection Control Consortium (INICC) study conducted in Kuwait from November 2013-March 2015.
Methods: A device-associated health care-acquired infection (DA-HAI) prospective surveillance study in 7 adult, pediatric, and neonatal intensive care units (ICUs) using the U.S. Centers for Disease Control and Prevention's (CDC's) National Healthcare Safety Network (NHSN) definitions and INICC methods.
Results: We followed 3,732 adult and pediatric patients for 21,611 bed days and 671 neonatal patients for 4,515 bed days. In the medical-surgical ICUs, the central line-associated bloodstream infection (CLABSI) rate was 3.5 per 1,000 central line days, the ventilator-associated pneumonia (VAP) rate was 4.0 per 1,000 mechanical ventilator days, and the catheter-associated urinary tract infection (CAUTI) rate was 3.3 per 1,000 urinary catheter days; all of them were lower than INICC rates (CLABSI: 4.9; VAP: 16.5; and CAUTI: 5.3) and higher than NHSN rates (CLABSI: 0.9; VAP: 1.1; and CAUTI: 1.2). Resistance of Staphylococcus aureus to oxacillin was 100%, resistance of Acinetobacter baumannii to imipenem and meropenem was 77.6%, and resistance of Klebsiella pneumoniae to imipenem and meropenem was 29.4%. Extra length of stay was 27.1 days for CLABSI, 22.2 days for VAP, and 19.2 days for CAUTI in adult and pediatric ICUs. Extra crude mortality was 19.9% for CLABSI, 30.9% for VAP, and 11.1% for CAUTI in adult and pediatric ICUs.
Conclusions: DA-HAI rates in our ICUs are higher than the CDC-NSHN rates and lower than the INICC international rates.
(Copyright © 2016 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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