International Nosocomial Infection Control Consortium (INICC) report, data summary of 45 countries for 2013-2018, Adult and Pediatric Units, Device-associated Module.

Autor: Rosenthal VD; International Nosocomial Infection Control Consortium, Ciudad Autonoma De Buenos Aires, Argentina. Electronic address: victor_rosenthal@inicc.org., Duszynska W; Department of Anesthesiology and Intensive Therapy, Wroclaw Medical University, Wroclaw, Poland., Ider BE; Intermed Hospital, Ulaanbaatar, Mongolia., Gurskis V; Hospital Of Lithuanian University Of Health Sciences Kauno Klinikos, Kaunas, Lithuania., Al-Ruzzieh MA; King Hussein Cancer Center, Amman, Jordan., Myatra SN; Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, India., Gupta D; The Calcutta Medical Research Institute; Bm Birla Heart Reseach Centre, Kolkata, India., Belkebir S; An-Najah National University, An-Najah University Hospital, Nablus, Palestine., Upadhyay N; Deenanath Mangeshkar Hospital, Pune, India., Zand F; Anesthesia and Critical Care Research Center, Shiraz University of Medical Sciences, Shiraz, Iran., Todi SK; Amri Hospitals Mukundapur Dhakuria, Kolkata, India., Kharbanda M; Desun Hospital, Kolkata, India., Nair PK; Holy Spirit Hospital, Mumbai, India., Mishra S; IMS And SUM Hospital, Bhubaneswar, India., Chaparro G; Instituto Medico Platense Sa, Uti De Adultos, Provincia De Buenos Aires, La Plata, Argentina., Mehta Y; Medanta The Medicity, New Delhi, India., Zala D; Shri Vinoba Bhave Civil Hospital, Silvassa, India., Janc J; 4th Clinical Military Hospital, Wroclaw, Poland., Aguirre-Avalos G; Hospital Civil De Guadalajara 'Fray Antonio Alcalde'- Servicio De Terapia Intensiva, Guadalajara, Mexico., Aguilar-De-Morós D; Hospital Del Niño Dr José Renán Esquivel, Panama, Panama., Hernandez-Chena BE; Hospital General Regional 6 De Ciudad Madero, Madero, Mexico., Gün E; Ankara University Faculty Of Medicine, Ankara, Turkey., Oztoprak-Cuvalci N; Antalya Education And Research Hospital, Antalya, Turkey., Yildizdas D; Balcali Hospital, Adana, Turkey., Abdelhalim MM; Cairo University Specialized Pediatric Hospital, Cairo, Egypt., Ozturk-Deniz SS; Pamukkale University Hospital, Denizli, Turkey., Gan CS; Pediatric ICU, University of Malaya Medical Center, Kuala Lumpur, Malaysia., Hung NV; Bach Mai Hospital, Hanoi, Vietnam., Joudi H; Hammoud Hospital University Medical Center, Saida, Lebanon., Omar AA; Surveillance Department, Infection Control Directorate, Ministry Of Health, Kuwait City, Kuwait., Gikas A; University General Hospital Of Heraklion, Heraklion, Greece., El-Kholy AA; Cairo University Hospital and Dar Al-Fouad Hospital, 6th Of October City, Egypt; ag) Mohamed V University of Rabat, Rabat, Morocco., Barkat A; Ibn Sina University Hospital Center, Rabat Children's Hospital, Rabat, Morocco., Koirala A; Grande International Hospital, Kathmandu, Nepal., Cerero-Gudiño A; Hospital General De Zona Umaa No 1 Oaxaca, Oaxaca De Juarez, Mexico., Bouziri A; Children Hospital Of Tunis University Of Tunis El Manar, Tunis, Tunisia., Gomez-Nieto K; Clínica Universitaria Colombia, Bogotá, Colombia., Fisher D; National University Hospital, Singapore, Singapore., Medeiros EA; Hospital São Paulo, Escola Paulista De Medicina, Unifesp, Sao Paulo, Brazil., Salgado-Yepez E; Clinica La Merced, Quito, Ecuador., Horhat F; University Of Medicine And Pharmacy Victor Babes Timisoara Emergency County Clinical Hospital, Timisoara, Romania., Agha HMM; Cairo University Specialized Pediatric Hospital, Cairo, Egypt., Vimercati JC; Hzga 'Dr. Ricardo Gutiérrez', Provincia De Buenos Aires, La Plata, Argentina., Villanueva V; St Lukes Medical Center Quezon City, Philippines., Jayatilleke K; Sri Jayewardenepura General Hospital, Nugegoda, Sri Lanka., Nguyet LTT; Thanh Nhan Hospital, Hanoi, Vietnam., Raka L; National Institute For Public Health Of Kosovo And Medical School Prishtina University, Prishtina, Kosovo., Miranda-Novales MG; Umae Hospital De Pediatría Cmn Sxxi, Mexico Df, Mexico., Petrov MM; St George University Hospital, Plovdiv, Bulgaria., Apisarnthanarak A; Thammasart University Hospital, Thailand., Tayyab N; Military Hospital Of Rawalpindi Pakistan, Rawalpindi, Pakistan., Elahi N; Dubai Hospital, Dubai, United Arab Emirates., Mejia N; Hospital General De La Plaza De La Salud, Santo Domingo, Dominican Republic., Morfin-Otero R; Antiguo Hospital Civil De Guadalajara- Unidad De Infectologia, Guadalajara, Mexico., Al-Khawaja S; Salmaniya Medical Complex, Manama, Bahrain., Anguseva T; Special Hospital For Surgical Diseases Filip Vtori, Skopje, Macedonija., Gupta U; Port Moresby General Hospital, Port Moresby, Papua New Guinea., Belskii VA; Privolzhskiy District Medical Center, Nizhniy Novgorod, Russia., Mat WRW; Pusat Perubatan Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia., Chapeta-Parada EG; Instituto Del Corazon De Bucaramanga, Bogota, Colombia., Guanche-Garcell H; Hospital Docente Clínico Quirúrgico Joaquín Albarrán, La Habana, Cuba., Barahona-Guzmán N; Universidad Simon Bolivar, Barranquilla, Colombia., Mathew A; Noble Hospital, Pune, India., Raja K; Sree Chitra Tirunal Institute For Medical Sciences And Technology (Sctimst), Thiruvananthapuram, Kerala, India., Pattnaik SK; Apollo Hospitals, Bhubaneswar, India., Pandya N; Bhailal Amin General Hospital, Vadodara, India., Poojary AA; Breach Candy Hospital Trust, Mumbai, India., Chawla R; Indraprastha Apollo Hospital Delhi, New Delhi, India., Mahfouz T; Sheikh Ragheb Harb Hospital, Nabatyiah, Lebanon., Kanj SS; American University Of Beirut Medical Center, Beirut, Lebanon., Mioljevic V; Clinical Center Serbia Emergency Center, Belgrade, Serbia., Hlinkova S; Catholic University In Ruzomberok Faculty Of Health Central Military Hospital Snp Ruzomberok, Ruzomberok, Slovakia., Mrazova M; St. Elisabeth University, Institute for Prevention and Intervention, Bratislava, Slovakia., Al-Abdely HM; Ministry of Health, Kingdom of Saudi Arabia., Guclu E; Sakarya University Training And Research Hospital, Sakarya, Turkey., Ozgultekin A; University Of Health Sciences, Haydarpasa Training And Reserch Hospital, Istanbul, Turkey., Baytas V; Ankara University Ibni-Sina Hospital, Ankara, Turkey., Tekin R; Dicle University Hospital, Diyarbakır, Turkey., Yalçın AN; Akdeniz University School Of Medicine, Antalya, Turkey., Erben N; Eskisehir Osmangazi University, Faculty Of Medicine, Eskisehir, Turkey.
Jazyk: angličtina
Zdroj: American journal of infection control [Am J Infect Control] 2021 Oct; Vol. 49 (10), pp. 1267-1274. Date of Electronic Publication: 2021 Apr 24.
DOI: 10.1016/j.ajic.2021.04.077
Abstrakt: Background: We report the results of INICC surveillance study from 2013 to 2018, in 664 intensive care units (ICUs) in 133 cities, of 45 countries, from Latin-America, Europe, Africa, Eastern-Mediterranean, Southeast-Asia, and Western-Pacific.
Methods: Prospective data from patients hospitalized in ICUs were collected through INICC Surveillance Online System. CDC-NHSN definitions for device-associated healthcare-associated infection (DA-HAI) were applied.
Results: We collected data from 428,847 patients, for an aggregate of 2,815,402 bed-days, 1,468,216 central line (CL)-days, 1,053,330 mechanical ventilator (MV)-days, 1,740,776 urinary catheter (UC)-days. We found 7,785 CL-associated bloodstream infections (CLAB), 12,085 ventilator-associated events (VAE), and 5,509 UC-associated urinary tract infections (CAUTI). Pooled DA-HAI rates were 5.91% and 9.01 DA-HAIs/1,000 bed-days. Pooled CLAB rate was 5.30/1,000 CL-days; VAE rate was 11.47/1,000 MV-days, and CAUTI rate was 3.16/1,000 UC-days. P aeruginosa was non-susceptible (NS) to imipenem in 52.72% of cases; to colistin in 10.38%; to ceftazidime in 50%; to ciprofloxacin in 40.28%; and to amikacin in 34.05%. Klebsiella spp was NS to imipenem in 49.16%; to ceftazidime in 78.01%; to ciprofloxacin in 66.26%; and to amikacin in 42.45%. coagulase-negative Staphylococci and S aureus were NS to oxacillin in 91.44% and 56.03%, respectively. Enterococcus spp was NS to vancomycin in 42.31% of the cases.
Conclusions: DA-HAI rates and bacterial resistance are high and continuous efforts are needed to reduce them.
(Copyright © 2021. Published by Elsevier Inc.)
Databáze: MEDLINE
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