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International Nosocomial Infection Control Consortium (INICC) report, data summary for 2003-2008, issued June 2009

Tarih

2010

Yazar

Rosenthal, Victor D.
Maki, Dennis G.
Jamulitrat, Silom
Medeiros, Eduardo A.
Todi, Subhash Kumar
Yepes Gomez, David
Le Thi Anh Thu

Üst veri

Tüm öğe kaydını göster

Özet

We report the results of the International Infection Control Consortium (INICC) surveillance study from January 2003 through December 2008 in 173 intensive care units (ICUs) in Latin America, Asia, Africa, and Europe. During the 6-year study, using Centers for Disease Control and Prevention (CDC) US National Healthcare Safety Network (NHSN; formerly the National Nosocomial Infection Surveillance system [NNIS]) definitions for device-associated health care-associated infection, we collected prospective data from 155,358 patients hospitalized in the consortium's hospital ICUs for an aggregate of 923,624 days. Although device utilization in the developing countries' ICUs was remarkably similar to that reported from US ICUs in the CDC's NHSN, rates of device-associated nosocomial infection were markedly higher in the ICUs of the INICC hospitals: the pooled rate of central venous catheter (CVC)-associated bloodstream infections (BSI) in the INICC ICUs, 7.6 per 1000 CVC-days, is nearly 3-fold higher than the 2.0 per 1000 CVC-days reported from comparable US ICUs, and the overall rate of ventilator-associated pneumonia (VAP) was also far higher, 13.6 versus 3.3 per 1000 ventilator-days, respectively, as was the rate of catheter-associated urinary tract infection (CAUTI), 6.3 versus 3.3 per 1000 catheter-days, respectively. Most strikingly, the frequencies of resistance of Staphylococcus aureus isolates to methicillin (MRSA) (84.1% vs 56.8%, respectively), Klebsiella pneumoniae to ceftazidime or ceftriaxone (76.1% vs 27.1%, respectively), Acinetobacter baumannii to imipenem (46.3% vs 29.2%, respectively), and Pseudomonas aeruginosa to piperacillin (78.0% vs 20.2%, respectively) were also far higher in the consortium's ICUs, and the crude unadjusted excess mortalities of device-related infections ranged from 23.6% (CVC-associated bloodstream infections) to 29.3% (VAP).

Kaynak

American Journal of Infection Control

Cilt

38

Sayı

2

Bağlantı

https://doi.org/10.1016/j.ajic.2009.12.004
https://hdl.handle.net/20.500.12712/18024

Koleksiyonlar

  • PubMed İndeksli Yayınlar Koleksiyonu [6144]
  • Scopus İndeksli Yayınlar Koleksiyonu [14046]
  • WoS İndeksli Yayınlar Koleksiyonu [12971]

İlgili Öğeler

Başlık, yazar, küratör ve konuya göre gösterilen ilgili öğeler.

  • Impact of Education and Process Surveillance on Device-Associated Health Care-Associated Infection Rates in a Turkish ICU: Findings of the International Nosocomial Infection Control Consortium (INICC) 

    Dilek, Ahmet; Ulger, Fatma; Esen, Saban; Acar, Musa; Leblebicioglu, Hakan; Rosenthal, Victor D. (Galenos Yayincilik, 2012)
    Objective: The aim of this study was to analyze the impact of process and outcome surveillance on rates of device-associated health care-associated infections (DA-HAI) in an intensive care unit (ICU) in Turkey over a ...
  • Impact of a multidimensional infection control approach on central line-associated bloodstream infections rates in adult intensive care units of 8 cities of Turkey: findings of the International Nosocomial Infection Control Consortium (INICC) 

    Leblebicioglu, Hakan; Ozturk, Recep; Daniel Rosenthal, Victor; Akan, Ozay Arikan; Sirmatel, Fatma; Ozdemir, Davut; Erdogan, Selvi (Biomed Central Ltd, 2013)
    Background: Central line-associated bloodstream infections (CLABs) have long been associated with excess lengths of stay, increased hospital costs and mortality attributable to them. Different studies from developed countries ...
  • Impact of a multidimensional infection control strategy on catheter-associated urinary tract infection rates in the adult intensive care units of 15 developing countries: Findings of the International Nosocomial Infection Control Consortium (INICC) 

    Rosenthal V.D.; Todi S.K.; Álvarez-Moreno C.; Pawar M.; Karlekar A.; Zeggwagh A.A.; Turgut H. (2012)
    Purpose We aimed to evaluate the impact of a multidimensional infection control strategy for the reduction of the incidence of catheter-associated urinary tract infection (CAUTI) in patients hospitalized in adult intensive ...



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