International Nosocomial Infection Control Consortium (INICC) report of health care associated infections, data summary of 45 countries for 2015 to 2020, adult and pediatric units, device-associated module

Rosenthal, Victor D and Yin, Ruijie and Nercelles, Patricio and Rivera-Molina, Sara E and Jyoti, Somani and Dongol, Reshma and Aguilar-De-Moros, Daisy and Tumu, Nellie and Alarcon-Rua, Johana and Stagnaro, Juan P and Alkhawaja, Safaa and Jimenez-Alvarez, Luisa F and Cano-Medina, Yuliana A and Mat Nor, Mohd Basri (2024) International Nosocomial Infection Control Consortium (INICC) report of health care associated infections, data summary of 45 countries for 2015 to 2020, adult and pediatric units, device-associated module. American Journal of Infection Control, 52 (9). pp. 1002-1011. ISSN 0196-6553 E-ISSN 1527-3296

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Abstract

Background: Reporting on the International Nosocomial Infection Control Consortium study results from 2015 to 2020, conducted in 630 intensive care units across 123 cities in 45 countries spanning Africa, Asia, Eastern Europe, Latin America, and the Middle East. Methods: Prospective intensive care unit patient data collected via International Nosocomial Infection Control Consortium Surveillance Online System. Centers for Disease Control and Prevention/National Health Care Safety Network definitions applied for device-associated health care–associated infections (DA-HAI). Results: We gathered data from 204,770 patients, 1,480,620 patient days, 936,976 central line (CL)-days, 637,850 mechanical ventilators (MV)-days, and 1,005,589 urinary catheter (UC)-days. Our results showed 4,270 CL-associated bloodstream infections, 7,635 ventilator-associated pneumonia, and 3,005 UC-associated urinary tract infections. The combined rates of DA-HAIs were 7.28%, and 10.07 DA-HAIs per 1,000 patient days. CLassociated bloodstream infections occurred at 4.55 per 1,000 CL-days, ventilator-associated pneumonias at 11.96 per 1,000 MV-days, and UC-associated urinary tract infections at 2.91 per 1,000 UC days. In terms of resistance,Pseudomonas aeruginosa showed 50.73% resistance to imipenem, 44.99% to ceftazidime, 37.95% to ciprofloxacin, and 34.05% to amikacin. Meanwhile, Klebsiella spp had resistance rates of 48.29% to imipenem, 72.03% to ceftazidime, 61.78% to ciprofloxacin, and 40.32% to amikacin. Coagulase-negative Staphylococci and Staphylococcus aureus displayed oxacillin resistance in 81.33% and 53.83% of cases, respectively. Conclusions: The high rates of DA-HAI and bacterial resistance emphasize the ongoing need for continued efforts to control them.

Item Type:	Article (Journal)
Additional Information:	5608/110653
Uncontrolled Keywords:	Hospital 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
Subjects:	R Medicine > RC Internal medicine > RC82 Medical Emergencies, Critical Care, Intensive Care, First Aid
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine Kulliyyah of Medicine > Department of Anaesthesiology & Intensive Care
Depositing User:	Dr. Mohd Basri Mat Nor
Date Deposited:	28 Oct 2024 09:05
Last Modified:	28 Oct 2024 11:45
URI:	http://irep.iium.edu.my/id/eprint/110653

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