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

No Thumbnail Available
Date
2014-09-01T00:00:00Z
Authors
Kilic, Atila
Rosenthal, Victor Daniel
Maki, Dennis George
Mehta, Yatin
Leblebicioglu, Hakan
Memish, Ziad Ahmed
Al-Mousa, Haifaa Hassan
Balkhy, Hanan
Hu, Bijie
Alvarez-Moreno, Carlos
Journal Title
Journal ISSN
Volume Title
Publisher
Research Projects
Sustainable Development Goals
Organizational Units
Journal Issue
Abstract
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.
Description
Keywords
Citation
Rosenthal V. D. , Maki D. G. , Mehta Y., Leblebicioglu H., Memish Z. A. , Al-Mousa H. H. , Balkhy H., Hu B., Alvarez-Moreno C., Medeiros E. A. , et al., -International Nosocomial Infection Control Consortiu (INICC) report, data summary of 43 countries for 2007-2012. Device-associated module-, AMERICAN JOURNAL OF INFECTION CONTROL, cilt.42, ss.942-956, 2014