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 Valderrama-Beltran, Sandra L. and Henao-Rodas, Claudia M. and Zuniga-Chavarria, Maria A. and El-Kholy, Amani and Agha, Hala Mounir and Sahu, Suneeta and Anusandhan, Siksha O. and Bhattacharyya, Mahuya and Kharbanda, Mohit and Poojary, Aruna and Nair, Pravin K. and Myatra, Sheila N. and Chawla, Rajesh and Sandhu, Kavita and Mehta, Yatin and Rajhans, Prasad and Zand, Farid and Abdellatif-Daboor, Mohammad and Tai, Chian-Wern and Gan, Chin S. and Nor, Mohd-Basri Mat and Aguirre-Avalos, Guadalupe and Hernandez-Chena, Blanca E. and Sassoe-Gonzalez, Alejandro and Villegas-Mota, Isabel and Bocanegra, Mary C. Aleman- and Bat-Erdene, Ider and Carreazo, Nilton Y. and Castaneda-Sabogal, Alex and Janc, Jaroslaw and Belskiy, Vladislav and Hlinkova, Sona and Yildizdas, Dincer and Havan, Merve and Koker, Alper and Sungurtekin, Hulya and Dinleyici, Ener C. and Guclu, Ertugrul and Tao, Lili and Memish, Ziad A. and Jin, Zhilin (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, DOI https://doi.org/10.1016/j.ajic.2023.12.019.
Full text not available from this repository.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. CL-associated 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 |
|---|---|
| Funders: | ACEV Foundation |
| 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 > RA Public aspects of medicine |
| Divisions: | Universiti Malaya Medical Centre (UMMC) |
| Depositing User: | Ms. Juhaida Abd Rahim |
| Date Deposited: | 10 Apr 2025 07:36 |
| Last Modified: | 10 Apr 2025 07:36 |
| URI: | http://eprints.um.edu.my/id/eprint/46653 |
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