Six-year study on peripheral venous catheter-associated BSI rates in 262 ICUs in eight countries of South-East Asia: International Nosocomial Infection Control Consortium findings

Rosenthal, Victor Daniel and Bat-Erdene, Ider and Gupta, Debkishore and Rajhans, Prasad and Myatra, Sheila Nainan and Muralidharan, S. and Mehta, Yatin and Rai, Vineya and Hung, Nguyen Viet and Luxsuwong, Montri and Tapang, Audrey Rose D. and Guo, Xiuqin and Trotter, Andrew and Kharbanda, Mohit and Rodrigues, Camilla and Dwivedy, Arpita and Shah, Sweta and Poojary, Aruna and Todi, Subhash Kumar and Chabukswar, Supriya and Bhattacharyya, Mahuya and Ramachandran, Bala and Ramakrishnan, Nagarajan and Purkayasta, Sujit Kar and Sakle, Asmita Sagar and Kumar, Siva and Warrier, Anup R. and Kavathekar, Maithili Satish and Sahu, Samir and Mubarak, Aisha and Modi, Nikhil and Jaggi, Namita and Gita, Nadimpalli and Mishra, Shakti Bedanta and Sahu, Suneeta and Jawadwala, Burhan and Zala, Dolatsinh and Zompa, Tenzin and Mathur, Purva and Nirkhiwale, Suhas and Vadi, Sonali and Singh, Sanjeev and Agarwal, Manoj and Sen, Nagamani and Karlekar, Anil and Punia, D. P. and Kumar, Suresh and Gopinath, Ramachadran and Nair, Pravin Kumar and Gan, Chin Seng and Chakravarthy, Murali and Sandhu, Kavita and Kambam, Chandrika and Mohanty, Salil Kumar and Varaiya, Ami and Pandya, Nirav and Subhedar, Vaibhavi R. and Vanajakshi, M. R. and Singla, Deepak and Tuvshinbayar, M. and Patel, Mayur and Ye, Guxiang and Lum, Lucy Chai See and Zaini, Rhendra Hardy Mohamad and Batkhuu, Byambadorj and Dayapera, Kimberley M. and Nguyet, Le Thu and Berba, Regina and Buenaflor, Maria Carmen S. G. and Ng, Josephine Anne and Siriyakorn, Nirada and Thu, Le Thi Anh (2021) Six-year study on peripheral venous catheter-associated BSI rates in 262 ICUs in eight countries of South-East Asia: International Nosocomial Infection Control Consortium findings. Journal of Vascular Access, 22 (1). pp. 34-41. ISSN 1129-7298, DOI https://doi.org/10.1177/1129729820917259.

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Abstract

Short-term peripheral venous catheter-associated bloodstream infection rates have not been systematically studied in Asian countries, and data on peripheral venous catheter-associated bloodstream infections incidence by number of short-term peripheral venous catheter days are not available. Methods: Prospective, surveillance study on peripheral venous catheter-associated bloodstream infections conducted from 1 September 2013 to 31 May 2019 in 262 intensive care units, members of the International Nosocomial Infection Control Consortium, from 78 hospitals in 32 cities of 8 countries in the South-East Asia Region: China, India, Malaysia, Mongolia, Nepal, Philippines, Thailand, and Vietnam. For this research, we applied definition and criteria of the CDC NHSN, methodology of the INICC, and software named INICC Surveillance Online System. Results: We followed 83,295 intensive care unit patients for 369,371 bed-days and 376,492 peripheral venous catheter-days. We identified 999 peripheral venous catheter-associated bloodstream infections, amounting to a rate of 2.65/1000 peripheral venous catheter-days. Mortality in patients with peripheral venous catheter but without peripheral venous catheter-associated bloodstream infections was 4.53% and 12.21% in patients with peripheral venous catheter-associated bloodstream infections. The mean length of stay in patients with peripheral venous catheter but without peripheral venous catheter-associated bloodstream infections was 4.40 days and 7.11 days in patients with peripheral venous catheter and peripheral venous catheter-associated bloodstream infections. The microorganism profile showed 67.1% were Gram-negative bacteria: Escherichia coli (22.9%), Klebsiella spp (10.7%), Pseudomonas aeruginosa (5.3%), Enterobacter spp. (4.5%), and others (23.7%). The predominant Gram-positive bacteria were Staphylococcus aureus (11.4%). Conclusions: Infection prevention programs must be implemented to reduce the incidence of peripheral venous catheter-associated bloodstream infections.

Item Type: Article
Funders: Foundation to Fight against Nosocomial Infections
Uncontrolled Keywords: Hospital infection;Device-associated infections;Antibiotic resistance;Peripheral line-associated bloodstream infections; mortality; intensive care unit; surveillance
Subjects: R Medicine
R Medicine > RA Public aspects of medicine
R Medicine > RC Internal medicine
Divisions: Faculty of Medicine
Depositing User: Ms Zaharah Ramly
Date Deposited: 19 Sep 2022 07:00
Last Modified: 19 Sep 2022 07:00
URI: http://eprints.um.edu.my/id/eprint/34707

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