International Nosocomial Infection Control Consortium (INICC) report, data summary of 45 countries for 2013-2018, Adult and Pediatric Units, Device-associated Module

Daniel Rosenthal, Victor and Duszynska, Wieslawa and Ider, Bat-Erdene and Gurskis, Vaidotas and Al-Ruzzieh, Majeda A. and Myatra, Sheila Nainan and Gupta, Debkishore and Belkebir, Souad and Upadhyay, Namita and Zand, Farid and Todi, Subhash Kumar and Kharbanda, Mohit and Nair, Pravin K. and Mishra, Sanghamitra and Chaparro, Gustavo and Mehta, Yatin and Zala, Dolatsinh and Janc, Jaroslaw and Aguirre-Avalos, Guadalupe and Aguilar-De-Moros, Daisy and Estela Hernandez-Chena, Blanca and Gun, Emrah and Oztoprak-Cuvalci, Nefise and Yildizdas, Dincer and Abdelhalim, Mona Moheyeldin and Ozturk-Deniz, Suna Secil and Gan, Chin Seng and Hung, Nguyen Viet and Joudi, Hala and Omar, Abeer Aly and Gikas, Achilleas and El-Kholy, Amani Ali and Barkat, Amina and Koirala, Anjeela and Cerero-Gudino, Antonio and Bouziri, Asma and Gomez-Nieto, Katherine and Fisher, Dale and Medeiros, Eduardo A. and Salgado-Yepez, Estuardo and Horhat, Florin and Agha, Hala Mounir Moustafa and Cesar Vimercati, Julio and Villanueva, Victoria and Jayatilleke, Kushlani and Nguyet, Le Thi Thu and Raka, Lul and Guadalupe Miranda-Novales, Maria and Petrov, Michael Mihailov and Apisarnthanarak, Anucha and Tayyab, Nadia and Elahi, Naheed and Mejia, Nepomuceno and Morfin-Otero, Rayo and Al-Khawaja, Safa and Anguseva, Tanja and Gupta, Umesh and Belskii, Vladislav A. and Mat, Wan Rahiza Wan and Giovanny Chapeta-Parada, Edwin and Guanche-Garcell, Humberto and Barahona-Guzman, Nayide and Mathew, Anju and Raja, Kavita and Pattnaik, Saroj Kumar and Pandya, Nirav and Poojary, Aruna Ananda and Chawla, Rajesh and Mahfouz, Tahsine and Kanj, Souha S. and Mioljevic, Vesna and Hlinkova, Sona and Mrazova, Mariana and Al-Abdely, Hail M. and Guclu, Ertugrul and Ozgultekin, Asu and Baytas, Volkan and Tekin, Recep and Yalcin, Ata Nrvzat and Erben, Nurettin (2021) International Nosocomial Infection Control Consortium (INICC) report, data summary of 45 countries for 2013-2018, Adult and Pediatric Units, Device-associated Module. American Journal Of Infection Control, 49 (10). pp. 1267-1274. ISSN 0196-6553, DOI

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Background: We report the results of INICC surveillance study from 2013 to 2018, in 664 intensive care units (ICUs) in 133 cities, of 45 countries, from Latin-America, Europe, Africa, Eastern-Mediterranean, Southeast-Asia, and Western-Pacific. Methods: Prospective data from patients hospitalized in ICUs were collected through INICC Surveillance Online System. CDC-NHSN definitions for device-associated healthcare-associated infection (DA-HAI) were applied. Results: We collected data from 428,847 patients, for an aggregate of 2,815,402 bed-days, 1,468,216 central line (CL)-days, 1,053,330 mechanical ventilator (MV)-days, 1,740,776 urinary catheter (UC)-days. We found 7,785 CL-associated bloodstream infections (CLAB), 12,085 ventilator-associated events (VAE), and 5,509 UC-associated uri-nary tract infections (CAUTI). Pooled DA-HAI rates were 5.91% and 9.01 DA-HAIs/1,000 bed-days. Pooled CLAB rate was 5.30/1,000 CL-days; VAE rate was 11.47/1,000 MV-days, and CAUTI rate was 3.16/1,000 UC-days. P aeru-ginosa was non-susceptible (NS) to imipenem in 52.72% of cases; to colistin in 10.38%; to ceftazidime in 50%; to ciprofloxacin in 40.28%; and to amikacin in 34.05%. Klebsiella spp was NS to imipenem in 49.16%; to ceftazidime in 78.01%; to ciprofloxacin in 66.26%; and to amikacin in 42.45%. coagulase-negative Staphylococci and S aureus were NS to oxacillin in 91.44% and 56.03%, respectively. Enterococcus spp was NS to vancomycin in 42.31% of the cases. Conclusions: DA-HAI rates and bacterial resistance are high and continuous efforts are needed to reduce them. (c) 2021 Published by Elsevier Inc. on behalf of Association for Professionals in Infection Control and Epidemiology, Inc.

Item Type: Article
Funders: INICC Foundation
Uncontrolled Keywords: Key Hospital infection; Nosocomial infection; Health care-associated infection; Device-associated infection; Bacterial resistance; Limited resources countries
Subjects: R Medicine > RJ Pediatrics
R Medicine > RJ Pediatrics > Child health. Child health services
Divisions: Faculty of Medicine > Paediatrics Department
Depositing User: Ms Zaharah Ramly
Date Deposited: 17 Jul 2022 04:05
Last Modified: 17 Jul 2022 04:05

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