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

Made available in DSpace on 2019-09-12T16:53:30Z (GMT). No. of bitstreams: 0 Previous issue date: 2014We 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.[Rosenthal, Victor Daniel] Int Nosocomial Infect Control Consortium, Corrientes Ave 4580,Fl 12,Apt D, RA-1195 Buenos Aires, DF, Argentina[Maki, Dennis George] Univ Wisconsin, Madison, WI USA[Mehta, Yatin] Medanta Medicity, New Delhi, India[Leblebicioglu, Hakan] Ondokuz Mayis Univ, Samsun, Turkey[Memish, Ziad Ahmed] Minist Hlth, Riyadh, Saudi Arabia[Al-Mousa, Haifaa Hassan] Minist Hlth, Kuwait, Kuwait[Balkhy, Hanan] King Saud Bin Abdulaziz Univ Hlth Sci, Riyadh, Saudi Arabia[Hu, Bijie] Fudan Univ, Zhongshan Hosp, Shanghai 200433, Peoples R China[Alvarez-Moreno, Carlos] Univ Nacl Colombia, Clin Univ Colombia, Bogota, Colombia[Medeiros, Eduardo Alexandrino] Hosp Sao Paulo, Sao Paulo, Brazil[Apisarnthanarak, Anucha] Thammasat Univ Hosp, Pathum Thani, Thailand[Raka, Lul] Prishtina Univ, Kosova & Med Sch, Natl Inst Publ Hlth, Prishtina, Kosovo, Serbia[Cuellar, Luis E.] Inst Nacl Enfermedades Neoplas, Lima, Peru[Ahmed, Altaf] Indus Hosp, Karachi, Pakistan[Navoa-Ng, Josephine Anne] St Lukes Med Ctr, Manila, Philippines[El-Kholy, Amani Ali] Cairo Univ Abu El Reesh, Children Hosp, Cairo, Egypt[Kanj, Souha Sami] Amer Univ, Beirut Med Ctr, Beirut, Lebanon[Bat-Erdene, Ider] Cent State Hosp 1, Ulaanbaatar, Mongol Peo Rep[Duszynska, Wieslawa] Wroclaw Univ Hosp, Wroclaw, Poland[Nguyen Van Truong] Hung Vuong Hosp, Ho Chi Minh City, Vietnam[Pazmino, Leonardo N.] Hosp Valles, Hosp Eugenio Espejo, Quito, Ecuador[See-Lum, Lucy Chai] Univ Malaya, Med Ctr, Kuala Lumpur, Malaysia[Fernandez-Hidalgo, Rosalia] Hosp Clin Bibl, San Jose, Costa Rica[Di-Silvestre, Gabriela] Hosp Clin Caracas, Caracas, Venezuela[Zand, Farid] Shiraz Univ Med Sci, Nemazee Hosp, Shiraz, Iran[Hlinkova, Sona] Catholic Univ Ruzomberok, Cent Mil Hosp Ruzomberok, Fac Hlth, Ruzomberok, Slovakia[Belskiy, Vladislav] Privolzhskiy Dist Med Ctr, Nizhnii Novgorod, Russia[Al-Rahma, Hussain] Dubai Hosp, Dubai, U Arab Emirates[Tulio Luque-Torres, Marco] Hosp Especialidades Ctr Med La Raza, Inst Hondureho Seguridad Social, Tegucigalpa, Honduras[Bayraktar, Nesil] Burhan Nalbantoglu Devlet Hastanesi, Nicosia, Cyprus[Mitrev, Zan] Special Hosp Surg Dis Filip Vtori, Skopje, Macedonia[Gurskis, Vaidotas] Hosp Lithuanian Univ, Hlth Sci Kauno Klin, Kaunas, Lithuania[Fisher, Dale] Natl Univ Singapore Hosp, Singapore, Singapore[Abu-Khader, Ilham Bulos] Jordan Univ Hosp, Amman, Jordan[Berechid, Kamal] Ibn Sina, Rabat, Morocco[Rodriguez-Sanchez, Arnaldo] Hosp Episcopal San Lucas Guayama, Guayama, Puerto Rico[Horhat, Florin George] Univ Med & Farm Timisoara, Clin Cty Hosp, Timisoara, Romania[Requejo-Pino, Osiel] Hosp Univ Gral Calixto Garc, Havana, Cuba[Hadjieva, Nassya] Univ Hosp Queen Giovanna ISUL, Sofia, Bulgaria[Ben-Jaballah, Nejla] Hop Enfants, Tunis, Tunisia[Garcia-Mayorca, Elias] Hosp Santo Tomas, Panama City, Panama[Kushner-Davalos, Luis] Caja Salud Banca Privada Reg Paz, La Paz, Bolivia[Pasic, Srdjan] Inst Mother Child Hlth Care Vukan Cupic, Belgrade, Serbia[Pedrozo-Ortiz, Luis E.] Hosp Reg Salto, Salto, Uruguay[Apostolopoulou, Eleni] Sotiria, Athens, Greece[Mejia, Nepomuceno] Hosp Gen Plaza Salud, Santo Domingo, Dominican Rep[Gamar-Elanbya, May Osman] Royal Care Int Hosp, Khartoum, Sudan[Jayatilleke, Kushlani] Sri Jayewardenepura Gen Hosp, Khartoum, Sudan[de Lourdes-Duenas, Miriam] Hosp Nacl Ninos Benjamin Bloom, San Salvador, El Salvador[Aguirre-Avalos, Guadalupe] Hosp Civil Guadalajara Fray Antonio Alcalde, Unidad Terapia Intens Adultos, Guadalajara, Mexico[Marcelo Maurizi, Diego; Montanini, Adriana; Laura Spadaro, Maria] Hosp Municipal Agudos Dr Leonidas Lucero, Bahia Blanca, Buenos Aires, Argentina[Santiago Marcos, Lorenzo; Botta, Priscila; Maria Jerez, Florencia; Constanza Chavez, Maria; Ramasco, Lucia; Isabel Colqui, Maria; Silvia Olivieri, Maria; Silvia Rearte, Ana; Edith Correa, Gladys; Deolinda Juarez, Paola; Fabiana Gallardo, Paola; Patricia Brito, Miriam; Horacio Mendez, Gabriel; Rosa Valdez, Julia; Paola Cardena, Lorena] Hosp Nino Jesus de Tucuman, San Miguel De Tucuman, Argentina[Maria Harystoy, Jose; Jorge Chaparro, Gustavo] Inst Med Platense, La Plata, Buenos Aires, Argentina[Gabriela Rodriguez, Claudia; Toomey, Rodolfo] Inst Med Adrogue, Almirante Brown, Argentina[Caridi, Maria] Centro Gallego Buenos Aires, Buenos Aires, Argentina[Viegas, Monica] Hosp Interzonal Gen Agudos Presidente Peron, Avellaneda, Argentina[Liliana Bernan, Marisa] Hgza San Roque Gonnet, La Plata, Argentina[Romani, Adriana] Clin Modelo Imagmed Soc Anonima, Lanus, Argentina[Beatriz Dominguez, Claudia] Obra Social Empleados Publ Sanatorio Fleming, Mendoza, Argentina[Kushner Davalos, Luis] Caja Salud Banca Privada Reg, La Paz, Bolivia[Richtmann, Rosana; Silva, Camila Almeida; Rodrigues, Tatiane T.] Hosp Maternidade Santa Joana, Sao Paulo, Brazil[Mielle Filho, Amaury; Seerig Palme, Ernandi Dagoberto; Besen, Aline; Lazzarini, Caroline; Cardoso, Caroline Batista] Hosp Santa Catarina, Blumenau, Brazil[Azevedo, Francisco Kennedy; Fontes Pinheiro, Ana Paula; Camacho, Aparecida] Hosp Jardim Cuiaba, Cuiaba, Brazil[De Carvalho, Braulio Matias; Monteiro De Assis, Maria Jose; Vasconcelos Carneiro, Ana Paula; Maciel Canuto, Maria Lilian; Pinto Coelho, Keyla Harten; Moreira, Tamiris; Oliveira, Agamenon Alves; Sousa Colares, Marcela Maria; De Paula Bessa, Marcia Maria; Pinheiro Gomes Bandeira, Tereza De Jesus; De Moraes, Renata Amaral; Campos, Danilo Amancio; Lima De Barros Araujo, Tania Mara] Hosp Messejana, Fortaleza, Brazil[Freitas Tenorio, Maria Tereza; Amorim, Simone; Amaral, Manuela; Lima, Julianne Da Luz; Da Silva Neta, Lindalva Pino; Batista, Caphiane; De Lima Silva, Fabio Jorge; Ferreira De Souza, Maria C.; Guimaraes, Katia Arruda] Santa Casa Misericordia Maceio, Maceio, Brazil[Maluf Lopes, Julia Marcia] Hosp Infantil Joao Paulo 2 Fhemig, Belo Horizonte, Brazil[Nogueira Napoles, Karina M.; Silva Neto Avelar, Lorena Luiza; Vieira, Lilian Aguiar] Santo Ivo, Belo Horizonte, Brazil[De Oliveira Cardo, Luis Gustavo] Hosp Clin Unicamp, Campinas, Brazil[Takeda, Christianne F. V.; Ponte, Glaydson A.; Aguiar Leitao, Fco Eduardo] Hosp Antonio Prudente, Fortaleza, Brazil[Kuchenbecker, Ricardo De Souza; Dos Santos, Rodrigo Pires] Hosp Clin Porto Alegre, Porto Alegre, Brazil[Onzi Siliprandi, Erci Maria] Inst Cardiologia Rio Grande Sul, Porto Alegre, Brazil[Baqueiro Freitas, Luiz Fernando] Hosp Santa Lydia, Ribeirao Preto, Brazil[Martins, Ianick Souto] Hosp Canc Inst Nacl Canc, Rio De Janeiro, Brazil[Casi, Daiane] Hosp Samaritano, Sao Paulo, Brazil[Maretti Da Silva, Maria Angela; Blecher, Sergio; Villins, Margarete; Salomao, Reinaldo] Hosp Santa Marcelina, Sao Paulo, Brazil[Oliveira Castro, Solange Regina; Da Silva Escudero, Daniela V.; Oliveira Reis, Mariana Andrade] Hosp Sao Paulo Escola Paulista Medicina Unifesp, Sao Paulo, Brazil[Mendonca, Marcelo; Furlan, Valter; do Amaral Baruzzi, Antonio Claudio] Totalcor, Sao Paulo, Brazil[Sanchez, Tarquino Eristidesg] Hosp Anchieta Ltda, Taguatinga, Brazil[Moreira, Marina] Hosp Universidade de Taubaté (Unitau)[de Freitas, Wania Vasconcelos; de Souza, Leonardo Passos] Hosp Casa Portugal, Rio de Janeiro, Brazil[Velinova, Velmira Angelova; Hadjieva, Nassya; Petrov, Michael M.; Karadimov, Dimitar Georgiev; Kostadinov, Emil D.; Dicheva, Violeta Jivkova] Queen Giovanna Isul, Sofia, Bulgaria[Wang, Chaohua; Guo, Xiuqin; Geng, Xihua; Wang, Shufang; Zhang, Jinzhi; Zhu, Ling; Zhuo, Shufang; Guo, Chunli] Dong E Peoples Hosp, Liaocheng Shi, Shandong, Peoples R China[Tao, Lili] First Hosp Shanxi Med Univ, Taiyuan, Peoples R China[Li, Ruisheng] Beijing Chao Yang Hosp, Beijing, Peoples R Chin

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

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