A Al Jardani

A Althaqafi

A El Gammal

A El-Saed

H Alansari

HH Balkhy

J Alsalman

SS Al-Abri

W Al Nasser

Z Al Maskari

Antimicrobial Resistance and Infection Control

PubMed

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POSTER PRESENTATION Open Access
Rates of ventilator-associated pneumonia in
critical care units in three Arabian Gulf countries;
six-year surveillance study
A El-Saed1*, HH Balkhy1, H Alansari2, A Althaqafi3, J Alsalman2, Z Al Maskari4, A El Gammal5, W Al Nasser6,
A Al Jardani4, SS Al-Abri4
From 3rd International Conference on Prevention and Infection Control (ICPIC 2015)
Geneva, Switzerland. 16-19 June 2015
Introduction
Data estimating the rates of ventilator-associated pneu-
monia (VAP) in critical patients in Gulf Cooperation
Council (GCC) countries are either limited in some
countries or completely lacking in other countries.
Objectives
To estimate VAP rates in GCC hospitals and to com-
pare such rates with published reports of US National
Healthcare Safety Network (NHSN) and International
Nosocomial Infection Control Consortium (INICC).
Methods
VAP rates and ventilator utilization between 2008 and
2013 were calculated from aggregated VAP surveillance
data using NHSN methodology pooled from 6 hospitals in
three GCC countries; Saudi Arabia, Oman, and Bahrain.
Standardized infection ratio (SIR) of VAP in GCC hospi-
tals were compared with published reports of NHSN and
INICC.
Results
A total 368 VAP events were diagnosed during 6 years
of surveillance covering 76,749 ventilator days and
134,994 patient-days. The overall VAP rate was 4.8 per
1000 ventilator days (95% CI ranged between 4.3 and
5.3) with an overall ventilator utilization of 0.57. The
VAP rates showed a wide variability between different
types of intensive care units (ICUs) and were decreasing
overtime. After adjusting for the differences in ICUs
types in both sides, the risk of VAP in GCC hospitals
was 217% higher than NHSN hospitals but 69% lower
than INICC hospitals. Similarly, after adjusting for the
differences in weight groups in neonatal ICUs in both
sides, the risk of VAP in GCC hospitals was 69% higher
than NHSN hospitals but 78% lower than INICC hospitals.
Approximately 55% of the VAP events were diagnosed
based on clinical criteria, which was very similar to pub-
lished frequencies from similar ICUs in NHSN hospitals.
Conclusion
Current findings is considered the first regional VAP
benchmark. The risk of VAP in adult and neonatal ICU
patients in GCC countries is probably higher than the
US but lower than many developing countries.
Disclosure of interest
None declared.
Authors’ details
1Infection Control, King Abdulaziz Medical City, Riyadh, Saudi Arabia.
2Infection Control, Salmaniya Medical Complex, Manama, Bahrain. 3Infection
Control, King Abdulaziz Medical City, Jeddah, Saudi Arabia. 4Infection
Control, Royal Hospital, Muscat, Oman. 5Infection Control, King Abdulaziz
Hospital, Al Hassa, Saudi Arabia. 6Infection Control, Imam Abdulrahman bin
Faisal Hospital, Dammam, Saudi Arabia.
Published: 16 June 2015
doi:10.1186/2047-2994-4-S1-P245
Cite this article as: El-Saed et al.: Rates of ventilator-associated
pneumonia in critical care units in three Arabian Gulf countries; six-year
surveillance study. Antimicrobial Resistance and Infection Control 2015
4(Suppl 1):P245.
1Infection Control, King Abdulaziz Medical City, Riyadh, Saudi Arabia
Full list of author information is available at the end of the article
El-Saed et al. Antimicrobial Resistance and Infection Control 2015, 4(Suppl 1):P245
http://www.aricjournal.com/content/4/S1/P245
© 2015 El-Saed et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons
Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in
any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://
creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.


Rates of ventilator-associated pneumonia in critical care units in three Arabian Gulf countries; six-year surveillance study

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Rates of ventilator-associated pneumonia in critical care units in three Arabian Gulf countries; six-year surveillance study

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