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https://hdl.handle.net/11499/56709
Title: | 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 | Authors: | Rosenthal, V.D. Yin, R. Nercelles, P. Rivera-Molina, S.E. Jyoti, S. Dongol, R. Aguilar-De-Moros, D. Tumu, Nellie Alarcon-Rua, Johana Stagnaro, Juan P. Alkhawaja, Safaa Jimenez-Alvarez, Luisa F. Cano-Medina, Yuliana A. Valderrama-Beltran, Sandra L. Henao-Rodas, Claudia M. Zuniga-Chavarria, Maria A. El-Kholy, Amani Agha, Hala Mounir Sahu, Suneeta Anusandhan, Siksha O. Bhattacharyya, Mahuya Kharbanda, Mohit Poojary, Aruna Nair, Pravin K. Myatra, Sheila N. Chawla, Rajesh Sandhu, Kavita Mehta, Yatin Rajhans, Prasad Zand, Farid Abdellatif-Daboor, Mohammad Tai, Chian-Wern Gan, Chin S. Mat Nor, Mohd-Basri Aguirre-Avalos, Guadalupe Hernandez-Chena, Blanca E. Sassoe-Gonzalez, Alejandro Villegas-Mota, Isabel Aleman- Bocanegra, Mary C. Bat-Erdene, Ider Carreazo, Nilton Y. Castaneda-Sabogal, Alex Janc, Jarosław Belskiy, Vladislav Hlinkova, Sona Yildizdas, Dincer Havan, Merve Koker, Alper Sungurtekin, Hulya Dinleyici, Ener C. Guclu, Ertugrul Tao, Lili Memish, Ziad A. Jin, Zhilin |
Keywords: | Antibiotic resistance Bloodstream infection Catheter-associated urinary tract infection Central line-associated bloodstream infections Developing countries Device-associated infection Hospital infection Limited resources countries Low income countries Network Urinary tract infection Ventilator-associated pneumonia |
Publisher: | Elsevier Inc. | 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. © 2024 Association for Professionals in Infection Control and Epidemiology, Inc. | URI: | https://doi.org/10.1016/j.ajic.2023.12.019 https://hdl.handle.net/11499/56709 |
ISSN: | 0196-6553 |
Appears in Collections: | PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection Tıp Fakültesi Koleksiyonu WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection |
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