Six-year multicenter study on short-term peripheral venous catheters-related bloodstream infection rates in 727 intensive care units of 268 hospitals in 141 cities of 42 countries of Africa, the Americas, Eastern Mediterranean, Europe, South East Asia, and Western Pacific Regions: International Nosocomial Infection Control Consortium (INICC) findings.
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Rosenthal Víctor Daniel, Bat-Erdene Ider, Gupta Debkishore, Belkebir Souad, Rajhans Prasad, Zand Farid, Myatra Sheila Nainan, Afeef Majeda, Tanzi Vito L, Muralidharan S, Al-Abdely Hail M, El-Kholy Amani, AlKhawaja Safa A Aziz, Demiroz Ali Pekcan, Mehta Yatin, Rai Vineya, Hung Nguyen Viet, Sayed Amani F, Salgado-Yepez Estuardo, Elahi Naheed, Del Rayo Morfin-Otero María, Luxsuwong Montri, De-Carvalho Braulio Matias, Tapang Audrey Rose D, Velinova Velmira Angelova, Quesada-Mora Ana Marcela, Anguseva Tanja, Ikram Aamer, Aguilar-de-Moros Daisy, Duszynska Wieslawa, Mejia Nepomuceno, Horhat Florin George, Belskiy Vladislav, Mioljevic Vesna, Di-Silvestre Gabriela, Furova Katarina, Gamar-Elanbya May Osman, Gupta Umesh, Abidi Khalid, Raka Lul, Guo Xiuqin, Jayatilleke Kushlani, Ben-Jaballah Najla, Sandoval-Castillo Harrison Ronald, Trotter Andrew, Valderrama-Beltrán Sandra L, Leblebicioglu Hakan, Guanche-Garcell Humberto, de Lourdes-Dueñas Miriam
Аннотация
METHODS: Prospective, surveillance study on PVCR-BSI conducted from September 1, 2013, to May 31, 2019, in 727 intensive care units (ICUs), by members of the International Nosocomial Infection Control Consortium (INICC), from 268 hospitals in 141 cities of 42 countries of Africa, the Americas, Eastern Mediterranean, Europe, South East Asia, and Western Pacific regions. 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 149,609 ICU patients for 731,135 bed days and 743,508 short-term peripheral venous catheter (PVC) days. We identified 1,789 PVCR-BSIs for an overall rate of 2.41 per 1,000 PVC days. Mortality in patients with PVC but without PVCR-BSI was 6.67%, and mortality was 18% in patients with PVC and PVCR-BSI. The length of stay of patients with PVC but without PVCR-BSI was 4.83 days, and the length of stay was 9.85 days in patients with PVC and PVCR-BSI. Among these infections, the microorganism profile showed 58% gram-negative bacteria: Escherichia coli (16%), Klebsiella spp (11%), Pseudomonas aeruginosa (6%), Enterobacter spp (4%), and others (20%) including Serratia marcescens. Staphylococcus aureus were the predominant gram-positive bacteria (12%).
CONCLUSIONS: PVCR-BSI rates in INICC ICUs were much higher than rates published from industrialized countries. Infection prevention programs must be implemented to reduce the incidence of PVCR-BSIs in resource-limited countries.