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.
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Rosenthal Victor D, Yin Ruijie, Nercelles Patricio, Rivera-Molina Sara E, Jyoti Somani, Dongol Reshma, Aguilar-De-Moros Daisy, 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
Аннотация
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.