Trends in the incidence rate of device-associated infections in intensive care units after the establishment of the Korean Nosocomial Infections Surveillance System

被引：30

作者：

Choi, J. Y. ^{[1
,2
]}

Kwak, Y. G. ^{[3
]}

Yoo, H. ^{[4
]}

Lee, S. -O. ^{[5
]}

Kim, H. B. ^{[6
]}

Han, S. H. ^{[7
]}

Choi, H. J. ^{[8
]}

Kim, Y. K. ^{[9
]}

Kim, S. R. ^{[10
]}

Kim, T. H. ^{[11
]}

Lee, H. ^{[12
]}

Chun, H. K. ^{[13
]}

Kim, J. -S. ^{[14
]}

Eun, B. W. ^{[15
]}

Kim, D. W. ^{[16
]}

Koo, H. -S. ^{[17
]}

Bae, G. -R. ^{[18
]}

Lee, K. ^{[19
,20
]}

机构：

[1] Yonsei Univ, Coll Med, Dept Internal Med, Seoul 120752, South Korea

[2] Yonsei Univ, Coll Med, AIDS Res Inst, Seoul 120752, South Korea

[3] Inje Univ, Ilsan Paik Hosp, Dept Internal Med, Goyang, South Korea

[4] Inje Univ, Sanggye Paik Hosp, Infect Control Off, Seoul, South Korea

[5] Univ Ulsan, Coll Med, Asan Med Ctr, Dept Infect Dis, Seoul, South Korea

[6] Seoul Natl Univ, Coll Med, Dept Internal Med, Seoul 151, South Korea

[7] Soonchunhyang Univ, Bucheon Hosp, Dept Infect Prevent & Control, Bucheon, South Korea

[8] Ewha Womans Univ, Sch Med, Dept Internal Med, Seoul, South Korea

[9] Yonsei Univ, Wonju Coll Med, Dept Internal Med, Wonju, South Korea

[10] Korea Univ, Guro Hosp, Infect Control Off, Seoul, South Korea

[11] Soonchunhyang Univ, Coll Med, Dept Internal Med, Seoul, South Korea

[12] Kwandong Univ, Coll Med, Dept Lab Med, Kangnung, South Korea

[13] Kyunghee Univ Hosp, Dept Infect Control, Seoul, South Korea

[14] Hallym Univ, Coll Med, Dept Lab Med, Seoul, South Korea

[15] Eulji Univ, Eulji Gen Hosp, Sch Med, Dept Pediat, Seoul, South Korea

[16] Natl Hlth Insurance Serv Ilsan Hosp, Dept Policy Res Affairs, Ilsan, South Korea

[17] Korea Ctr Dis Control & Prevent, Div Infect Dis Control, Osong, South Korea

[18] Korea Ctr Dis Control & Prevent, Div Epidem Intelligence Serv, Osong, South Korea

[19] Yonsei Univ, Coll Med, Dept Lab Med, Seoul 120752, South Korea

[20] Yonsei Univ, Coll Med, Res Inst Bacterial Resistance, Seoul 120752, South Korea

来源：

JOURNAL OF HOSPITAL INFECTION | 2015年 / 91卷 / 01期

关键词：

Device-associated infections; Healthcare-associated infection; Surveillance; RISK-FACTORS; HOSPITALS;

D O I：

10.1016/j.jhin.2015.06.002

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Background: The effectiveness of continuous nationwide surveillance on healthcare-associated infections should be investigated in each country. Aim: To assess the rate of device-associated infections (DAIs) in intensive care units (ICUs) since the establishment of the Korean Nosocomial Infections Surveillance System (KONIS). Methods: Nationwide data were obtained on the incidence rate of DAI in ICUs reported to KONIS by all participating hospitals. The three major DAIs were studied: ventilator-associated pneumonia (VAP), central line-associated bloodstream infection (CABSI), and catheter-associated urinary tract infection (CAUTI). The pooled and year-wise incidence rates (cases per 1000 device-days) of these DAIs were determined for the period 2006 and 2012. In addition, data from institutions that had participated in KONIS for at least three consecutive years were analysed separately. Findings: The number of ICUs participating in KONIS gradually increased from 76 in 2006 to 162 in 2012. Between 2006 and 2012, the incidence rate per 1000 device-days for VAP decreased significantly from 3.48 to 1.64 (F = 11, P < 0.01), for CAUTI the rate decreased non-significantly from 1.85 to 1.26 (F = 2.02, P = 0.07), and for CABSI the rate also decreased non-significantly from 3.4 to 2.57 (F = 1.73, P = 0.12). In the 132 ICUs that had participated in KONIS for at least three consecutive years, the VAP rate significantly decreased from the first year to third year (F = 20.57, P < 0.01), but the rates of CAUTI (F = 1.06, P = 0.35) and CABSI (F = 1.39, P = 0.25) did not change significantly. Conclusion: The decreased incidence rate of VAP in ICUs in Korea might be associated with the continuous prospective surveillance provided by KONIS. (C) 2015 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.

引用

页码：28 / 34

页数：7

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