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

被引：10

作者：

Rosenthal, Victor Daniel ^{[1
]}

Bat-Erdene, Ider ^{[2
]}

Gupta, Debkishore ^{[3
,4
]}

Belkebir, Souad ^{[5
]}

Rajhans, Prasad ^{[6
]}

Zand, Farid ^{[7
]}

Myatra, Sheila Nainan ^{[8
]}

Afeef, Majeda ^{[9
]}

Tanzi, Vito L. ^{[10
]}

Muralidharan, S. ^{[11
]}

Al-Abdely, Hail M. ^{[12
]}

El-Kholy, Amani ^{[13
,14
]}

AlKhawaja, Safa A. Aziz ^{[15
]}

Demiroz, Ali Pekcan ^{[16
]}

Mehta, Yatin ^{[17
]}

Rai, Vineya ^{[18
]}

Hung, Nguyen Viet ^{[19
]}

Sayed, Amani F. ^{[20
]}

Salgado-Yepez, Estuardo ^{[21
]}

Elahi, Naheed ^{[22
]}

del Rayo Morfin-Otero, Maria ^{[23
]}

Luxsuwong, Montri ^{[24
]}

De-Carvalho, Braulio Matias ^{[25
]}

Tapang, Audrey Rose D. ^{[26
]}

Velinova, Velmira Angelova ^{[27
]}

Quesada-Mora, Ana Marcela ^{[28
]}

Anguseva, Tanja ^{[29
]}

Ikram, Aamer ^{[30
]}

Aguilar-de-Moros, Daisy ^{[31
]}

Duszynska, Wieslawa ^{[32
]}

Mejia, Nepomuceno ^{[33
]}

Horhat, Florin George ^{[34
]}

Belskiy, Vladislav ^{[35
]}

Mioljevic, Vesna ^{[36
]}

Di-Silvestre, Gabriela ^{[37
]}

Furova, Katarina ^{[38
]}

Gamar-Elanbya, May Osman ^{[39
]}

Gupta, Umesh ^{[40
]}

Abidi, Khalid ^{[41
]}

Raka, Lul ^{[42
,43
,44
]}

Guo, Xiuqin ^{[45
]}

Jayatilleke, Kushlani ^{[46
]}

Ben-Jaballah, Najla ^{[47
]}

Sandoval-Castillo, Harrison Ronald ^{[48
]}

Trotter, Andrew ^{[49
]}

Valderrama-Beltran, Sandra L. ^{[50
]}

Leblebicioglu, Hakan ^{[51
]}

Guanche-Garcell, Humberto ^{[52
]}

de Lourdes-Duenas, Miriam ^{[53
]}

机构：

[1] Int Nosocomial Infect Control Consortium, Buenos Aires, DF, Argentina

[2] Infect Control Profess Mongolia & Intermed Hosp, Ulaanbaatar, Mongolia

[3] BM Birla Heart Res Ctr, Kolkata, W Bengal, India

[4] Calcutta Med Res Inst, Kolkata, W Bengal, India

[5] An Najah Natl Univ Hosp, Nablus, Palestine

[6] Deenanath Mangeshkar Hosp, Pune, Maharashtra, India

[7] Shiraz Univ Med Sci, Anesthesiol & Crit Care Res Ctr, Nemazee Hosp, Shiraz, Iran

[8] Tata Mem Hosp, Dept Anaesthesiol Crit Care & Pain, Homi Bhabha Natl Inst, Mumbai, Maharashtra, India

[9] King Hussein Canc Ctr, Amman, Jordan

[10] Hammoud Hosp Univ Med Ctr, Saida, Lebanon

[11] G Kuppusamy Naidu Mem Hosp, Coimbatore, Tamil Nadu, India

[12] Minist Hlth, Gen Directorate Infect Prevent & Control, Riyadh, Saudi Arabia

[13] Dar Al Fouad Hosp, 6Th Of October City, Egypt

[14] Cairo Univ Hosp, Cairo, Egypt

[15] Minist Hlth, Gen Directorate Infect Prevent & Control, Manama, Bahrain

[16] Ankara Numune Training & Res Hosp, Ankara, Turkey

[17] Medanta, New Delhi, India

[18] Univ Malaya, Med Ctr, Kuala Lumpur, Malaysia

[19] Bach Mai Hosp, Hanoi, Vietnam

[20] Farwaniya Hosp, Kuwait, Kuwait

[21] Clin La Merced, Quito, Ecuador

[22] Dubai Hosp, Dubai, U Arab Emirates

[23] Hosp Civil Guadalajara, Fray Antonio Alcalde Infect Control Comm, Guadalajara, Mexico

[24] Phyathai 1 Hosp, Pathum Thani, Thailand

[25] Hosp Messejana, Fortaleza, Ceara, Brazil

[26] Cardinal Santos Med Ctr, San Juan, Philippines

[27] Queen Giovanna Isul, Sofia, Bulgaria

[28] Hosp Clin Bibl, San Jose, Costa Rica

[29] Special Hosp Surg Dis Filip Vtori, Skopje, North Macedonia

[30] Armed Forces Inst Pathol, Rawalpindi, Pakistan

[31] Hosp Nino Panama, Panama City, Panama

[32] Wroclaw Med Univ, Dept Anesthesiol & Intens Therapy, Wroclaw, Poland

[33] Hosp Gen Plaza Salud, Santo Domingo, Dominican Rep

[34] Univ Med & Farm Timisoara, Timisoara Emergency Cty Clin Hosp, Timisoara, Romania

[35] Privolzhskiy Dist Med Ctr, Nizhnii Novgorod, Russia

[36] Clin Ctr Serbia, Belgrade, Serbia

[37] Hosp Clin Caracas, Caracas, Venezuela

[38] Catholic Univ Ruzomberok, Fac Hlth Cent, Mil Hosp Ruzomberok, Ruzomberok, Slovakia

[39] Royal Care Int Hosp, Khartoum, Sudan

[40] Port Moresby Gen Hosp, Port Moresby, Papua N Guinea

[41] Ibn Sina Hosp Morocco, Rabat, Morocco

[42] Prishtina Univ, Natl Inst Publ Hlth Kosovo, Prishtina, Kosovo

[43] Prishtina Univ, Sch Med, Prishtina, Kosovo

[44] Univ Clin Ctr Kosovo, Prishtina, Kosovo

[45] Dong E Peoples Hosp, Jinan, Shandong, Peoples R China

[46] Sri Jayewardenepura Gen Hosp, Nugegoda, Sri Lanka

[47] Children Hosp Bechir Hamza Tunis, Tunis, Tunisia

[48] Clin Ricardo Palma, Lima, Peru

[49] Grande Int Hosp, Kathmandu, Nepal

[50] Pontificia Univ Javeriana, Hosp Univ San Ignacio, Bogota, Colombia

来源：

INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY | 2020年 / 41卷 / 05期

关键词：

VENTILATOR-ASSOCIATED PNEUMONIA; DEVICE-ASSOCIATED INFECTIONS; MULTIDIMENSIONAL APPROACH; SOCIOECONOMIC IMPACT; CONTROL STRATEGY; PREVENTION; IMPLEMENTATION; INTERVENTION; BUNDLE; RISK;

D O I：

10.1017/ice.2020.20

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Background: Short-term peripheral venous catheter-related bloodstream infection (PVCR-BSI) rates have not been systematically studied in resource-limited countries, and data on their incidence by number of device days are not available. 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.

引用

页码：553 / 563

页数：11

共 4 条

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Daniel Rosenthal, Victor
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[3] Six-year study on peripheral venous catheter-associated BSI rates in 262 ICUs in eight countries of South-East Asia: International Nosocomial Infection Control Consortium findings
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