International Nosocomial Infection Control Consortium (INICC) report, data summary of 45 countries for 2012-2017: Device-associated module

被引：63

作者：

Rosenthal, Victor Daniel ^{[1
]}

Bat-Erdene, Ider ^{[2
,3
]}

Gupta, Debkishore ^{[4
,5
]}

Belkebir, Souad ^{[6
]}

Rajhans, Prasad ^{[7
]}

Zand, Farid ^{[8
]}

Myatra, Sheila Nainan ^{[9
]}

Afeef, Majeda ^{[10
]}

Tanzi, Vito L. ^{[11
]}

Muralidharan, S. ^{[12
]}

Gurskis, Vaidotas ^{[13
]}

Al-Abdely, Hail M. ^{[14
]}

El-Kholy, Amani ^{[15
,16
]}

AlKhawaja, Safa A. Aziz ^{[17
]}

Sen, Suha ^{[18
]}

Mehta, Yatin ^{[19
]}

Rai, Vineya ^{[20
]}

Nguyen Viet Hung ^{[21
]}

Sayed, Amani F. ^{[22
]}

Guerrero-Toapanta, Fausto Marcos ^{[23
]}

Elahi, Naheed ^{[24
]}

del Rayo Morfin-Otero, Maria ^{[25
]}

Somabutr, Suwara ^{[26
]}

De-Carvalho, Braulio Matias ^{[27
]}

Magdarao, Mary Shine ^{[28
]}

Velinova, Velmira Angelova ^{[29
]}

Quesada-Mora, Ana Marcela ^{[30
]}

Anguseva, Tanja ^{[31
]}

Ikram, Aamer ^{[32
]}

Aguilar-de-Moros, Daisy ^{[33
]}

Duszynska, Wieslawa ^{[34
]}

Mejia, Nepomuceno ^{[35
]}

Horhat, Florin George ^{[36
]}

Belskiy, Vladislav ^{[37
]}

Mioljevic, Vesna ^{[38
]}

Di-Silvestre, Gabriela ^{[39
]}

Furova, Katarina ^{[40
]}

Gamar-Elanbya, May Osman ^{[41
]}

Gupta, Umesh ^{[42
]}

Abidi, Khalid ^{[43
]}

Raka, Lul ^{[44
,45
]}

Guo, Xiuqin ^{[46
]}

Luque-Torres, Marco Tulio ^{[47
]}

Jayatilleke, Kushlani ^{[48
]}

Ben-Jaballah, Najla ^{[49
]}

Gikas, Achilleas ^{[50
]}

Uu, Harrison Ronald Sandoval-Castillo ^{[51
]}

Trotter, Andrew ^{[52
]}

Valderrama-Beltran, Sandra L. ^{[53
]}

Leblebicioglu, Hakan ^{[54
]}

机构：

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

[2] Infect Control Professionals Mongolia, Infect Control Dept, Ulaanbaatar, Mongolia

[3] Intermed Hosp, Ulaanbaatar, Mongolia

[4] BM Birla Heart Res Ctr, Infect Control Dept, Kolkata, W Bengal, India

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

[6] An Najah Natl Univ Hosp, Infect Control Dept, Nablus, Palestine

[7] Deenanath Mangeshkar Hosp, Infect Control Dept, Pune, Maharashtra, India

[8] Shiraz Univ Med Sci, Nemazee Hosp, Anesthesiol & Crit Care Res Ctr, Infect Control Dept, Shiraz, Iran

[9] Tata Mem Hosp, Infect Control Dept, Mumbai, Maharashtra, India

[10] King Hussein Canc Ctr, Infect Control Dept, Amman, Jordan

[11] Hammoud Hosp Univ, Infect Control Dept, Med Ctr, Saida, Lebanon

[12] G Kuppusamy Naidu Mem Hosp, Infect Control Dept, Coimbatore, Tamil Nadu, India

[13] Hosp Lithuanian Univ Hlth Sci, Infect Control Dept, Kaunas, Lithuania

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

[15] Dar Al Fouad Hosp, Infect Control Dept, 6th Of October City, Egypt

[16] Cairo Univ Hosp, Cairo, Egypt

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

[18] Turkiye Yuksek Ihtisas Educ & Res Hosp, Infect Control Dept, Ankara, Turkey

[19] Medanta Medic, Infect Control Dept, New Delhi, India

[20] Univ Malaya, Infect Control Dept, Med Ctr, Kuala Lumpur, Malaysia

[21] Bach Mai Hosp, Infect Control Dept, Hanoi, Vietnam

[22] Farwaniya Hosp, Infect Control Dept, Kuwait, Kuwait

[23] Hosp Carlos Andrade Marin, Infect Control Dept, Quito, Ecuador

[24] Dubai Hosp, Infect Control Dept, Dubai, U Arab Emirates

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

[26] Bangpakok 9 Int Hosp, Infect Control Dept, Pathum Thani 9, Thailand

[27] Hosp Messejana, Infect Control Dept, Fortaleza, Ceara, Brazil

[28] Makati Med Ctr, Makati, Philippines

[29] Queen Giovanna Isul, Sofia, Bulgaria

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

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

[32] Armed Forces Inst Pathol, Rawalpindi, Pakistan

[33] Hosp Nino Panama, Panama City, Panama

[34] Wroclaw Univ Hosp, Wroclaw, Poland

[35] Hosp Gen La Plaza La Salud, Santo Domingo, Dominican Rep

[36] Univ Med & Pharm Victor Babes Timisoara, Emergency Cty Clin Hosp, Timisoara, Romania

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

[38] Clin Ctr Serbia, Belgrade, Serbia

[39] Hosp Clin Caracas, Caracas, Venezuela

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

[41] Royal Care Int Hosp, Khartoum, Sudan

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

[43] Ibn Sina Hosp Morocco, Rabat, Morocco

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

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

[46] Dong E Peoples Hosp, Liaocheng, Shandong, Peoples R China

[47] Hosp Especialidades Ctr Med La Raza, Inst Hondurerio Seguridad Social, Tegucigalpa, Honduras

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

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

[50] Univ Gen Hosp Heraklion, Athens, Greece

来源：

AMERICAN JOURNAL OF INFECTION CONTROL | 2020年 / 48卷 / 04期

关键词：

Hospital infection; Nosocomial infection; Health care-associated infection; Device-associated infection; Antibiotic resistance; Ventilator-associated pneumonia; INTENSIVE-CARE UNITS; VENTILATOR-ASSOCIATED PNEUMONIA; MULTIDIMENSIONAL APPROACH; SAFETY NETWORK; CONTROL STRATEGY; RATES; IMPACT; CITIES; PREVENTION;

D O I：

10.1016/j.ajic.2019.08.023

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Background: We report the results of International Nosocomial Infection Control Consortium (INICC) surveillance study from January 2012 to December 2017 in 523 intensive care units (ICUs) in 45 countries from Latin America, Europe, Eastern Mediterranean, Southeast Asia, and Western Pacific. Methods: During the 6-year study period, prospective data from 532,483 ICU patients hospitalized in 242 hospitals, for an aggregate of 2,197,304 patient days, were collected through the INICC Surveillance Online System (ISOS). The Centers for Disease Control and Prevention-National Healthcare Safety Network (CDC-NHSN) definitions for device-associated health care-associated infection (DA-HAI) were applied. Results: Although device use in INICC ICUs was similar to that reported from CDC-NHSN ICUs, DA-HAI rates were higher in the INICC ICUs: in the medical-surgical ICUs, the pooled central line-associated bloodstream infection rate was higher (5.05 vs 0.8 per 1,000 central line-days); the ventilator-associated pneumonia rate was also higher (14.1 vs 0.9 per 1,000 ventilator-days,), as well as the rate of catheter-associated urinary tract infection (5.1 vs 1.7 per 1,000 catheter-days). From blood cultures samples, frequencies of resistance, such as of Pseudomonas aeruginosa to piperacillin-tazobactam (33.0% vs 18.3%), were also higher. Conclusions: Despite a significant trend toward the reduction in INICC ICUs, DA-HAI rates are still much higher compared with CDC-NHSN's ICUs representing the developed world. It is INICC's main goal to provide basic and cost-effective resources, through the INICC Surveillance Online System to tackle the burden of DA-HAIs effectively. (C) 2019 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

引用

页码：423 / 432

页数：10

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