International Nosocomial Infection Control Consortium report, data summary of 50 countries for 2010-2015: Device-associated module

被引：260

作者：

Daniel Rosenthal, Victor ^{[1
]}

Al-Abdely, Hail M. ^{[2
]}

El-Kholy, Amani Ali ^{[3
,4
]}

AlKhawaja, Safa A. Aziz ^{[5
]}

Leblebicioglu, Hakan ^{[6
]}

Mehta, Yatin ^{[7
]}

Rai, Vineya ^{[8
]}

Nguyen Viet Hung ^{[9
]}

Kanj, Souha Sami ^{[10
]}

Salama, Mona Foda ^{[11
]}

Salgado-Yepez, Estuardo ^{[12
]}

Elahi, Naheed ^{[13
]}

Morfin Otero, Rayo ^{[14
]}

Apisarnthanarak, Anucha ^{[15
]}

De Carvalho, Braulio Matias ^{[16
]}

Ider, Bat Erdene ^{[17
]}

Fisher, Dale ^{[18
]}

Buenaflor, Maria Carmen S. G. ^{[19
]}

Petrov, Michael M. ^{[20
]}

Quesada-Mora, Ana Marcela ^{[21
]}

Zand, Farid ^{[22
]}

Gurskis, Vaidotas ^{[23
]}

Anguseva, Tanja ^{[24
]}

Ikram, Aamer ^{[25
]}

Aguilar de Moros, Daisy ^{[26
]}

Duszynska, Wieslawa ^{[27
]}

Mejia, Nepomuceno ^{[28
]}

Horhat, Florin George ^{[29
]}

Belskiy, Vladislav ^{[30
]}

Mioljevic, Vesna ^{[31
]}

Di Silvestre, Gabriela ^{[32
]}

Furova, Katarina ^{[33
]}

Ramos-Ortiz, Gloria Y. ^{[34
]}

Elanbya, May Osman Gamar ^{[35
]}

Satari, Hindra Irawan ^{[36
]}

Gupta, Umesh ^{[37
]}

Dendane, Tarek ^{[38
]}

Raka, Lul ^{[39
,40
]}

Guanche-Garcell, Humberto ^{[41
]}

Hu, Bijie ^{[42
]}

Padgett, Denis ^{[43
]}

Jayatilleke, Kushlani ^{[44
]}

Ben Jaballah, Najla ^{[45
]}

Apostolopoulou, Eleni ^{[46
]}

Prudencio Leon, Walter Enrique ^{[47
]}

Sepulveda-Chavez, Alejandra ^{[48
]}

Miguel Telechea, Hector ^{[49
]}

Trotter, Andrew ^{[50
]}

Alvarez-Moreno, Carlos ^{[51
]}

Kushner-Davalos, Luis ^{[52
]}

机构：

[1] Int Nosocomial Infect Control Consortium, 11 Septiembre 4567,Fl 12,Apt 1201, RA-1429 Buenos Aires, DF, Argentina

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

[3] Cairo Univ Hosp, Cairo, Egypt

[4] Dar Al Fouad Hosp, 6th Of October City, Egypt

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

[6] Ondokuz Mayis Univ, Sch Med, Samsun, Turkey

[7] Medanta Medicity, New Delhi, India

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

[9] Bach Mai Hosp, Hanoi, Vietnam

[10] Amer Univ Beirut, Med Ctr, Beirut, Lebanon

[11] Mubarak Al Kabir Hosp, Kuwait, Kuwait

[12] Clin La Merced, Quito, Ecuador

[13] Dubai Hosp, Dubai, U Arab Emirates

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

[15] Thammasat Univ Hosp, Pathum Thani, Thailand

[16] Hosp Messejana, Fortaleza, Ceara, Brazil

[17] Intermed Hosp, Ulaanbaatar, Mongolia

[18] Natl Univ Singapore Hosp, Singapore, Singapore

[19] Philippine Heart Ctr, Manila, Philippines

[20] St George Univ Hosp, Plovdiv, Bulgaria

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

[22] Nemazee Hosp Shiraz Univ Med Sci, Shiraz, Iran

[23] Hosp Lithuanian Univ Hlth Sci Kauno Klinikos, Kaunas, Lithuania

[24] Special Hosp Surg Dis Filip Vtori, Skopje, Macedonia

[25] Armed Forces Inst Pathol, Rawalpindi, Pakistan

[26] Hosp del Nino Panama, Panama City, Panama

[27] Wroclaw Univ Hosp, Wroclaw, Poland

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

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

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

[31] Clin Ctr Serbia, Belgrade, Serbia

[32] Hosp Clin Caracas, Caracas, Venezuela

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

[34] Hosp Episcopal San Lucas, Guayama, PR USA

[35] Bahry Teaching Hosp, Khartoum, Sudan

[36] Ciptomangunkusumo, Jakarta, Indonesia

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

[38] Ibn Sina Hosp Morocco, Rabat, Morocco

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

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

[41] Joaquin Albarran, Havana, Cuba

[42] Fudan Univ, Zhongshan Hosp, Shanghai, Peoples R China

[43] Hosp Especialidades Inst Hondureno Seguridad Soci, Tegucigalpa, Honduras

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

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

[46] Gen & Oncol Hosp Kiffissia, Athens, Greece

[47] Hosp Cent Fuerza Aerea Peru, Lima, Peru

[48] Clin Sanatorio Aleman, Concepcion, Chile

[49] Ctr Hosp Pereira Rossell, Montevideo, Uruguay

[50] Grande Int Hosp, Kathmandu, Nepal

来源：

AMERICAN JOURNAL OF INFECTION CONTROL | 2016年 / 44卷 / 12期

关键词：

Hospital infection; Health care-associated infection; Antibiotic resistance; Ventilator-associated pneumonia; Catheter-associated urinary tract infection; Central line-associated bloodstream infections; Bloodstream infection; Urinary tract infection; Developing countries; Limited resources countries; INTENSIVE-CARE UNITS; VENTILATOR-ASSOCIATED PNEUMONIA; LIMITED-RESOURCE COUNTRIES; MULTIDIMENSIONAL APPROACH; SAFETY NETWORK; INICC REPORT; SOCIOECONOMIC IMPACT; CONTROL STRATEGY; RATES; PREVENTION;

D O I：

10.1016/j.ajic.2016.08.007

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 2010-December 2015 in 703 intensive care units (ICUs) in Latin America, Europe, Eastern Mediterranean, Southeast Asia, and Western Pacific. Methods: During the 6-year study period, using Centers for Disease Control and Prevention National Healthcare Safety Network (CDC-NHSN) definitions for device-associated health care-associated infection (DAHAI), we collected prospective data from861,284 patients hospitalized in INICC hospital ICUs for an aggregate of 3,506,562 days. 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 INICC medical-surgical ICUs, the pooled rate of central lineassociated bloodstream infection, 4.1 per 1,000 central line-days, was nearly 5-fold higher than the 0.8 per 1,000 central line-days reported from comparable US ICUs, the overall rate of ventilator-associated pneumonia was also higher, 13.1 versus 0.9 per 1,000 ventilator-days, as was the rate of catheterassociated urinary tract infection, 5.07 versus 1.7 per 1,000 catheter-days. From blood cultures samples, frequencies of resistance of Pseudomonas isolates to amikacin (29.87% vs 10%) and to imipenem (44.3% vs 26.1%), and of Klebsiella pneumoniae isolates to ceftazidime (73.2% vs 28.8%) and to imipenem (43.27% vs 12.8%) were also higher in the INICC ICUs compared with CDC-NHSN ICUs. Conclusions: Although DA-HAIs in INICC ICU patients continue to be higher than the rates reported in CDC-NSHN ICUs representing the developed world, we have observed a significant trend toward the reduction of DA-HAI rates in INICC ICUs as shown in each international report. It is INICC's main goal to continue facilitating education, training, and basic and cost-effective tools and resources, such as standardized forms and an online platform, to tackle this problem effectively and systematically. (C) 2016 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

引用

页码：1495 / 1504

页数：10

共 30 条

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