Device-associated nosocomial infection rates in intensive care units in four Mexican public hospitals

被引:59
|
作者
Ramirez Barba, Ector Jaime
Rosenthal, Victor Daniel
Higuera, Francisco
Sobreyra Oropeza, Martha
Torres Hernandez, Hector
Sanchez Lopez, Martha
Lona, Elia Lara
Duarte, Pablo
Ruiz, Javier
Rojas Hernandez, Raul
Chavez, Amalia
Perez Cerrato, Irma
Ramirez Ramirez, Gloria Elena
Safdar, Nasia
机构
[1] Inst Publ Hlth, Guanajuato, Mexico
[2] Med Coll Buenos Aires, Buenos Aires, DF, Argentina
[3] Gen Hosp, Mexico City, DF, Mexico
[4] Women Hosp, Mexico City, DF, Mexico
[5] Irapuato Hosp, Irapuato, Guanajuato, Mexico
[6] Celaya Hosp, Celaya, Guanajuato, Mexico
[7] Univ Wisconsin, Sch Med, Dept Med, Infect Dis Sect, Madison, WI USA
关键词
D O I
10.1016/j.ajic.2005.05/024
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: Routine surveillance of nosocomial infections has become an integral part of infection control and quality assurance in US hospitals. Methods: As part of the International Nosocomial Infection Control Consortium, we performed a prospective nosocomial infection surveillance cohort study in 5 adult intensive care units of 4 Mexican public hospitals using the Centers for Disease Control and Prevention National Nosocomial Infections Surveillance system definitions. Site-specific nosocomial infection rates were calculated. Results: The overall nosocomial infection rate was 24.4% (257/1055) and 39.0 (257/6590) per 1000 patient days. The most common infection was catheter-associated bloodstream infection, 57.98% (149/257), followed by ventilator-associated pneumonia, 20.23% (52/257), and catheter-associated urinary tract infection, 21.79% (56/257). The overall rate of catheter-associated bloodstream infections was 23.1 per 1000 device-days (149/6450): ventilator-associated pneumonia rate was 21.8 per 1000 device-days (52/2390); and catheter-associated urinary tract infection rate was 13.4 per 1000 device-days (56/4184). Conclusion: Our rates are similar to other hospitals of Latin America and higher than US hospitals.
引用
收藏
页码:244 / 247
页数:4
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