Six-year multicenter study on short-term peripheral venous catheters-related bloodstream infection rates in 246 intensive units of 83 hospitals in 52 cities of 14 countries of Middle East: Bahrain, Egypt, Iran, Jordan, Kingdom of Saudi Arabia, Kuwait, Lebanon, Morocco, Pakistan, Palestine, Sudan, Tunisia, Turkey, and United Arab Emirates-International Nosocomial Infection Control Consortium (INICC) findings

被引：21

作者：

Rosenthal, Victor D. ^{[1
]}

Belkebir, Souad ^{[2
]}

Zand, Farid ^{[3
]}

Afeef, Majeda ^{[4
]}

Tanzi, Vito L. ^{[5
]}

Al-Abdely, Hail M. ^{[6
]}

El-Kholy, Amani ^{[7
,8
]}

AlKhawaja, Safa A. Aziz ^{[9
]}

Demiroz, Ali P. ^{[10
]}

Sayed, Amani F. ^{[11
]}

Elahi, Naheed ^{[12
]}

Gamar-Elanbya, May O. ^{[13
]}

Abidi, Khalid ^{[14
]}

Ben-Jaballah, Najla ^{[15
]}

Salama, Mona F.

Helali, Najla J. ^{[16
]}

Abdel-Halim, Mona M. ^{[17
]}

Demaisip, Nadia L. ^{[18
]}

Ahmed, Hala ^{[19
]}

Diab, Hanan H. ^{[20
]}

Molano, Apsia M. ^{[21
]}

Sawan, Fahad A. ^{[22
]}

Kelany, Ashraf ^{[23
,24
]}

Altowerqi, Rami ^{[25
]}

Rushdi, Hala ^{[26
]}

Alkamaly, Modhi A. ^{[27
]}

Bohlega, Eatedal ^{[28
]}

Aldossary, Hajer A. ^{[29
]}

Abdelhady, Kareem M. ^{[30
]}

Ikram, Aamer ^{[31
]}

Madco, Marjory ^{[32
]}

Caminade, Yvonne ^{[33
]}

Alazmi, Muneefah ^{[34
]}

Mahfouz, Tahsine ^{[35
]}

Abdelaziz-Yousef, Reham H. ^{[36
]}

Ibrahim, Ahmed ^{[37
]}

Elawady, Basma ^{[38
]}

Asad, Tasmiya ^{[39
]}

Shyrine, Leide ^{[40
]}

Leblebicioglu, Hakan ^{[41
]}

机构：

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

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

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

[4] King Hussein Canc Ctr, Amman, Jordan

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

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

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

[8] Cairo Univ Hosp, Cairo, Egypt

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

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

[11] Farwaniya Hosp, Kuwait, Kuwait

[12] Dubai Hosp, Dubai, U Arab Emirates

[13] Royal Care Int Hosp, Khartoum, Sudan

[14] Ibn Sina Hosp Morocco, Rabat, Morocco

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

[16] King Abdulaziz Specialist Hosp, At Taif, Saudi Arabia

[17] Cairo Univ Abu El Reesh, Children Hosp, Cairo, Egypt

[18] Assir Cent Hosp, Assir, Saudi Arabia

[19] Abha Matern & Children Hosp, Assir, Saudi Arabia

[20] King Khalid Hosp, Najran, Saudi Arabia

[21] King Khalid Hosp, Tabuk, Saudi Arabia

[22] King Fahad Cent Hosp, Jizan, Saudi Arabia

[23] King Abdulaziz Hosp, Mecca, Saudi Arabia

[24] Oncol Ctr, Mecca, Saudi Arabia

[25] King Abdullah Med Complex, Jeddah, Saudi Arabia

[26] Hera Gen Hosp, Mecca, Saudi Arabia

[27] King Khalid Hosp, Hail, Saudi Arabia

[28] King Salman Hosp, Riyadh, Saudi Arabia

[29] Dammam Matern & Children Hosp, Dammam, Saudi Arabia

[30] Cairo Univ, Specialized Pediat Hosp, Cairo, Egypt

[31] Armed Forces Inst Pathol, Rawalpindi, Pakistan

[32] King Fahad Hosp, Jeddah, Saudi Arabia

[33] King Feisal Hosp, At Taif, Saudi Arabia

[34] Prince Momhamed Bin Abdul Aziz Hosp, Riyadh, Saudi Arabia

[35] Sheikh Ragheb Harb Hosp, Nabatieh, Lebanon

[36] Internal Med Hosp, Cairo, Egypt

[37] King Fahad Hosp, Al Hasa, Saudi Arabia

[38] New Obgyn Kasr Alainy Hosp, Riyadh, Saudi Arabia

[39] King Saud Med City Riyadh, Riyadh, Saudi Arabia

[40] King Saud Hosp, Qasim, Saudi Arabia

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

来源：

JOURNAL OF INFECTION AND PUBLIC HEALTH | 2020年 / 13卷 / 08期

关键词：

Hospital infection; Device-associated infections; Antibiotic resistance; Peripheral line-associated bloodstream infections; Mortality; Intensive care unit; Surveillance;

D O I：

10.1016/j.jiph.2020.03.012

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 catheters-related bloodstream infections (PVCR-BSIs) rates have not been systematically studied, and data on their incidence by number of device-days is not available. Methods: Prospective, surveillance study on PVCR-BSI conducted from September 1st, 2013 to 31st Mays, 2019 in 246 intensive care units (ICUs), members of the International Nosocomial Infection Control Consortium (INICC), from 83 hospitals in 52 cities of 14 countries in the Middle East (Bahrain, Egypt, Iran, Jordan, Kingdom of Saudi Arabia, Kuwait, Lebanon, Morocco, Pakistan, Palestine, Sudan, Tunisia, Turkey, and United Arab Emirates). We applied U.S. Results: We followed 31,083 ICU patients for 189,834 bed-days and 202,375 short term peripheral venous catheter (PVC)-days. We identified 470 PVCR-BSIs, amounting to a rate of 2.32/1000 PVC-days. Mortality in patients with PVC but without PVCR-BSI was 10.38%, and 29.36% in patients with PVC and PVCR-BSI. The mean length of stay in patients with PVC but without PVCR-BSI was 5.94 days, and 16.84 days in patients with PVC and PVCR-BSI. The microorganism profile showed 55.2 % of gram-positive bacteria, with Coagulase-negative Staphylococci (31%) and Staphylococcus aureus (14%) being the predominant ones. Gram-negative bacteria accounted for 39% of cases, and included: Escherichia coli (7%), Klebsiella pneumoniae (8%), Pseudomonas aeruginosa (5%), Enterobacter spp. (3%), and others (29.9%), such as Serratia marcescens. Conclusions: PVCR-BSI rates found in our ICUs were much higher than rates published from USA, Australia, and Italy. Infection prevention programs must be implemented to reduce the incidence of PVCR-BSIs. (C) 2020 Published by Elsevier Ltd on behalf of King Saud Bin Abdulaziz University for Health Sciences.

引用

页码：1134 / 1141

页数：8

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