Yatin Mehta1, Namita Jaggi2, Victor Daniel Rosenthal3, Maithili Kavathekar4, Asmita Sakle5, Nita Munshi6, Murali Chakravarthy7, Subhash Kumar Todi8, Narinder Saini9, Camilla Rodrigues10, Karthikeya Varma11, Rekha Dubey12, Mohammad Mukhit Kazi13, F E Udwadia14, Sheila Nainan Myatra15, Sweta Shah16, Arpita Dwivedy17, Anil Karlekar18, Sanjeev Singh19, Nagamani Sen20, Kashmira Limaye-Joshi21, Bala Ramachandran22, Suneeta Sahu23, Nirav Pandya24, Purva Mathur25, Samir Sahu26, Suman P Singh27, Anil Kumar Bilolikar28, Siva Kumar29, Preeti Mehta30, Vikram Padbidri31, N Gita32, Saroj K Patnaik33, Thara Francis34, Anup R Warrier35, S Muralidharan36, Pravin Kumar Nair37, Vaibhavi R Subhedar38, Ramachadran Gopinath39, Afzal Azim40, Sanjeev Sood41. 1. 1Medanta the Medicity,New Delhi,India. 2. 2Artemis Health Institute,New Delhi,India. 3. 3International Nosocomial Infection Control Consortium,Buenos Aires,Argentina. 4. 4Sahyadri Speciality Hospital,Pune,India. 5. 5Bombay Hospital,Mumbai,India. 6. 6Ruby Hall Clinic,Pune,India. 7. 7Fortis Hospitals,Bangalore,India. 8. 8Advanced Medicare Research Institute Hospitals,Kolkata,India. 9. 9Pushpanjali Crosslay Hospital,Ghaziabad,India. 10. 10PD Hinduja National Hospital & Medical Research Centre,Mumbai,India. 11. 11Malabar Institute of Medical Sciences,Calicut,India. 12. 12Aditya Birla Memorial Hospital,Pune,India. 13. 13Noble Hospital,Pune,India. 14. 14Breach Candy Hospital Trust,Mumbai,India. 15. 15Tata Memorial Hospital,Mumbai,India. 16. 16Kokilaben Dhirubhai Ambani Hospital,Mumbai,India. 17. 17Dr. L. H. Hiranandani Hospital,Mumbai,India. 18. 18Escorts Heart Institute & Research Centre,New Delhi,India. 19. 19Amrita Institute of Medical Sciences & Research Center,Kochi,India. 20. 20Christian Medical College,Vellore,India. 21. 21Jupiter Hospital,Thane,India. 22. 22Kanchi Kamakoti Childs Trust Hospital,Chennai,India. 23. 23Apollo Hospitals,Bhubaneswar,India. 24. 24Bhailal Amin General Hospital,Vadodara,India. 25. 25JPNA Trauma Centre- All India Institute of Medical Sciences,New Delhi,India. 26. 26Kalinga Hospital,Bhubaneswar,India. 27. 27Shree Krishna Hospital,Karamsad,India. 28. 28Krishna Institute of Medical Sciences,Secundebarad,India. 29. 29Kovai Medical Center and Hospital,Coimbatore,India. 30. 30Seth GS Medical College,Mumbai,India. 31. 31Jehangir Hospital,Pune,India. 32. 32Rao Nursing Home,Pune,India. 33. 33Command Hospital Air Force,Bangalore,India. 34. 34Frontier Lifeline Hospital,Chennai,India. 35. 35Kerala Institute of Medical Sciences,Trivandrum,India. 36. 36G Kuppuswami Naidu Memorial Hospital,Coimbatore,India. 37. 37Holy Spirit Hospital,Mumbai,India. 38. 38Bombay Hospital,Indore,India. 39. 39Nizam's Institute of Medical Sciences,Hyderabad,India. 40. 40Sanjay Gandhi Postgraduate Institute of Medical Sciences,Lucknow,India. 41. 41Military Hospital,Jodhpur,India.
Abstract
OBJECTIVE: To report the International Nosocomial Infection Control Consortium surveillance data from 40 hospitals (20 cities) in India 2004-2013. METHODS: Surveillance using US National Healthcare Safety Network's criteria and definitions, and International Nosocomial Infection Control Consortium methodology. RESULTS: We collected data from 236,700 ICU patients for 970,713 bed-days Pooled device-associated healthcare-associated infection rates for adult and pediatric ICUs were 5.1 central line-associated bloodstream infections (CLABSIs)/1,000 central line-days, 9.4 cases of ventilator-associated pneumonia (VAPs)/1,000 mechanical ventilator-days, and 2.1 catheter-associated urinary tract infections/1,000 urinary catheter-days In neonatal ICUs (NICUs) pooled rates were 36.2 CLABSIs/1,000 central line-days and 1.9 VAPs/1,000 mechanical ventilator-days Extra length of stay in adult and pediatric ICUs was 9.5 for CLABSI, 9.1 for VAP, and 10.0 for catheter-associated urinary tract infections. Extra length of stay in NICUs was 14.7 for CLABSI and 38.7 for VAP Crude extra mortality was 16.3% for CLABSI, 22.7% for VAP, and 6.6% for catheter-associated urinary tract infections in adult and pediatric ICUs, and 1.2% for CLABSI and 8.3% for VAP in NICUs Pooled device use ratios were 0.21 for mechanical ventilator, 0.39 for central line, and 0.53 for urinary catheter in adult and pediatric ICUs; and 0.07 for mechanical ventilator and 0.06 for central line in NICUs. CONCLUSIONS: Despite a lower device use ratio in our ICUs, our device-associated healthcare-associated infection rates are higher than National Healthcare Safety Network, but lower than International Nosocomial Infection Control Consortium Report.
OBJECTIVE: To report the International Nosocomial Infection Control Consortium surveillance data from 40 hospitals (20 cities) in India 2004-2013. METHODS: Surveillance using US National Healthcare Safety Network's criteria and definitions, and International Nosocomial Infection Control Consortium methodology. RESULTS: We collected data from 236,700 ICU patients for 970,713 bed-days Pooled device-associated healthcare-associated infection rates for adult and pediatric ICUs were 5.1 central line-associated bloodstream infections (CLABSIs)/1,000 central line-days, 9.4 cases of ventilator-associated pneumonia (VAPs)/1,000 mechanical ventilator-days, and 2.1 catheter-associated urinary tract infections/1,000 urinary catheter-days In neonatal ICUs (NICUs) pooled rates were 36.2 CLABSIs/1,000 central line-days and 1.9 VAPs/1,000 mechanical ventilator-days Extra length of stay in adult and pediatric ICUs was 9.5 for CLABSI, 9.1 for VAP, and 10.0 for catheter-associated urinary tract infections. Extra length of stay in NICUs was 14.7 for CLABSI and 38.7 for VAP Crude extra mortality was 16.3% for CLABSI, 22.7% for VAP, and 6.6% for catheter-associated urinary tract infections in adult and pediatric ICUs, and 1.2% for CLABSI and 8.3% for VAP in NICUs Pooled device use ratios were 0.21 for mechanical ventilator, 0.39 for central line, and 0.53 for urinary catheter in adult and pediatric ICUs; and 0.07 for mechanical ventilator and 0.06 for central line in NICUs. CONCLUSIONS: Despite a lower device use ratio in our ICUs, our device-associated healthcare-associated infection rates are higher than National Healthcare Safety Network, but lower than International Nosocomial Infection Control Consortium Report.
Authors: Inam Danish Khan; Geetanjali Gonimadatala; S Narayanan; Umesh Kapoor; Harleen Kaur; Anuradha Makkar; R M Gupta Journal: Med J Armed Forces India Date: 2021-10-28