Victor Daniel Rosenthal1, Wieslawa Duszynska2, Bat-Erdene Ider3, Vaidotas Gurskis4, Majeda A Al-Ruzzieh5, Sheila Nainan Myatra6, Debkishore Gupta7, Souad Belkebir8, Namita Upadhyay9, Farid Zand10, Subhash Kumar Todi11, Mohit Kharbanda12, Pravin K Nair13, Sanghamitra Mishra14, Gustavo Chaparro15, Yatin Mehta16, Dolatsinh Zala17, Jaroslaw Janc18, Guadalupe Aguirre-Avalos19, Daisy Aguilar-De-Morós20, Blanca Estela Hernandez-Chena21, Emrah Gün22, Nefise Oztoprak-Cuvalci23, Dincer Yildizdas24, Mona Moheyeldin Abdelhalim25, Suna Secil Ozturk-Deniz26, Chin Seng Gan27, Nguyen Viet Hung28, Hala Joudi29, Abeer Aly Omar30, Achilleas Gikas31, Amani Ali El-Kholy32, Amina Barkat33, Anjeela Koirala34, Antonio Cerero-Gudiño35, Asma Bouziri36, Katherine Gomez-Nieto37, Dale Fisher38, Eduardo A Medeiros39, Estuardo Salgado-Yepez40, Florin Horhat41, Hala Mounir Moustafa Agha25, Julio César Vimercati42, Victoria Villanueva43, Kushlani Jayatilleke44, Le Thi Thu Nguyet45, Lul Raka46, María Guadalupe Miranda-Novales47, Michael Mihailov Petrov48, Anucha Apisarnthanarak49, Nadia Tayyab50, Naheed Elahi51, Nepomuceno Mejia52, Rayo Morfin-Otero53, Safa Al-Khawaja54, Tanja Anguseva55, Umesh Gupta56, Vladislav A Belskii57, Wan Rahiza Wan Mat58, Edwin Giovanny Chapeta-Parada59, Humberto Guanche-Garcell60, Nayide Barahona-Guzmán61, Anju Mathew62, Kavita Raja63, Saroj Kumar Pattnaik64, Nirav Pandya65, Aruna Ananda Poojary66, Rajesh Chawla67, Tahsine Mahfouz68, Souha S Kanj69, Vesna Mioljevic70, Sona Hlinkova71, Mariana Mrazova72, Hail M Al-Abdely73, Ertugrul Guclu74, Asu Ozgultekin75, Volkan Baytas76, Recep Tekin77, Ata Nevzat Yalçın78, Nurettin Erben79. 1. International Nosocomial Infection Control Consortium, Ciudad Autonoma De Buenos Aires, Argentina. Electronic address: victor_rosenthal@inicc.org. 2. Department of Anesthesiology and Intensive Therapy, Wroclaw Medical University, Wroclaw, Poland. 3. Intermed Hospital, Ulaanbaatar, Mongolia. 4. Hospital Of Lithuanian University Of Health Sciences Kauno Klinikos, Kaunas, Lithuania. 5. King Hussein Cancer Center, Amman, Jordan. 6. Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, India. 7. The Calcutta Medical Research Institute; Bm Birla Heart Reseach Centre, Kolkata, India. 8. An-Najah National University, An-Najah University Hospital, Nablus, Palestine. 9. Deenanath Mangeshkar Hospital, Pune, India. 10. Anesthesia and Critical Care Research Center, Shiraz University of Medical Sciences, Shiraz, Iran. 11. Amri Hospitals Mukundapur Dhakuria, Kolkata, India. 12. Desun Hospital, Kolkata, India. 13. Holy Spirit Hospital, Mumbai, India. 14. IMS And SUM Hospital, Bhubaneswar, India. 15. Instituto Medico Platense Sa, Uti De Adultos, Provincia De Buenos Aires, La Plata, Argentina. 16. Medanta The Medicity, New Delhi, India. 17. Shri Vinoba Bhave Civil Hospital, Silvassa, India. 18. 4th Clinical Military Hospital, Wroclaw, Poland. 19. Hospital Civil De Guadalajara "Fray Antonio Alcalde"- Servicio De Terapia Intensiva, Guadalajara, Mexico. 20. Hospital Del Niño Dr José Renán Esquivel, Panama, Panama. 21. Hospital General Regional 6 De Ciudad Madero, Madero, Mexico. 22. Ankara University Faculty Of Medicine, Ankara, Turkey. 23. Antalya Education And Research Hospital, Antalya, Turkey. 24. Balcali Hospital, Adana, Turkey. 25. Cairo University Specialized Pediatric Hospital, Cairo, Egypt. 26. Pamukkale University Hospital, Denizli, Turkey. 27. Pediatric ICU, University of Malaya Medical Center, Kuala Lumpur, Malaysia. 28. Bach Mai Hospital, Hanoi, Vietnam. 29. Hammoud Hospital University Medical Center, Saida, Lebanon. 30. Surveillance Department, Infection Control Directorate, Ministry Of Health, Kuwait City, Kuwait. 31. University General Hospital Of Heraklion, Heraklion, Greece. 32. Cairo University Hospital and Dar Al-Fouad Hospital, 6th Of October City, Egypt; ag) Mohamed V University of Rabat, Rabat, Morocco. 33. Ibn Sina University Hospital Center, Rabat Children's Hospital, Rabat, Morocco. 34. Grande International Hospital, Kathmandu, Nepal. 35. Hospital General De Zona Umaa No 1 Oaxaca, Oaxaca De Juarez, Mexico. 36. Children Hospital Of Tunis University Of Tunis El Manar, Tunis, Tunisia. 37. Clínica Universitaria Colombia, Bogotá, Colombia. 38. National University Hospital, Singapore, Singapore. 39. Hospital São Paulo, Escola Paulista De Medicina, Unifesp, Sao Paulo, Brazil. 40. Clinica La Merced, Quito, Ecuador. 41. University Of Medicine And Pharmacy Victor Babes Timisoara Emergency County Clinical Hospital, Timisoara, Romania. 42. Hzga "Dr. Ricardo Gutiérrez", Provincia De Buenos Aires, La Plata, Argentina. 43. St Lukes Medical Center Quezon City, Philippines. 44. Sri Jayewardenepura General Hospital, Nugegoda, Sri Lanka. 45. Thanh Nhan Hospital, Hanoi, Vietnam. 46. National Institute For Public Health Of Kosovo And Medical School Prishtina University, Prishtina, Kosovo. 47. Umae Hospital De Pediatría Cmn Sxxi, Mexico Df, Mexico. 48. St George University Hospital, Plovdiv, Bulgaria. 49. Thammasart University Hospital, Thailand. 50. Military Hospital Of Rawalpindi Pakistan, Rawalpindi, Pakistan. 51. Dubai Hospital, Dubai, United Arab Emirates. 52. Hospital General De La Plaza De La Salud, Santo Domingo, Dominican Republic. 53. Antiguo Hospital Civil De Guadalajara- Unidad De Infectologia, Guadalajara, Mexico. 54. Salmaniya Medical Complex, Manama, Bahrain. 55. Special Hospital For Surgical Diseases Filip Vtori, Skopje, Macedonija. 56. Port Moresby General Hospital, Port Moresby, Papua New Guinea. 57. Privolzhskiy District Medical Center, Nizhniy Novgorod, Russia. 58. Pusat Perubatan Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia. 59. Instituto Del Corazon De Bucaramanga, Bogota, Colombia. 60. Hospital Docente Clínico Quirúrgico Joaquín Albarrán, La Habana, Cuba. 61. Universidad Simon Bolivar, Barranquilla, Colombia. 62. Noble Hospital, Pune, India. 63. Sree Chitra Tirunal Institute For Medical Sciences And Technology (Sctimst), Thiruvananthapuram, Kerala, India. 64. Apollo Hospitals, Bhubaneswar, India. 65. Bhailal Amin General Hospital, Vadodara, India. 66. Breach Candy Hospital Trust, Mumbai, India. 67. Indraprastha Apollo Hospital Delhi, New Delhi, India. 68. Sheikh Ragheb Harb Hospital, Nabatyiah, Lebanon. 69. American University Of Beirut Medical Center, Beirut, Lebanon. 70. Clinical Center Serbia Emergency Center, Belgrade, Serbia. 71. Catholic University In Ruzomberok Faculty Of Health Central Military Hospital Snp Ruzomberok, Ruzomberok, Slovakia. 72. St. Elisabeth University, Institute for Prevention and Intervention, Bratislava, Slovakia. 73. Ministry of Health, Kingdom of Saudi Arabia. 74. Sakarya University Training And Research Hospital, Sakarya, Turkey. 75. University Of Health Sciences, Haydarpasa Training And Reserch Hospital, Istanbul, Turkey. 76. Ankara University Ibni-Sina Hospital, Ankara, Turkey. 77. Dicle University Hospital, Diyarbakır, Turkey. 78. Akdeniz University School Of Medicine, Antalya, Turkey. 79. Eskisehir Osmangazi University, Faculty Of Medicine, Eskisehir, Turkey.
Abstract
BACKGROUND: We report the results of INICC surveillance study from 2013 to 2018, in 664 intensive care units (ICUs) in 133 cities, of 45 countries, from Latin-America, Europe, Africa, Eastern-Mediterranean, Southeast-Asia, and Western-Pacific. METHODS: Prospective data from patients hospitalized in ICUs were collected through INICC Surveillance Online System. CDC-NHSN definitions for device-associated healthcare-associated infection (DA-HAI) were applied. RESULTS: We collected data from 428,847 patients, for an aggregate of 2,815,402 bed-days, 1,468,216 central line (CL)-days, 1,053,330 mechanical ventilator (MV)-days, 1,740,776 urinary catheter (UC)-days. We found 7,785 CL-associated bloodstream infections (CLAB), 12,085 ventilator-associated events (VAE), and 5,509 UC-associated urinary tract infections (CAUTI). Pooled DA-HAI rates were 5.91% and 9.01 DA-HAIs/1,000 bed-days. Pooled CLAB rate was 5.30/1,000 CL-days; VAE rate was 11.47/1,000 MV-days, and CAUTI rate was 3.16/1,000 UC-days. P aeruginosa was non-susceptible (NS) to imipenem in 52.72% of cases; to colistin in 10.38%; to ceftazidime in 50%; to ciprofloxacin in 40.28%; and to amikacin in 34.05%. Klebsiella spp was NS to imipenem in 49.16%; to ceftazidime in 78.01%; to ciprofloxacin in 66.26%; and to amikacin in 42.45%. coagulase-negative Staphylococci and S aureus were NS to oxacillin in 91.44% and 56.03%, respectively. Enterococcus spp was NS to vancomycin in 42.31% of the cases. CONCLUSIONS: DA-HAI rates and bacterial resistance are high and continuous efforts are needed to reduce them.
BACKGROUND: We report the results of INICC surveillance study from 2013 to 2018, in 664 intensive care units (ICUs) in 133 cities, of 45 countries, from Latin-America, Europe, Africa, Eastern-Mediterranean, Southeast-Asia, and Western-Pacific. METHODS: Prospective data from patients hospitalized in ICUs were collected through INICC Surveillance Online System. CDC-NHSN definitions for device-associated healthcare-associated infection (DA-HAI) were applied. RESULTS: We collected data from 428,847 patients, for an aggregate of 2,815,402 bed-days, 1,468,216 central line (CL)-days, 1,053,330 mechanical ventilator (MV)-days, 1,740,776 urinary catheter (UC)-days. We found 7,785 CL-associated bloodstream infections (CLAB), 12,085 ventilator-associated events (VAE), and 5,509 UC-associated urinary tract infections (CAUTI). Pooled DA-HAI rates were 5.91% and 9.01 DA-HAIs/1,000 bed-days. Pooled CLAB rate was 5.30/1,000 CL-days; VAE rate was 11.47/1,000 MV-days, and CAUTI rate was 3.16/1,000 UC-days. P aeruginosa was non-susceptible (NS) to imipenem in 52.72% of cases; to colistin in 10.38%; to ceftazidime in 50%; to ciprofloxacin in 40.28%; and to amikacin in 34.05%. Klebsiella spp was NS to imipenem in 49.16%; to ceftazidime in 78.01%; to ciprofloxacin in 66.26%; and to amikacin in 42.45%. coagulase-negative Staphylococci and S aureus were NS to oxacillin in 91.44% and 56.03%, respectively. Enterococcus spp was NS to vancomycin in 42.31% of the cases. CONCLUSIONS:DA-HAI rates and bacterial resistance are high and continuous efforts are needed to reduce them.
Authors: Victor Daniel Rosenthal; Ruijie Yin; Sandra Liliana Valderrama-Beltran; Sandra Milena Gualtero; Claudia Yaneth Linares; Guadalupe Aguirre-Avalos; Julio Cesar Mijangos-Méndez; Miguel Ángel Ibarra-Estrada; Luisa Fernanda Jimenez-Alvarez; Lidia Patricia Reyes; Carlos Arturo Alvarez-Moreno; Maria Adelia Zuniga-Chavarria; Ana Marcela Quesada-Mora; Katherine Gomez; Johana Alarcon; Jose Millan Oñate; Daisy Aguilar-De-Moros; Elizabeth Castaño-Guerra; Judith Córdoba; Alejandro Sassoe-Gonzalez; Claudia Marisol Millán-Castillo; Lissette Leyva Xotlanihua; Lina Alejandra Aguilar-Moreno; Juan Sebastian Bravo Ojeda; Ivan Felipe Gutierrez Tobar; Mary Cruz Aleman-Bocanegra; Clara Veronica Echazarreta-Martínez; Belinda Mireya Flores-Sánchez; Yuliana Andrea Cano-Medina; Edwin Giovannny Chapeta-Parada; Rafael Antonio Gonzalez-Niño; Maria Isabel Villegas-Mota; Mildred Montoya-Malváez; Miguel Ángel Cortés-Vázquez; Eduardo Alexandrino Medeiros; Dayana Fram; Daniela Vieira-Escudero; Zhilin Jin Journal: J Epidemiol Glob Health Date: 2022-10-05
Authors: Alice Elena Ghenea; Ovidiu Mircea Zlatian; Oana Mariana Cristea; Anca Ungureanu; Radu Razvan Mititelu; Andrei Theodor Balasoiu; Corina Maria Vasile; Alex-Ioan Salan; Daniel Iliuta; Mihaela Popescu; Anca-Loredana Udriștoiu; Maria Balasoiu Journal: Antibiotics (Basel) Date: 2022-04-10
Authors: Giuseppe Cesarelli; Rita Petrelli; Carlo Ricciardi; Giovanni D'Addio; Orjela Monce; Maria Ruccia; Mario Cesarelli Journal: Healthcare (Basel) Date: 2021-12-01