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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Socioeconomic impact on device-associated infections in pediatric intensive care units of 16 limited-resource countries: International Nosocomial Infection Control Consortium findings
Pediatric Critical Care Medicine, Volume 13, No. 4, Year 2012
Notification
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Description
OBJECTIVES: We report the results of the International Nosocomial Infection Control Consortium prospective surveillance study from January 2004 to December 2009 in 33 pediatric intensive care units of 16 countries and the impact of being in a private vs. public hospital and the income country level on device-associated health care-associated infection rates. Additionally, we aim to compare these findings with the results of the Centers for Disease Control and Prevention National Healthcare Safety Network annual report to show the differences between developed and developing countries regarding device-associated health care-associated infection rates. PATIENTS: A prospective cohort, active device-associated health care-associated infection surveillance study was conducted on 23,700 patients in International Nosocomial Infection Control Consortium pediatric intensive care units. METHODS: The protocol and methodology implemented were developed by International Nosocomial Infection Control Consortium. Data collection was performed in the participating intensive care units. Data uploading and analyses were conducted at International Nosocomial Infection Control Consortium headquarters on proprietary software. Device-associated health care-associated infection rates were recorded by applying Centers for Disease Control and Prevention National Healthcare Safety Network device-associated infection definitions, and the impact of being in a private vs. public hospital and the income country level on device-associated infection risk was evaluated. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Central line-associated bloodstream infection rates were similar in private, public, or academic hospitals (7.3 vs. 8.4 central line-associated bloodstream infection per 1,000 catheter-days [p < .35 vs. 8.2; p < .42]). Central line-associated bloodstream infection rates in lower middle-income countries were higher than low-income countries or upper middle-income countries (12.2 vs. 5.5 central line-associated bloodstream infections per 1,000 catheter-days [p < .02 vs. 7.0; p < .001]). Catheter-associated urinary tract infection rates were similar in academic, public and private hospitals: (4.2 vs. 5.2 catheter-associated urinary tract infection per 1,000 catheter-days [p = .41 vs. 3.0; p = .195]). Catheter-associated urinary tract infection rates were higher in lower middle-income countries than low-income countries or upper middle-income countries (5.9 vs. 0.6 catheter-associated urinary tract infection per 1,000 catheter-days [p < .004 vs. 3.7; p < .01]). Ventilator-associated pneumonia rates in academic hospitals were higher than private or public hospitals: (8.3 vs. 3.5 ventilator-associated pneumonias per 1,000 ventilator-days [p < .001 vs. 4.7; p < .001]). Lower middle-income countries had higher ventilator-associated pneumonia rates than low-income countries or upper middle-income countries: (9.0 vs. 0.5 per 1,000 ventilator-days [p < .001 vs. 5.4; p < .001]). Hand hygiene compliance rates were higher in public than academic or private hospitals (65.2% vs. 54.8% [p < .001 vs. 13.3%; p < .01]). CONCLUSIONS: Country socioeconomic level influence device-associated infection rates in developing countries and need to be considered when comparing device-associated infections from one country to another. Copyright © 2012 by the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies.
Authors & Co-Authors
Rosenthal, Víctor Daniel
Argentina, Buenos Aires
International Nosocomial Infection Control Consortium
Jarvis, William Robert
United States
Jason and Jarvis Associates, Llc
Jamulitrat, Silom
Thailand, Hatyai
Songklanagarind Hospital
Rodrigues Silva, Cristiane Pavanello
Brazil, Sao Paulo
Hospital Samaritano
Ramachandran, Bala
India, Chennai
Kk Childs Trust Hospital
Dueńas, Lourdes
El Salvador, San Salvador
Hospital Nacional de Niños Benjamín Bloom
Gurskis, Vaidotas
Lithuania, Kaunas
Kaunas University of Medicine
Ersöz, Gülden Munis
Turkey, Mersin
Mersin Üniversitesi
Miranda-Novales, Guadalupe
Mexico, Mexico
Umae Hospital de Pediatría Centro Medico Nacional Siglo Xxi
Khader, Ilham Abu
Jordan, Amman
Jordan University Hospital
Ammar, Khaldi
Tunisia, Tunis
Université de Tunis el Manar, Hôpital D'enfants Béchir Hamza de Tunis
Guzmán, Nayide Barahona
Colombia, Barranquilla
Universidad Simón Bolívar
Navoa-Ng, Josephine Anne
Philippines, Quezon City
St. Luke's Medical Center Quezon City
Seliem, Zeinab Salah
Egypt, Cairo
Abo el Reesh
Espinoza, Teodora Atencio
Peru, Pucallpa
Hospital Regional de Pucallpa
Cheong, Yuet Meng
Malaysia, Petaling Jaya
Sunway Medical Centre Berhad
Jayatilleke, Kushlani
Sri Lanka, Nugegoda
Sri Jayewardenepura General Hospital
Biancalana, María Lucia Neves
Unknown Affiliation
Sánchez, Tarquino Erástides Gavilanes
Unknown Affiliation
Valente, Roberto
Unknown Affiliation
Apolinário, Daniele
Unknown Affiliation
Ferrer, Marena Rodríguez
Unknown Affiliation
Sarmiento-Villa, Guillermo
Unknown Affiliation
Lagares-Guzmán, Alfredo
Unknown Affiliation
Moreno, C. A.
Unknown Affiliation
Linares, Claudia Yaneth
Unknown Affiliation
Rojas, Catherine
Unknown Affiliation
Beltran, Humberto
Unknown Affiliation
Paez, Jerson
Unknown Affiliation
Cortés, Lorena Matta
Unknown Affiliation
Campo, Luis Fernando Rendon
Unknown Affiliation
Dagua, H.
Unknown Affiliation
Gómez, Wilmer Villamil
Unknown Affiliation
Vergara, Guillermo Ruiz
Unknown Affiliation
Arrieta, Patrick
Unknown Affiliation
El Kholy, Amani Aly
Unknown Affiliation
Abdel-Aziz, Doaa M.
Unknown Affiliation
Singh, Sanjeev K.
Unknown Affiliation
Kumar, Rishi
Unknown Affiliation
Radhakrishnan, Kavitha Dinesh
Unknown Affiliation
Govil, D.
Unknown Affiliation
Jaggi, Namita
Unknown Affiliation
Bhatnagar, Shaleen
Unknown Affiliation
Pawar, Mandakini
Unknown Affiliation
Gupta, Amit Das
Unknown Affiliation
Saini, Narinder
Unknown Affiliation
Khuri-Bulos, Najwa A.
Unknown Affiliation
Mahafzah, Azmi M.
Unknown Affiliation
Dagys, Algirdas
Unknown Affiliation
Kondratas, Tomas
Unknown Affiliation
Kėvalas, Rimantas
Unknown Affiliation
Manikavasagam, Jegathesan
Unknown Affiliation
Tan, Lian Huat
Unknown Affiliation
Kaur, Kerinjeet
Unknown Affiliation
Ruiz, Adela Arguello
Unknown Affiliation
Campuzano, Roberto Vázquez
Unknown Affiliation
Brito, Jorge Mena
Unknown Affiliation
Lugo, I. Z.
Unknown Affiliation
Ruiz, E. M.
Unknown Affiliation
López, Favio Sarmiento
Unknown Affiliation
Villanueva, Victoria D.
Unknown Affiliation
Tolentino, María Corazón V.
Unknown Affiliation
de Casares, Ana Concepción Bran
Unknown Affiliation
de Jesús Machuca, L.
Unknown Affiliation
Thamlikitkul, Visanu
Unknown Affiliation
Ben-Jaballah, Nejla
Unknown Affiliation
Hamdi, Asma
Unknown Affiliation
Kaya, Ali
Unknown Affiliation
Kandemir, O.
Unknown Affiliation
Yalçin, Ata Nevzat
Unknown Affiliation
Turhan, Özge
Unknown Affiliation
Keskin, Sevim
Unknown Affiliation
Gümüş, Eylül
Unknown Affiliation
Dursun, Oǧuz
Unknown Affiliation
Statistics
Citations: 86
Authors: 74
Affiliations: 17
Identifiers
Doi:
10.1097/PCC.0b013e318238b260
ISSN:
15297535
e-ISSN:
19473893
Research Areas
Health System And Policy
Study Design
Cohort Study
Grounded Theory