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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
International Nosocomial Infection Control Consortium report, data summary for 2002-2007, issued January 2008
American Journal of Infection Control, Volume 36, No. 9, Year 2008
Notification
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Description
We report the results of an International Nosocomial Infection Control Consortium (INICC) surveillance study from 2002 through 2007 in 98 intensive care units (ICUs) in Latin America, Asia, Africa, and Europe. During the 6-year study, using Centers for Disease Control and Prevention (CDC) National Nosocomial Infections Surveillance System (NNIS) definitions for device-associated health care-associated infection, we collected prospective data from 43,114 patients hospitalized in the Consortium's hospital ICUs for an aggregate of 272,279 days. Although device utilization in the INICC ICUs was remarkably similar to that reported from US ICUs in the CDC's National Healthcare Safety Network, rates of device-associated nosocomial infection were markedly higher in the ICUs of the INICC hospitals: the pooled rate of central line-associated bloodstream infections (CLABs) in the INICC ICUs, 9.2 per 1000 CL-days, is nearly 3-fold higher than the 2.4-5.3 per 1000 CL-days reported from comparable US ICUs, and the overall rate of ventilator-associated pneumonia was also far higher, 19.5 vs 1.1-3.6 per 1000 ventilator-days, as was the rate of catheter-associated urinary tract infection, 6.5 versus 3.4-5.2 per 1000 catheter-days. Most strikingly, the frequencies of resistance of Staphylococcus aureus isolates to methicillin (MRSA) (80.8% vs 48.1%), Enterobacter species to ceftriaxone (50.8% vs 17.8%), and Pseudomonas aeruginosa to fluoroquinolones (52.4% vs 29.1%) were also far higher in the Consortium's ICUs, and the crude unadjusted excess mortalities of device-related infections ranged from 14.3% (CLABs) to 27.5% (ventilator-associated pneumonia). © 2008 Association for Professionals in Infection Control and Epidemiology, Inc.
Authors & Co-Authors
Rosenthal, Víctor Daniel
Argentina, Buenos Aires
Bernal Medical Center
Maki, Dennis George
United States, Madison
University of Wisconsin School of Medicine and Public Health
Mehta, Ajita P.
India, Mumbai
P.d. Hinduja National Hospital and Medical Research Centre
Álvarez-Moreno, Carlos Arturo
Colombia, Bogota
Pontificia Universidad Javeriana
Leblebicioglu, Hakan
Turkey, Samsun
Ondokuz Mayis University, Medical School
Higuera, Francisco
Mexico, Mexico
Hospital General de Mexico
Cuellar, Luis Ernesto
Peru, Lima
Instituto Nacional de Enfermedades Neoplasicas
Madani, Naoufel N.
Morocco, Agdal Rabat
Ibn Sina Hospital, Agdal Rabat
Mitrev, Zan K.
Macedonia, Skopje
Filip Ii Special Cardiosurgery Hospital
Dueńas, Lourdes
El Salvador, San Salvador
Benjamin Bloom National Children's Hospital
Navoa-Ng, Josephine Anne
Philippines, Quezon City
St. Luke's Medical Center Quezon City
Guanche-Garcell, Humberto
Cuba, Havana
Joaquín Albarrán Domínguez Surgery Clinic
Raka, Lul
Serbia, Pristina
Universiteti I Prishtinës
Hidalgo, Rosalía Fernández
Costa Rica, San Jose
Hospital Clínica Bíblica
Medeiros, Eduardo Alexandrino Sérvolo De
Brazil, Sao Paulo
Universidade Federal de São Paulo
Kanj, Souha S.
Lebanon, Beirut
American University of Beirut Medical Center
Abubakar, Salisu
Nigeria, Kano
Aminu Kano Teaching Hospital
Nercelles, Patricio
Chile, Valparaiso
Universidad de Valparaiso
Pratesi, Ricardo Diez
Uruguay
Paysandú Medical Corporation Comepa
Statistics
Citations: 269
Authors: 19
Affiliations: 19
Identifiers
Doi:
10.1016/j.ajic.2008.03.003
ISSN:
01966553
Research Areas
Health System And Policy
Study Design
Cohort Study