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. 2021 Oct;49(10):1267-1274.
doi: 10.1016/j.ajic.2021.04.077. Epub 2021 Apr 24.

International Nosocomial Infection Control Consortium (INICC) report, data summary of 45 countries for 2013-2018, Adult and Pediatric Units, Device-associated Module

Victor Daniel Rosenthal  1 , Wieslawa Duszynska  2 , Bat-Erdene Ider  3 , Vaidotas Gurskis  4 , Majeda A Al-Ruzzieh  5 , Sheila Nainan Myatra  6 , Debkishore Gupta  7 , Souad Belkebir  8 , Namita Upadhyay  9 , Farid Zand  10 , Subhash Kumar Todi  11 , Mohit Kharbanda  12 , Pravin K Nair  13 , Sanghamitra Mishra  14 , Gustavo Chaparro  15 , Yatin Mehta  16 , Dolatsinh Zala  17 , Jaroslaw Janc  18 , Guadalupe Aguirre-Avalos  19 , Daisy Aguilar-De-Morós  20 , Blanca Estela Hernandez-Chena  21 , Emrah Gün  22 , Nefise Oztoprak-Cuvalci  23 , Dincer Yildizdas  24 , Mona Moheyeldin Abdelhalim  25 , Suna Secil Ozturk-Deniz  26 , Chin Seng Gan  27 , Nguyen Viet Hung  28 , Hala Joudi  29 , Abeer Aly Omar  30 , Achilleas Gikas  31 , Amani Ali El-Kholy  32 , Amina Barkat  33 , Anjeela Koirala  34 , Antonio Cerero-Gudiño  35 , Asma Bouziri  36 , Katherine Gomez-Nieto  37 , Dale Fisher  38 , Eduardo A Medeiros  39 , Estuardo Salgado-Yepez  40 , Florin Horhat  41 , Hala Mounir Moustafa Agha  25 , Julio César Vimercati  42 , Victoria Villanueva  43 , Kushlani Jayatilleke  44 , Le Thi Thu Nguyet  45 , Lul Raka  46 , María Guadalupe Miranda-Novales  47 , Michael Mihailov Petrov  48 , Anucha Apisarnthanarak  49 , Nadia Tayyab  50 , Naheed Elahi  51 , Nepomuceno Mejia  52 , Rayo Morfin-Otero  53 , Safa Al-Khawaja  54 , Tanja Anguseva  55 , Umesh Gupta  56 , Vladislav A Belskii  57 , Wan Rahiza Wan Mat  58 , Edwin Giovanny Chapeta-Parada  59 , Humberto Guanche-Garcell  60 , Nayide Barahona-Guzmán  61 , Anju Mathew  62 , Kavita Raja  63 , Saroj Kumar Pattnaik  64 , Nirav Pandya  65 , Aruna Ananda Poojary  66 , Rajesh Chawla  67 , Tahsine Mahfouz  68 , Souha S Kanj  69 , Vesna Mioljevic  70 , Sona Hlinkova  71 , Mariana Mrazova  72 , Hail M Al-Abdely  73 , Ertugrul Guclu  74 , Asu Ozgultekin  75 , Volkan Baytas  76 , Recep Tekin  77 , Ata Nevzat Yalçın  78 , Nurettin Erben  79
Affiliations

International Nosocomial Infection Control Consortium (INICC) report, data summary of 45 countries for 2013-2018, Adult and Pediatric Units, Device-associated Module

Victor Daniel Rosenthal et al. Am J Infect Control. 2021 Oct.

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.

Keywords: Bacterial resistance; Device-associated infection; Health care-associated infection; Hospital infection; Limited resources countries; Nosocomial infection.

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