Device-associated infection rates, bacterial resistance, length of stay, and mortality in Kuwait: International Nosocomial Infection Consortium findings.
Am J Infect Control
; 44(4): 444-9, 2016 Apr 01.
Article
em En
| MEDLINE
| ID: mdl-26775929
ABSTRACT
BACKGROUND:
To report the results of the International Infection Control Consortium (INICC) study conducted in Kuwait from November 2013-March 2015.METHODS:
A device-associated health care-acquired infection (DA-HAI) prospective surveillance study in 7 adult, pediatric, and neonatal intensive care units (ICUs) using the U.S. Centers for Disease Control and Prevention's (CDC's) National Healthcare Safety Network (NHSN) definitions and INICC methods.RESULTS:
We followed 3,732 adult and pediatric patients for 21,611 bed days and 671 neonatal patients for 4,515 bed days. In the medical-surgical ICUs, the central line-associated bloodstream infection (CLABSI) rate was 3.5 per 1,000 central line days, the ventilator-associated pneumonia (VAP) rate was 4.0 per 1,000 mechanical ventilator days, and the catheter-associated urinary tract infection (CAUTI) rate was 3.3 per 1,000 urinary catheter days; all of them were lower than INICC rates (CLABSI 4.9; VAP 16.5; and CAUTI 5.3) and higher than NHSN rates (CLABSI 0.9; VAP 1.1; and CAUTI 1.2). Resistance of Staphylococcus aureus to oxacillin was 100%, resistance of Acinetobacter baumannii to imipenem and meropenem was 77.6%, and resistance of Klebsiella pneumoniae to imipenem and meropenem was 29.4%. Extra length of stay was 27.1 days for CLABSI, 22.2 days for VAP, and 19.2 days for CAUTI in adult and pediatric ICUs. Extra crude mortality was 19.9% for CLABSI, 30.9% for VAP, and 11.1% for CAUTI in adult and pediatric ICUs.CONCLUSIONS:
DA-HAI rates in our ICUs are higher than the CDC-NSHN rates and lower than the INICC international rates.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Bactérias
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Farmacorresistência Bacteriana
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Pneumonia Associada à Ventilação Mecânica
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Infecções Relacionadas a Cateter
Tipo de estudo:
Diagnostic_studies
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Observational_studies
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Prevalence_studies
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Risk_factors_studies
Limite:
Adolescent
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Adult
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Aged
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Aged80
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Child
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Child, preschool
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Female
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Humans
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Infant
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Male
País/Região como assunto:
Asia
Idioma:
En
Revista:
Am J Infect Control
Ano de publicação:
2016
Tipo de documento:
Article
País de afiliação:
Kuait