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J Infect Public Health ; 5(6): 394-402, 2012 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-23287610

RESUMO

PURPOSE: To determine the rate of device-associated healthcare-associated infections (DA-HAIs) at a respiratory intensive care unit (RICU) and in the pediatric intensive care units (PICUs) of member hospitals of the International Nosocomial Infection Control Consortium (INICC) in Egypt. MATERIALS AND METHODS: A prospective cohort DA-HAI surveillance study was conducted from December 2008 to July 2010 by applying the methodology of the INICC and the definitions of the NHSN-CDC. RESULTS: In the RICU, 473 patients were hospitalized for 2930d and acquired 155 DA-HAIs, with an overall rate of 32.8%. There were 52.9 DA-HAIs per 1000 ICU-days. In the PICUs, 143 patients were hospitalized for 1535d and acquired 35 DA-HAIs, with an overall rate of 24.5%. There were 22.8 DA-HAIs per 1000 ICU-days. The central line-associated blood stream infection (CLABSI) rate was 22.5 per 1000 line-days in the RICU and 18.8 in the PICUs; the ventilator-associated pneumonia (VAP) rate was 73.4 per 1000 ventilator-days in the RICU and 31.8 in the PICUs; and the catheter-associated urinary tract infection (CAUTI) rate was 34.2 per 1000 catheter-days in the RICU. CONCLUSIONS: DA-HAIs in the ICUs in Egypt pose greater threats to patient safety than in industrialized countries, and infection control programs, including surveillance and guidelines, must become a priority.


Assuntos
Infecções Relacionadas a Cateter/epidemiologia , Infecção Hospitalar/epidemiologia , Unidades de Terapia Intensiva Pediátrica/estatística & dados numéricos , Pneumonia Associada à Ventilação Mecânica/epidemiologia , Unidades de Cuidados Respiratórios/estatística & dados numéricos , Adulto , Criança , Estudos de Coortes , Infecção Hospitalar/prevenção & controle , Egito/epidemiologia , Desinfecção das Mãos/normas , Humanos , Controle de Infecções/normas , Controle de Infecções/estatística & dados numéricos , Estudos Prospectivos
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