Multi-hospital point prevalence study of healthcare-associated infections in 28 adult intensive care units in Brazil.
J Hosp Infect
; 99(3): 318-324, 2018 Jul.
Article
em En
| MEDLINE
| ID: mdl-29522784
ABSTRACT
BACKGROUND:
Healthcare-associated infection (HAI) represents a major problem for patient safety worldwide.AIM:
To provide an up-to-date picture of the extent, aetiology, risk factors and patterns of infections in intensive care units (ICUs) in 28 Brazilian hospitals of different sizes.METHODS:
A one-day point prevalence survey in 2016 enrolled the ICUs of hospitals from the 12 meso-regions in Minas Gerais state, south-east Brazil. Hospitals were classified as university or non-university hospitals. All patients with >48 h of admission to the study ICUs at the time of the survey were included.FINDINGS:
In total, 303 patients were studied; of these, 155 (51.2%) were infected and 123 (79.4%) had at least one ICU-acquired infection. The most common ICU-acquired infections were pneumonia (53.0%) and bloodstream infection (27.6%). One hundred and nineteen bacterial isolates were cultured; the most common were Acinetobacter baumannii (27.1%), Pseudomonas aeruginosa (27.1%) and Staphylococcus aureus (39.0%). According to type of infection, the most common pathogens were P. aeruginosa (30.4%) in pneumonia, coagulase-negative staphylococci (23.4%) and Enterobacteriaceae (23.4%) in bloodstream infections, and Enterobacteriaceae (47.6%) in urinary tract infections.CONCLUSION:
This study found that the overall prevalence of ICU-acquired infections in surveyed Brazilian hospitals was higher than that reported in most European countries and the USA. A greater proportion of infections were caused by non-fermenting Gram-negative bacteria. These observations, along with a high rate of antimicrobial use, illustrate the urgent need for HAIs to be a priority in the public health agenda of Brazil.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Infecções Bacterianas
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Candidíase
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Infecção Hospitalar
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Unidades de Terapia Intensiva
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article