21 results on '"Sassoe-Gonzalez A"'
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2. International Nosocomial Infection Control Consortium (INICC) report of health care associated infections, data summary of 45 countries for 2015 to 2020, adult and pediatric units, device-associated module
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Rosenthal, Victor D., Yin, Ruijie, Nercelles, Patricio, Rivera-Molina, Sara E., Jyoti, Somani, Dongol, Reshma, Aguilar-De-Moros, Daisy, Tumu, Nellie, Alarcon-Rua, Johana, Stagnaro, Juan P., Alkhawaja, Safaa, Jimenez-Alvarez, Luisa F., Cano-Medina, Yuliana A., Valderrama-Beltran, Sandra L., Henao-Rodas, Claudia M., Zuniga-Chavarria, Maria A., El-Kholy, Amani, Agha, Hala Mounir, Sahu, Suneeta, Anusandhan, Siksha O., Bhattacharyya, Mahuya, Kharbanda, Mohit, Poojary, Aruna, Nair, Pravin K., Myatra, Sheila N., Chawla, Rajesh, Sandhu, Kavita, Mehta, Yatin, Rajhans, Prasad, Zand, Farid, Abdellatif-Daboor, Mohammad, Tai, Chian-Wern, Gan, Chin S., Mat Nor, Mohd-Basri, Aguirre-Avalos, Guadalupe, Hernandez-Chena, Blanca E., Sassoe-Gonzalez, Alejandro, Villegas-Mota, Isabel, Aleman- Bocanegra, Mary C., Bat-Erdene, Ider, Carreazo, Nilton Y., Castaneda-Sabogal, Alex, Janc, Jarosław, Belskiy, Vladislav, Hlinkova, Sona, Yildizdas, Dincer, Havan, Merve, Koker, Alper, Sungurtekin, Hulya, Dinleyici, Ener C., Guclu, Ertugrul, Tao, Lili, Memish, Ziad A., and Jin, Zhilin
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- 2024
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3. Examining the impact of a 9-component bundle and the INICC multidimensional approach on catheter-associated urinary tract infection rates in 32 countries across Asia, Eastern Europe, Latin America, and the Middle East
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Rosenthal, Victor D., Yin, Ruijie, Jin, Zhilin, Perez, Valentina, Kis, Matthew A., Abdulaziz-Alkhawaja, Safaa, Valderrama-Beltran, Sandra L., Gomez, Katherine, Rodas, Claudia M.H., El-Sisi, Amal, Sahu, Suneeta, Kharbanda, Mohit, Rodrigues, Camilla, Myatra, Sheila N., Chawla, Rajesh, Sandhu, Kavita, Mehta, Yatin, Rajhans, Prasad, Arjun, Rajalakshmi, Tai, Chian-Wern, Bhakta, Arpita, Mat Nor, Mohd-Basri, Aguirre-Avalos, Guadalupe, Sassoe-Gonzalez, Alejandro, Bat-Erdene, Ider, Acharya, Subhash P., Aguilar-de-Moros, Daisy, Carreazo, Nilton Yhuri, Duszynska, Wieslawa, Hlinkova, Sona, Yildizdas, Dincer, Kılıc, Esra K., Dursun, Oguz, Odek, Caglar, Deniz, Suna S.O., Guclu, Ertugrul, Koksal, Iftihar, Medeiros, Eduardo A., Petrov, Michael M., Tao, Lili, Salgado, Estuardo, Dueñas, Lourdes, Daboor, Mohammad A., Raka, Lul, Omar, Abeer A., Ikram, Aamer, Horhat-Florin, George, Memish, Ziad A., and Brown, Eric C.
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- 2024
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4. Decreasing central line-associated bloodstream infections rates in intensive care units in 30 low- and middle-income countries: An INICC approach
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Rosenthal, Victor D., Jin, Zhilin, Brown, Eric C., Dongol, Reshma, De Moros, Daisy A., Alarcon-Rua, Johana, Perez, Valentina, Stagnaro, Juan P., Alkhawaja, Safaa, Jimenez-Alvarez, Luisa F., Cano-Medina, Yuliana A., Valderrama-Beltran, Sandra L., Henao-Rodas, Claudia M., Zuniga-Chavarria, Maria A., El-Kholy, Amani, Agha, Hala, Sahu, Suneeta, Mishra, Shakti B., Bhattacharyya, Mahuya, Kharbanda, Mohit, Poojary, Aruna, Nair, Pravin K., Myatra, Sheila N., Chawla, Rajesh, Sandhu, Kavita, Mehta, Yatin, Rajhans, Prasad, Abdellatif-Daboor, Mohammad, Chian-Wern, Tai, Gan, Chin Seng, Mohd-Basri, Mat Nor, Aguirre-Avalos, Guadalupe, Hernandez-Chena, Blanca E., Sassoe-Gonzalez, Alejandro, Villegas-Mota, Isabel, Aleman- Bocanegra, Mary C., Bat-Erdene, Ider, Carreazo, Nilton Y., Castaneda-Sabogal, Alex, Janc, Jarosław, Hlinkova, Sona, Yildizdas, Dincer, Havan, Merve, Koker, Alper, Sungurtekin, Hulya, Dinleyici, Ener C., Guclu, Ertugrul, Tao, Lili, Memish, Ziad A., and Yin, Ruijie
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- 2024
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5. Assessing the impact of a multidimensional approach and an 8-component bundle in reducing incidences of ventilator-associated pneumonia across 35 countries in Latin America, Asia, the Middle East, and Eastern Europe
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Rosenthal, Victor Daniel, Jin, Zhilin, Yin, Ruijie, Sahu, Suneeta, Rajhans, Prasad, Kharbanda, Mohit, Nair, Pravin K., Mishra, Shakti Bedanta, Chawla, Rajesh, Arjun, Rajalakshmi, Sandhu, Kavita, Rodrigues, Camilla, Dongol, Reshma, Myatra, Sheila Nainan, Mohd-Basri, Mat Nor, Chian-Wern, Tai, Bhakta, Arpita, Bat-Erdene, Ider, Acharya, Subhash P., Alvarez, Gustavo Andres, Moreno, Lina Alejandra Aguilar, Gomez, Katherine, da Jimenez-Alvarez, Luisa Fernanda, Henao-Rodas, Claudia Milena, Valderrama-Beltran, Sandra Liliana, Zuniga-Chavarria, Maria Adelia, Aguirre-Avalos, Guadalupe, Hernandez-Chena, Blanca Estela, Sassoe-Gonzalez, Alejandro, Aleman-Bocanegra, Mary Cruz, Villegas-Mota, Maria Isabel, De Moros, Daisy Aguilar, Castaneda-Sabogal, Alex, Carreazo, Nilton Yhuri, Alkhawaja, Safaa, Agha, Hala Mounir, El-Kholy, Amani, Abdellatif-Daboor, Mohammad, Dursun, Oguz, Okulu, Emel, Havan, Merve, Yildizdas, Dincer, Deniz, Suna Secil Ozturk, Guclu, Ertugrul, Hlinkova, Sona, Ikram, Aamer, Tao, Lili, Omar, Abeer Aly, Elahi, Naheed, Memish, Ziad A., Petrov, Michael M., Raka, Lul, Janc, Jarosław, Horhat-Florin, George, Medeiros, Eduardo Alexandrino, Salgado, Estuardo, Dueñas, Lourdes, Coloma, Monica, Perez, Valentina, and Brown, Eric Christopher
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- 2024
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6. Multinational prospective cohort study of incidence and risk factors for central line-associated bloodstream infections in ICUs of 8 Latin American countries
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Rosenthal, Victor Daniel, Jin, Zhilin, Valderrama-Beltran, Sandra Liliana, Gualtero, Sandra Milena, Linares, Claudia Yaneth, Aguirre-Avalos, Guadalupe, Mijangos-Méndez, Julio Cesar, Ibarra-Estrada, Miguel Ángel, Jiménez-Alvarez, Luisa Fernanda, Reyes, Lidia Patricia, Alvarez-Moreno, Carlos Arturo, Zuniga-Chavarria, Maria Adelia, Quesada-Mora, Ana Marcela, Gomez, Katherine, Alarcon, Johana, Millan-Oñate, Jose, Aguilar-de-Moros, Daisy, Castaño-Guerrero, Elizabeth, Córdoba, Judith, Sassoe-Gonzalez, Alejandro, Millán-Castillo, Claudia Marisol, Leyva-Xotlanihua, Lissette, Aguilar-Moreno, Lina Alejandra, Bravo-Ojeda, Juan Sebastian, Gutierrez-Tobar, Ivan Felipe, Aleman-Bocanegra, Mary Cruz, Echazarreta-Martínez, Clara Veronica, Flores-Sánchez, Belinda Mireya, Cano-Medina, Yuliana Andrea, Chapeta-Parada, Edwin Giovannny, Gonzalez-Niño, Rafael Antonio, Villegas-Mota, Maria Isabel, Montoya-Malváez, Mildred, Cortés-Vázquez, Miguel Ángel, Medeiros, Eduardo Alexandrino, Fram, Dayana, Vieira-Escudero, Daniela, Dueñas, Lourdes, Carreazo, Nilton Yhuri, Salgado, Estuardo, and Yin, Ruijie
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- 2023
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7. Multinational Prospective Cohort Study of Mortality Risk Factors in 198 ICUs of 12 Latin American Countries over 24 Years: The Effects of Healthcare-Associated Infections
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Rosenthal, Victor Daniel, Yin, Ruijie, Valderrama-Beltran, Sandra Liliana, Gualtero, Sandra Milena, Linares, Claudia Yaneth, Aguirre-Avalos, Guadalupe, Mijangos-Méndez, Julio Cesar, Ibarra-Estrada, Miguel Ángel, Jimenez-Alvarez, Luisa Fernanda, Reyes, Lidia Patricia, Alvarez-Moreno, Carlos Arturo, Zuniga-Chavarria, Maria Adelia, Quesada-Mora, Ana Marcela, Gomez, Katherine, Alarcon, Johana, Oñate, Jose Millan, Aguilar-De-Moros, Daisy, Castaño-Guerra, Elizabeth, Córdoba, Judith, Sassoe-Gonzalez, Alejandro, Millán-Castillo, Claudia Marisol, Xotlanihua, Lissette Leyva, Aguilar-Moreno, Lina Alejandra, Ojeda, Juan Sebastian Bravo, Tobar, Ivan Felipe Gutierrez, Aleman-Bocanegra, Mary Cruz, Echazarreta-Martínez, Clara Veronica, Flores-Sánchez, Belinda Mireya, Cano-Medina, Yuliana Andrea, Chapeta-Parada, Edwin Giovannny, Gonzalez-Niño, Rafael Antonio, Villegas-Mota, Maria Isabel, Montoya-Malváez, Mildred, Cortés-Vázquez, Miguel Ángel, Medeiros, Eduardo Alexandrino, Fram, Dayana, Vieira-Escudero, Daniela, and Jin, Zhilin
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- 2022
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8. Multinational prospective cohort study of rates and risk factors for ventilator-associated pneumonia over 24 years in 42 countries of Asia, Africa, Eastern Europe, Latin America, and the Middle East: Findings of the International Nosocomial Infection Control Consortium (INICC)
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Victor Daniel Rosenthal, Zhilin Jin, Ziad A. Memish, Camilla Rodrigues, Sheila Nainan Myatra, Mohit Kharbanda, Sandra Liliana Valderrama-Beltran, Yatin Mehta, Mohammad Abdellatif Daboor, Subhash Kumar Todi, Guadalupe Aguirre-Avalos, Ertugrul Guclu, Chin Seng Gan, Luisa Fernanda Jiménez Alvarez, Rajesh Chawla, Sona Hlinkova, Rajalakshmi Arjun, Hala Mounir Agha, Maria Adelia Zuniga Chavarria, Narangarav Davaadagva, Mat Nor Mohd Basri, Katherine Gomez, Daisy Aguilar De Moros, Chian-Wern Tai, Alejandro Sassoe Gonzalez, Lina Alejandra Aguilar Moreno, Kavita Sandhu, Jarosław Janc, Mary Cruz Aleman Bocanegra, Dincer Yildizdas, Yuliana Andrea Cano Medina, Maria Isabel Villegas Mota, Abeer Aly Omar, Wieslawa Duszynska, Souad BelKebir, Amani Ali El-Kholy, Safaa Abdulaziz Alkhawaja, George Horhat Florin, Eduardo Alexandrino Medeiros, Lili Tao, Nellie Tumu, May Gamar Elanbya, Reshma Dongol, Vesna Mioljević, Lul Raka, Lourdes Dueñas, Nilton Yhuri Carreazo, Tarek Dendane, Aamer Ikram, Souha S. Kanj, Michael M. Petrov, Asma Bouziri, Nguyen Viet Hung, Vladislav Belskiy, Naheed Elahi, María Marcela Bovera, and Ruijie Yin
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Infectious and parasitic diseases ,RC109-216 ,Public aspects of medicine ,RA1-1270 - Abstract
Abstract Objective: Rates of ventilator-associated pneumonia (VAP) in low- and middle-income countries (LMIC) are several times above those of high-income countries. The objective of this study was to identify risk factors (RFs) for VAP cases in ICUs of LMICs. Design: Prospective cohort study. Setting: This study was conducted across 743 ICUs of 282 hospitals in 144 cities in 42 Asian, African, European, Latin American, and Middle Eastern countries. Participants: The study included patients admitted to ICUs across 24 years. Results: In total, 289,643 patients were followed during 1,951,405 patient days and acquired 8,236 VAPs. We analyzed 10 independent variables. Multiple logistic regression identified the following independent VAP RFs: male sex (adjusted odds ratio [aOR], 1.22; 95% confidence interval [CI], 1.16–1.28; P < .0001); longer length of stay (LOS), which increased the risk 7% per day (aOR, 1.07; 95% CI, 1.07–1.08; P < .0001); mechanical ventilation (MV) utilization ratio (aOR, 1.27; 95% CI, 1.23–1.31; P < .0001); continuous positive airway pressure (CPAP), which was associated with the highest risk (aOR, 13.38; 95% CI, 11.57–15.48; P < .0001); tracheostomy connected to a MV, which was associated with the next-highest risk (aOR, 8.31; 95% CI, 7.21–9.58; P < .0001); endotracheal tube connected to a MV (aOR, 6.76; 95% CI, 6.34–7.21; P < .0001); surgical hospitalization (aOR, 1.23; 95% CI, 1.17–1.29; P < .0001); admission to a public hospital (aOR, 1.59; 95% CI, 1.35-1.86; P < .0001); middle-income country (aOR, 1.22; 95% CI, 15–1.29; P < .0001); admission to an adult-oncology ICU, which was associated with the highest risk (aOR, 4.05; 95% CI, 3.22–5.09; P < .0001), admission to a neurologic ICU, which was associated with the next-highest risk (aOR, 2.48; 95% CI, 1.78–3.45; P < .0001); and admission to a respiratory ICU (aOR, 2.35; 95% CI, 1.79–3.07; P < .0001). Admission to a coronary ICU showed the lowest risk (aOR, 0.63; 95% CI, 0.51–0.77; P < .0001). Conclusions: Some identified VAP RFs are unlikely to change: sex, hospitalization type, ICU type, facility ownership, and country income level. Based on our results, we recommend focusing on strategies to reduce LOS, to reduce the MV utilization ratio, to limit CPAP use and implementing a set of evidence-based VAP prevention recommendations.
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- 2023
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9. Incidence and risk factors for catheter-associated urinary tract infection in 623 intensive care units throughout 37 Asian, African, Eastern European, Latin American, and Middle Eastern nations: A multinational prospective research of INICC
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Rosenthal, Victor Daniel, Yin, Ruijie, Brown, Eric Christopher, Lee, Brandon Hochahn, Rodrigues, Camilla, Myatra, Sheila Nainan, Kharbanda, Mohit, Rajhans, Prasad, Mehta, Yatin, Todi, Subhash Kumar, Basu, Sushmita, Sahu, Suneeta, Mishra, Shakti Bedanta, Chawla, Rajesh, Nair, Pravin K., Arjun, Rajalakshmi, Singla, Deepak, Sandhu, Kavita, Palaniswamy, Vijayanand, Bhakta, Arpita, Nor, Mohd Basri Mat, Chian-Wern, Tai, Bat-Erdene, Ider, Acharya, Subhash P., Ikram, Aamer, Tumu, Nellie, Tao, Lili, Alvarez, Gustavo Andres, Valderrama-Beltran, Sandra Liliana, Jiménez-Alvarez, Luisa Fernanda, Henao-Rodas, Claudia Milena, Gomez, Katherine, Aguilar-Moreno, Lina Alejandra, Cano-Medina, Yuliana Andrea, Zuniga-Chavarria, Maria Adelia, Aguirre-Avalos, Guadalupe, Sassoe-Gonzalez, Alejandro, Aleman-Bocanegra, Mary Cruz, Hernandez-Chena, Blanca Estela, Villegas-Mota, Maria Isabel, Aguilar-De-Moros, Daisy, Castañeda-Sabogal, Alex, Medeiros, Eduardo Alexandrino, Dueñas, Lourdes, Carreazo, Nilton Yhuri, Salgado, Estuardo, Abdulaziz-Alkhawaja, Safaa, Agha, Hala Mounir, El-Kholy, Amani Ali, Daboor, Mohammad Abdellatif, Guclu, Ertugrul, Dursun, Oguz, Koksal, Iftihar, Havan, Merve, Ozturk-Deniz, Suna Secil, Yildizdas, Dincer, Okulu, Emel, Omar, Abeer Aly, Memish, Ziad A., Janc, Jarosław, Hlinkova, Sona, Duszynska, Wieslawa, Horhat-Florin, George, Raka, Lul, Petrov, Michael M., Jin, Zhilin, Rosenthal, Victor Daniel, Yin, Ruijie, Brown, Eric Christopher, Lee, Brandon Hochahn, Rodrigues, Camilla, Myatra, Sheila Nainan, Kharbanda, Mohit, Rajhans, Prasad, Mehta, Yatin, Todi, Subhash Kumar, Basu, Sushmita, Sahu, Suneeta, Mishra, Shakti Bedanta, Chawla, Rajesh, Nair, Pravin K., Arjun, Rajalakshmi, Singla, Deepak, Sandhu, Kavita, Palaniswamy, Vijayanand, Bhakta, Arpita, Nor, Mohd Basri Mat, Chian-Wern, Tai, Bat-Erdene, Ider, Acharya, Subhash P., Ikram, Aamer, Tumu, Nellie, Tao, Lili, Alvarez, Gustavo Andres, Valderrama-Beltran, Sandra Liliana, Jiménez-Alvarez, Luisa Fernanda, Henao-Rodas, Claudia Milena, Gomez, Katherine, Aguilar-Moreno, Lina Alejandra, Cano-Medina, Yuliana Andrea, Zuniga-Chavarria, Maria Adelia, Aguirre-Avalos, Guadalupe, Sassoe-Gonzalez, Alejandro, Aleman-Bocanegra, Mary Cruz, Hernandez-Chena, Blanca Estela, Villegas-Mota, Maria Isabel, Aguilar-De-Moros, Daisy, Castañeda-Sabogal, Alex, Medeiros, Eduardo Alexandrino, Dueñas, Lourdes, Carreazo, Nilton Yhuri, Salgado, Estuardo, Abdulaziz-Alkhawaja, Safaa, Agha, Hala Mounir, El-Kholy, Amani Ali, Daboor, Mohammad Abdellatif, Guclu, Ertugrul, Dursun, Oguz, Koksal, Iftihar, Havan, Merve, Ozturk-Deniz, Suna Secil, Yildizdas, Dincer, Okulu, Emel, Omar, Abeer Aly, Memish, Ziad A., Janc, Jarosław, Hlinkova, Sona, Duszynska, Wieslawa, Horhat-Florin, George, Raka, Lul, Petrov, Michael M., and Jin, Zhilin
- Abstract
Objective: To identify urinary catheter (UC)-associated urinary tract infection (CAUTI) incidence and risk factors. Design: A prospective cohort study. Setting: The study was conducted across 623 ICUs of 224 hospitals in 114 cities in 37 African, Asian, Eastern European, Latin American, and Middle Eastern countries. Participants: The study included 169,036 patients, hospitalized for 1,166,593 patient days. Methods: Data collection took place from January 1, 2014, to February 12, 2022. We identified CAUTI rates per 1,000 UC days and UC device utilization (DU) ratios stratified by country, by ICU type, by facility ownership type, by World Bank country classification by income level, and by UC type. To estimate CAUTI risk factors, we analyzed 11 variables using multiple logistic regression. Results: Participant patients acquired 2,010 CAUTIs. The pooled CAUTI rate was 2.83 per 1,000 UC days. The highest CAUTI rate was associated with the use of suprapubic catheters (3.93 CAUTIs per 1,000 UC days); with patients hospitalized in Eastern Europe (14.03) and in Asia (6.28); with patients hospitalized in trauma (7.97), neurologic (6.28), and neurosurgical ICUs (4.95); with patients hospitalized in lower-middle-income countries (3.05); and with patients in public hospitals (5.89). The following variables were independently associated with CAUTI: Age (adjusted odds ratio [aOR], 1.01; P <.0001), female sex (aOR, 1.39; P <.0001), length of stay (LOS) before CAUTI-acquisition (aOR, 1.05; P <.0001), UC DU ratio (aOR, 1.09; P <.0001), public facilities (aOR, 2.24; P <.0001), and neurologic ICUs (aOR, 11.49; P <.0001). Conclusions: CAUTI rates are higher in patients with suprapubic catheters, in middle-income countries, in public hospitals, in trauma and neurologic ICUs, and in Eastern European and Asian facilities. Based on findings regarding risk factors for CAUTI, focus on reducing LOS and UC utilization is warranted, as well as implementing evidence-based CAUTI-prevention recomm
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- 2024
10. Incidence and risk factors for catheter-associated urinary tract infection in 623 intensive care units throughout 37 Asian, African, Eastern European, Latin American, and Middle Eastern nations: A multinational prospective research of INICC
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Rosenthal, Victor Daniel, primary, Yin, Ruijie, additional, Brown, Eric Christopher, additional, Lee, Brandon Hochahn, additional, Rodrigues, Camilla, additional, Myatra, Sheila Nainan, additional, Kharbanda, Mohit, additional, Rajhans, Prasad, additional, Mehta, Yatin, additional, Todi, Subhash Kumar, additional, Basu, Sushmita, additional, Sahu, Suneeta, additional, Mishra, Shakti Bedanta, additional, Chawla, Rajesh, additional, Nair, Pravin K., additional, Arjun, Rajalakshmi, additional, Singla, Deepak, additional, Sandhu, Kavita, additional, Palaniswamy, Vijayanand, additional, Bhakta, Arpita, additional, Nor, Mohd-Basri Mat, additional, Chian-Wern, Tai, additional, Bat-Erdene, Ider, additional, Acharya, Subhash P., additional, Ikram, Aamer, additional, Tumu, Nellie, additional, Tao, Lili, additional, Alvarez, Gustavo Andres, additional, Valderrama-Beltran, Sandra Liliana, additional, Jiménez-Alvarez, Luisa Fernanda, additional, Henao-Rodas, Claudia Milena, additional, Gomez, Katherine, additional, Aguilar-Moreno, Lina Alejandra, additional, Cano-Medina, Yuliana Andrea, additional, Zuniga-Chavarria, Maria Adelia, additional, Aguirre-Avalos, Guadalupe, additional, Sassoe-Gonzalez, Alejandro, additional, Aleman-Bocanegra, Mary Cruz, additional, Hernandez-Chena, Blanca Estela, additional, Villegas-Mota, Maria Isabel, additional, Aguilar-de-Moros, Daisy, additional, Castañeda-Sabogal, Alex, additional, Medeiros, Eduardo Alexandrino, additional, Dueñas, Lourdes, additional, Carreazo, Nilton Yhuri, additional, Salgado, Estuardo, additional, Abdulaziz-Alkhawaja, Safaa, additional, Agha, Hala Mounir, additional, El-Kholy, Amani Ali, additional, Daboor, Mohammad Abdellatif, additional, Guclu, Ertugrul, additional, Dursun, Oguz, additional, Koksal, Iftihar, additional, Havan, Merve, additional, Ozturk-Deniz, Suna Secil, additional, Yildizdas, Dincer, additional, Okulu, Emel, additional, Omar, Abeer Aly, additional, Memish, Ziad A., additional, Janc, Jarosław, additional, Hlinkova, Sona, additional, Duszynska, Wieslawa, additional, Horhat-Florin, George, additional, Raka, Lul, additional, Petrov, Michael M., additional, and Jin, Zhilin, additional
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- 2024
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11. Decreasing Central Line-Associated Bloodstream Infections Rates in Intensive Care Units in Low- and Middle- Income Countries: An INICC Approach
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Rosenthal, Victor Daniel, primary, Jin, Zhilin, additional, Brown, Eric Christopher, additional, Dongol, Reshma, additional, De Moros, Daisy Aguilar, additional, Alarcon-Rua, Johana, additional, Perez, Valentina, additional, Stagnaro, Juan Pablo, additional, Alkhawaja, Safaa, additional, da Jimenez-Alvarez, Luisa Fernanda, additional, Cano-Medina, Yuliana Andrea, additional, Valderrama-Beltran, Sandra Liliana, additional, Henao-Rodas, Claudia Milena, additional, Zuniga-Chavarria, Maria Adelia, additional, El-Kholy, Amani, additional, Agha, Hala, additional, Sahu, Suneeta, additional, Mishra, Shakti Bedanta, additional, Bhattacharyya, Mahuya, additional, Kharbanda, Mohit, additional, Poojary, Aruna, additional, Nair, Pravin K., additional, Myatra, Sheila Nainan, additional, Chawla, Rajesh, additional, Sandhu, Kavita, additional, Mehta, Yatin, additional, Rajhans, Prasad, additional, Abdellatif-Daboor, Mohammad, additional, Chian-Wern, Tai, additional, Chin Seng, Gan, additional, Mat Nor, Mohd-Basri, additional, Aguirre-Avalos, Guadalupe, additional, Hernandez-Chena, Blanca Estela, additional, Sassoe-Gonzalez, Alejandro, additional, Villegas-Mota, Isabel, additional, Aleman- Bocanegra, Mary Cruz, additional, Bat-Erdene, Ider, additional, Carreazo, Nilton Yhuri, additional, Castaneda-Sabogal, Alex, additional, Janc, Jarosław, additional, Hlinkova, Sona, additional, Yildizdas, Dincer, additional, Havan, Merve, additional, Koker, Alper, additional, Sungurtekin, Hulya, additional, Dinleyici, Ener C., additional, Guclu, Ertugrul, additional, Tao, Lili, additional, Memish, Ziad A., additional, and Yin, Ruijie, additional
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- 2023
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12. Multinational prospective study of incidence and risk factors for central-line–associated bloodstream infections in 728 intensive care units of 41 Asian, African, Eastern European, Latin American, and Middle Eastern countries over 24 years
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Victor Daniel Rosenthal, Ruijie Yin, Sheila Nainan Myatra, Ziad A. Memish, Camilla Rodrigues, Mohit Kharbanda, Sandra Liliana Valderrama-Beltran, Yatin Mehta, Majeda Afeef Al-Ruzzieh, Guadalupe Aguirre-Avalos, Ertugrul Guclu, Chin Seng Gan, Luisa Fernanda Jiménez Alvarez, Rajesh Chawla, Sona Hlinkova, Rajalakshmi Arjun, Hala Mounir Agha, Maria Adelia Zuniga Chavarria, Narangarav Davaadagva, Yin Hoong Lai, Katherine Gomez, Daisy Aguilar-de-Moros, Chian-Wern Tai, Alejandro Sassoe Gonzalez, Lina Alejandra Aguilar Moreno, Kavita Sandhu, Jarosław Janc, Mary Cruz Aleman Bocanegra, Dincer Yildizdas, Yuliana Andrea Cano Medina, Maria Isabel Villegas Mota, Abeer Aly Omar, Wieslawa Duszynska, Amani Ali El-Kholy, Safaa Abdulaziz Alkhawaja, George Horhat Florin, Eduardo Alexandrino Medeiros, Lili Tao, Nellie Tumu, May Gamar Elanbya, Reshma Dongol, Vesna Mioljević, Lul Raka, Lourdes Dueñas, Nilton Yhuri Carreazo, Tarek Dendane, Aamer Ikram, Tala Kardas, Michael M. Petrov, Asma Bouziri, Nguyen Viet-Hung, Vladislav Belskiy, Naheed Elahi, Estuardo Salgado, and Zhilin Jin
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Microbiology (medical) ,Infectious Diseases ,Epidemiology - Abstract
Objective: To identify central-line (CL)–associated bloodstream infection (CLABSI) incidence and risk factors in low- and middle-income countries (LMICs). Design: From July 1, 1998, to February 12, 2022, we conducted a multinational multicenter prospective cohort study using online standardized surveillance system and unified forms. Setting: The study included 728 ICUs of 286 hospitals in 147 cities in 41 African, Asian, Eastern European, Latin American, and Middle Eastern countries. Patients: In total, 278,241 patients followed during 1,815,043 patient days acquired 3,537 CLABSIs. Methods: For the CLABSI rate, we used CL days as the denominator and the number of CLABSIs as the numerator. Using multiple logistic regression, outcomes are shown as adjusted odds ratios (aORs). Results: The pooled CLABSI rate was 4.82 CLABSIs per 1,000 CL days, which is significantly higher than that reported by the Centers for Disease Control and Prevention National Healthcare Safety Network (CDC NHSN). We analyzed 11 variables, and the following variables were independently and significantly associated with CLABSI: length of stay (LOS), risk increasing 3% daily (aOR, 1.03; 95% CI, 1.03–1.04; P < .0001), number of CL days, risk increasing 4% per CL day (aOR, 1.04; 95% CI, 1.03–1.04; P < .0001), surgical hospitalization (aOR, 1.12; 95% CI, 1.03–1.21; P < .0001), tracheostomy use (aOR, 1.52; 95% CI, 1.23–1.88; P < .0001), hospitalization at a publicly owned facility (aOR, 3.04; 95% CI, 2.31–4.01; P Conclusions: The following CLABSI risk factors are unlikely to change: country income level, facility ownership, hospitalization type, and ICU type. These findings suggest a focus on reducing LOS, CL days, and tracheostomy; using PICC instead of internal-jugular or femoral CL; and implementing evidence-based CLABSI prevention recommendations.
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- 2023
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13. The impact of healthcare-associated infections on mortality in ICU: A prospective study in Asia, Africa, Eastern Europe, Latin America, and the Middle East
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Rosenthal, Victor Daniel, primary, Yin, Ruijie, additional, Lu, Yawen, additional, Rodrigues, Camilla, additional, Myatra, Sheila Nainan, additional, Kharbanda, Mohit, additional, Valderrama-Beltran, Sandra Liliana, additional, Mehta, Yatin, additional, Daboor, Mohammad Abdellatif, additional, Todi, Subhash Kumar, additional, Aguirre-Avalos, Guadalupe, additional, Guclu, Ertugrul, additional, Gan, Chin Seng, additional, Jiménez-Alvarez, Luisa Fernanda, additional, Chawla, Rajesh, additional, Hlinkova, Sona, additional, Arjun, Rajalakshmi, additional, Agha, Hala Mounir, additional, Zuniga-Chavarria, Maria Adelia, additional, Davaadagva, Narangarav, additional, Basri, Mat Nor Mohd, additional, Gomez-Nieto, Katherine, additional, Aguilar-de-Moros, Daisy, additional, Tai, Chian-Wern, additional, Sassoe-Gonzalez, Alejandro, additional, Aguilar-Moreno, Lina Alejandra, additional, Sandhu, Kavita, additional, Janc, Jarosław, additional, Aleman-Bocanegra, Mary Cruz, additional, Yildizdas, Dincer, additional, Cano-Medina, Yuliana Andrea, additional, Villegas-Mota, Maria Isabel, additional, Omar, Abeer Aly, additional, Duszynska, Wieslawa, additional, BelKebir, Souad, additional, El-Kholy, Amani Ali, additional, Alkhawaja, Safaa Abdulaziz, additional, Florin, George Horhat, additional, Medeiros, Eduardo Alexandrino, additional, Tao, Lili, additional, Memish, Ziad A., additional, and Jin, Zhilin, additional
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- 2023
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14. Multinational Prospective Cohort Study of Mortality Risk Factors in 198 ICUs of 12 Latin American Countries over 24 Years: The Effects of Healthcare-Associated Infections
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Victor Daniel Rosenthal, Ruijie Yin, Sandra Liliana Valderrama-Beltran, Sandra Milena Gualtero, Claudia Yaneth Linares, Guadalupe Aguirre-Avalos, Julio Cesar Mijangos-Méndez, Miguel Ángel Ibarra-Estrada, Luisa Fernanda Jimenez-Alvarez, Lidia Patricia Reyes, Carlos Arturo Alvarez-Moreno, Maria Adelia Zuniga-Chavarria, Ana Marcela Quesada-Mora, Katherine Gomez, Johana Alarcon, Jose Millan Oñate, Daisy Aguilar-De-Moros, Elizabeth Castaño-Guerra, Judith Córdoba, Alejandro Sassoe-Gonzalez, Claudia Marisol Millán-Castillo, Lissette Leyva Xotlanihua, Lina Alejandra Aguilar-Moreno, Juan Sebastian Bravo Ojeda, Ivan Felipe Gutierrez Tobar, Mary Cruz Aleman-Bocanegra, Clara Veronica Echazarreta-Martínez, Belinda Mireya Flores-Sánchez, Yuliana Andrea Cano-Medina, Edwin Giovannny Chapeta-Parada, Rafael Antonio Gonzalez-Niño, Maria Isabel Villegas-Mota, Mildred Montoya-Malváez, Miguel Ángel Cortés-Vázquez, Eduardo Alexandrino Medeiros, Dayana Fram, Daniela Vieira-Escudero, and Zhilin Jin
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Adult ,Cross Infection ,Intensive Care Units ,Latin America ,Risk Factors ,Catheter-Related Infections ,Urinary Tract Infections ,Humans ,Prospective Studies ,Delivery of Health Care - Abstract
Background The International Nosocomial Infection Control Consortium (INICC) has found a high ICU mortality rate in Latin America. Methods A prospective cohort study in 198 ICUs of 96 hospitals in 46 cities in 12 Latin American countries to identify mortality risk factors (RF), and data were analyzed using multiple logistic regression. Results Between 07/01/1998 and 02/12/2022, 71,685 patients, followed during 652,167 patient-days, acquired 4700 HAIs, and 10,890 died. We prospectively collected data of 16 variables. Following 11 independent mortality RFs were identified in multiple logistic regression: ventilator-associated pneumonia (VAP) acquisition (adjusted odds ratio [aOR] = 1.17; 95% CI: 1.06–1.30; p p p p p p p p p p p p p Conclusion Some of the identified mortality RFs are unlikely to change, such as the income level of the country, facility ownership, hospitalization type, ICU type, and age. But some of the mortality RFs we found can be changed, and efforts should be made to reduce CL-days, UC-days, MV-utilization ratio, UC-utilization ratio, and lower VAPs and CAUTI rates.
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- 2022
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15. Multinational prospective study of incidence and risk factors for central-line–associated bloodstream infections in 728 intensive care units of 41 Asian, African, Eastern European, Latin American, and Middle Eastern countries over 24 years
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Rosenthal, Victor Daniel, primary, Yin, Ruijie, additional, Myatra, Sheila Nainan, additional, Memish, Ziad A., additional, Rodrigues, Camilla, additional, Kharbanda, Mohit, additional, Valderrama-Beltran, Sandra Liliana, additional, Mehta, Yatin, additional, Afeef Al-Ruzzieh, Majeda, additional, Aguirre-Avalos, Guadalupe, additional, Guclu, Ertugrul, additional, Gan, Chin Seng, additional, Jiménez Alvarez, Luisa Fernanda, additional, Chawla, Rajesh, additional, Hlinkova, Sona, additional, Arjun, Rajalakshmi, additional, Agha, Hala Mounir, additional, Zuniga Chavarria, Maria Adelia, additional, Davaadagva, Narangarav, additional, Lai, Yin Hoong, additional, Gomez, Katherine, additional, Aguilar-de-Moros, Daisy, additional, Tai, Chian-Wern, additional, Sassoe Gonzalez, Alejandro, additional, Aguilar Moreno, Lina Alejandra, additional, Sandhu, Kavita, additional, Janc, Jarosław, additional, Aleman Bocanegra, Mary Cruz, additional, Yildizdas, Dincer, additional, Cano Medina, Yuliana Andrea, additional, Villegas Mota, Maria Isabel, additional, Omar, Abeer Aly, additional, Duszynska, Wieslawa, additional, El-Kholy, Amani Ali, additional, Alkhawaja, Safaa Abdulaziz, additional, Florin, George Horhat, additional, Medeiros, Eduardo Alexandrino, additional, Tao, Lili, additional, Tumu, Nellie, additional, Elanbya, May Gamar, additional, Dongol, Reshma, additional, Mioljević, Vesna, additional, Raka, Lul, additional, Dueñas, Lourdes, additional, Carreazo, Nilton Yhuri, additional, Dendane, Tarek, additional, Ikram, Aamer, additional, Kardas, Tala, additional, Petrov, Michael M., additional, Bouziri, Asma, additional, Viet-Hung, Nguyen, additional, Belskiy, Vladislav, additional, Elahi, Naheed, additional, Salgado, Estuardo, additional, and Jin, Zhilin, additional
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- 2023
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16. Multinational prospective cohort study over 24 years of the risk factors for ventilator-associated pneumonia in 187 ICUs in 12 Latin American countries: Findings of INICC
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Rosenthal, Victor Daniel, primary, Jin, Zhilin, additional, Valderrama-Beltran, Sandra Liliana, additional, Gualtero, Sandra Milena, additional, Linares, Claudia Yaneth, additional, Aguirre-Avalos, Guadalupe, additional, Mijangos-Méndez, Julio Cesar, additional, Ibarra-Estrada, Miguel Ángel, additional, Jimenez-Alvarez, Luisa Fernanda, additional, Reyes, Lidia Patricia, additional, Alvarez-Moreno, Carlos Arturo, additional, Zuniga-Chavarria, Maria Adelia, additional, Quesada-Mora, Ana Marcela, additional, Gomez, Katherine, additional, Alarcon, Johana, additional, Oñate, Jose Millan, additional, Aguilar-De-Moros, Daisy, additional, Castaño-Guerra, Elizabeth, additional, Córdoba, Judith, additional, Sassoe-Gonzalez, Alejandro, additional, Millán-Castillo, Claudia Marisol, additional, Xotlanihua, Lissette Leyva, additional, Aguilar-Moreno, Lina Alejandra, additional, Bravo-Ojeda, Juan Sebastian, additional, Gutierrez-Tobar, Ivan Felipe, additional, Aleman-Bocanegra, Mary Cruz, additional, Echazarreta-Martínez, Clara Veronica, additional, Flores-Sánchez, Belinda Mireya, additional, Cano-Medina, Yuliana Andrea, additional, Chapeta-Parada, Edwin Giovannny, additional, Gonzalez-Niño, Rafael Antonio, additional, Villegas-Mota, Maria Isabel, additional, Montoya-Malváez, Mildred, additional, Cortés-Vázquez, Miguel Ángel, additional, Medeiros, Eduardo Alexandrino, additional, Fram, Dayana, additional, Vieira-Escudero, Daniela, additional, and Yin, Ruijie, additional
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- 2023
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17. Multinational prospective cohort study of incidence and risk factors for central line-associated bloodstream infections in ICUs of 8 Latin American countries
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Victor Daniel Rosenthal, Zhilin Jin, Sandra Liliana Valderrama-Beltran, Sandra Milena Gualtero, Claudia Yaneth Linares, Guadalupe Aguirre-Avalos, Julio Cesar Mijangos-Méndez, Miguel Ángel Ibarra-Estrada, Luisa Fernanda Jiménez-Alvarez, Lidia Patricia Reyes, Carlos Arturo Alvarez-Moreno, Maria Adelia Zuniga-Chavarria, Ana Marcela Quesada-Mora, Katherine Gomez, Johana Alarcon, Jose Millan-Oñate, Daisy Aguilar-de-Moros, Elizabeth Castaño-Guerrero, Judith Córdoba, Alejandro Sassoe-Gonzalez, Claudia Marisol Millán-Castillo, Lissette Leyva-Xotlanihua, Lina Alejandra Aguilar-Moreno, Juan Sebastian Bravo-Ojeda, Ivan Felipe Gutierrez-Tobar, Mary Cruz Aleman-Bocanegra, Clara Veronica Echazarreta-Martínez, Belinda Mireya Flores-Sánchez, Yuliana Andrea Cano-Medina, Edwin Giovannny Chapeta-Parada, Rafael Antonio Gonzalez-Niño, Maria Isabel Villegas-Mota, Mildred Montoya-Malváez, Miguel Ángel Cortés-Vázquez, Eduardo Alexandrino Medeiros, Dayana Fram, Daniela Vieira-Escudero, Lourdes Dueñas, Nilton Yhuri Carreazo, Estuardo Salgado, and Ruijie Yin
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Infectious Diseases ,Epidemiology ,Health Policy ,Public Health, Environmental and Occupational Health - Published
- 2023
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18. Multinational prospective cohort study of rates and risk factors for ventilator-associated pneumonia over 24 years in 42 countries of Asia, Africa, Eastern Europe, Latin America, and the Middle East: Findings of the International Nosocomial Infection Control Consortium (INICC)
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Rosenthal, Victor Daniel, primary, Jin, Zhilin, additional, Memish, Ziad A., additional, Rodrigues, Camilla, additional, Myatra, Sheila Nainan, additional, Kharbanda, Mohit, additional, Valderrama-Beltran, Sandra Liliana, additional, Mehta, Yatin, additional, Daboor, Mohammad Abdellatif, additional, Todi, Subhash Kumar, additional, Aguirre-Avalos, Guadalupe, additional, Guclu, Ertugrul, additional, Gan, Chin Seng, additional, Jiménez Alvarez, Luisa Fernanda, additional, Chawla, Rajesh, additional, Hlinkova, Sona, additional, Arjun, Rajalakshmi, additional, Agha, Hala Mounir, additional, Zuniga Chavarria, Maria Adelia, additional, Davaadagva, Narangarav, additional, Mohd Basri, Mat Nor, additional, Gomez, Katherine, additional, Aguilar De Moros, Daisy, additional, Tai, Chian-Wern, additional, Sassoe Gonzalez, Alejandro, additional, Aguilar Moreno, Lina Alejandra, additional, Sandhu, Kavita, additional, Janc, Jarosław, additional, Aleman Bocanegra, Mary Cruz, additional, Yildizdas, Dincer, additional, Cano Medina, Yuliana Andrea, additional, Villegas Mota, Maria Isabel, additional, Omar, Abeer Aly, additional, Duszynska, Wieslawa, additional, BelKebir, Souad, additional, El-Kholy, Amani Ali, additional, Abdulaziz Alkhawaja, Safaa, additional, Horhat Florin, George, additional, Medeiros, Eduardo Alexandrino, additional, Tao, Lili, additional, Tumu, Nellie, additional, Elanbya, May Gamar, additional, Dongol, Reshma, additional, Mioljević, Vesna, additional, Raka, Lul, additional, Dueñas, Lourdes, additional, Carreazo, Nilton Yhuri, additional, Dendane, Tarek, additional, Ikram, Aamer, additional, Kanj, Souha S., additional, Petrov, Michael M., additional, Bouziri, Asma, additional, Hung, Nguyen Viet, additional, Belskiy, Vladislav, additional, Elahi, Naheed, additional, Bovera, María Marcela, additional, and Yin, Ruijie, additional
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- 2023
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19. The impact of healthcare-associated infections on mortality in ICU: A prospective study in Asia, Africa, Eastern Europe, Latin America, and the Middle East
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Victor Daniel Rosenthal, Ruijie Yin, Yawen Lu, Camilla Rodrigues, Sheila Nainan Myatra, Mohit Kharbanda, Sandra Liliana Valderrama-Beltran, Yatin Mehta, Mohammad Abdellatif Daboor, Subhash Kumar Todi, Guadalupe Aguirre-Avalos, Ertugrul Guclu, Chin Seng Gan, Luisa Fernanda Jiménez-Alvarez, Rajesh Chawla, Sona Hlinkova, Rajalakshmi Arjun, Hala Mounir Agha, Maria Adelia Zuniga-Chavarria, Narangarav Davaadagva, Mat Nor Mohd Basri, Katherine Gomez-Nieto, Daisy Aguilar-de-Moros, Chian-Wern Tai, Alejandro Sassoe-Gonzalez, Lina Alejandra Aguilar-Moreno, Kavita Sandhu, Jarosław Janc, Mary Cruz Aleman-Bocanegra, Dincer Yildizdas, Yuliana Andrea Cano-Medina, Maria Isabel Villegas-Mota, Abeer Aly Omar, Wieslawa Duszynska, Souad BelKebir, Amani Ali El-Kholy, Safaa Abdulaziz Alkhawaja, George Horhat Florin, Eduardo Alexandrino Medeiros, Lili Tao, Ziad A. Memish, and Zhilin Jin
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Infectious Diseases ,Epidemiology ,Health Policy ,Public Health, Environmental and Occupational Health - Abstract
The International Nosocomial Infection Control Consortium has found a high ICU mortality rate. Our aim was to identify all-cause mortality risk factors in ICU-patients.Multinational, multicenter, prospective cohort study at 786 ICUs of 312 hospitals in 147 cities in 37 Latin American, Asian, African, Middle Eastern, and European countries.Between 07/01/1998 and 02/12/2022, 300,827 patients, followed during 2,167,397 patient-days, acquired 21,371 HAIs. Following mortality risk factors were identified in multiple logistic regression: Central line-associated bloodstream infection (aOR:1.84; P.0001); ventilator-associated pneumonia (aOR:1.48; P.0001); catheter-associated urinary tract infection (aOR:1.18;P.0001); medical hospitalization (aOR:1.81; P.0001); length of stay (LOS), risk rises 1% per day (aOR:1.01; P.0001); female gender (aOR:1.09; P.0001); age (aOR:1.012; P.0001); central line-days, risk rises 2% per day (aOR:1.02; P.0001); and mechanical ventilator (MV)-utilization ratio (aOR:10.46; P.0001). Coronary ICU showed the lowest risk for mortality (aOR: 0.34;P.0001).Some identified risk factors are unlikely to change, such as country income-level, facility ownership, hospitalization type, gender, and age. Some can be modified; Central line-associated bloodstream infection, ventilator-associated pneumonia, catheter-associated urinary tract infection, LOS, and MV-utilization. So, to lower the risk of death in ICUs, we recommend focusing on strategies to shorten the LOS, reduce MV-utilization, and use evidence-based recommendations to prevent HAIs.
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- 2022
20. Multinational prospective cohort study over 24 years of the risk factors for ventilator-associated pneumonia in 187 ICUs in 12 Latin American countries: Findings of INICC
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Victor Daniel Rosenthal, Zhilin Jin, Sandra Liliana Valderrama-Beltran, Sandra Milena Gualtero, Claudia Yaneth Linares, Guadalupe Aguirre-Avalos, Julio Cesar Mijangos-Méndez, Miguel Ángel Ibarra-Estrada, Luisa Fernanda Jimenez-Alvarez, Lidia Patricia Reyes, Carlos Arturo Alvarez-Moreno, Maria Adelia Zuniga-Chavarria, Ana Marcela Quesada-Mora, Katherine Gomez, Johana Alarcon, Jose Millan Oñate, Daisy Aguilar-De-Moros, Elizabeth Castaño-Guerra, Judith Córdoba, Alejandro Sassoe-Gonzalez, Claudia Marisol Millán-Castillo, Lissette Leyva Xotlanihua, Lina Alejandra Aguilar-Moreno, Juan Sebastian Bravo-Ojeda, Ivan Felipe Gutierrez-Tobar, Mary Cruz Aleman-Bocanegra, Clara Veronica Echazarreta-Martínez, Belinda Mireya Flores-Sánchez, Yuliana Andrea Cano-Medina, Edwin Giovannny Chapeta-Parada, Rafael Antonio Gonzalez-Niño, Maria Isabel Villegas-Mota, Mildred Montoya-Malváez, Miguel Ángel Cortés-Vázquez, Eduardo Alexandrino Medeiros, Dayana Fram, Daniela Vieira-Escudero, and Ruijie Yin
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Critical Care and Intensive Care Medicine - Published
- 2023
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21. Point Prevalence Survey of Antimicrobial Use in Four Tertiary Care Hospitals in Mexico
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Zumaya-Estrada FA, Ponce-de-León-Garduño A, Ortiz-Brizuela E, Tinoco-Favila JC, Cornejo-Juárez P, Vilar-Compte D, Sassoé-González A, Saturno-Hernandez PJ, and Alpuche-Aranda CM
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ppss ,antimicrobial use ,antibiotics ,mexican hospitals. ,Infectious and parasitic diseases ,RC109-216 - Abstract
Federico A Zumaya-Estrada,1 Alfredo Ponce-de-León-Garduño,2 Edgar Ortiz-Brizuela,2 Juan Carlos Tinoco-Favila,3 Patricia Cornejo-Juárez,4 Diana Vilar-Compte,4 Alejandro Sassoé-González,5 Pedro Jesus Saturno-Hernandez,6 Celia M Alpuche-Aranda1 1Center for Infectious Diseases Research (CISEI), National Institute of Public Health (INSP), Cuernavaca, C.P. 62100, Morelos, México; 2Infectology Department, National Institute of Medical Sciences and Nutrition “Salvador Zubirán”, Ciudad de México, C.P. 14080, México; 3Infectology Department, Hospital General 450, Secretary of Health of Durango, Durango, C.P. 34206, Durango, México; 4Infectious Diseases Department, National Institute of Cancer (INCan), Ciudad de México, C.P. 14080, México; 5Epidemiological Intelligence Unit, High Specialty Regional Hospital of Ixtapaluca, Estado de México, C.P. 56530, México; 6Center for Evaluation and Surveys Research (CIEE), National Institute of Public Health (INSP), Cuernavaca, C.P. 62100, Morelos, MéxicoCorrespondence: Celia M Alpuche-ArandaCenter for Infectious Diseases Research (CISEI), National Institute of Public Health (INSP), Cuernavaca, C.P. 62100, Morelos, MéxicoTel +52 777-329-3000 ext. 2101Email celia.alpuche@insp.mxPedro Jesus Saturno-HernandezCenter for Evaluation and Surveys Research (CIEE), National Institute of Public Health (INSP), Cuernavaca, C.P. 62100, Morelos, MéxicoTel +52 777-329-3000 ext. 4332Email pedro.saturno@insp.mxPurpose: To describe the antimicrobial use in four tertiary care hospitals in Mexico.Patients and Methods: Point prevalence surveys (PPSs) were conducted on medical records of hospitalized patients with prescribed antimicrobials (AMs) in four tertiary care hospitals in Mexico in 2019. Prevalence estimates and descriptive statistics were used to present the collected data on antimicrobial prescribing and microbiological studies.Results: The prevalence of patients with prescribed AMs among the hospitals ranged from 47.1% to 91.3%. Antibiotics for systemic use (J01s) were the most prescribed (84.6%, [95% CI: 81.5– 87.3]), mainly extended-spectrum J01s: third-generation cephalosporins 19.8% [95% CI: 16.8– 23.1], and carbapenems 17.0% [95% CI: 14.2– 20.2]. Antibiotic treatments were largely empirical, with no planned duration or review dates. The ceftriaxone use was excessive and prolonged. No formal reference guidelines for antimicrobial prescribing were available in the hospitals. Multidrug-resistant Escherichia coli and ESKAPE pathogens were identified in all hospitals.Conclusion: This study describes the extensive use of antimicrobials and broad-spectrum antibiotics for systemic use in Mexican hospitals, along with the presence of resistant pathogens to the antibiotics frequently used in the hospitals surveyed.Keywords: PPSs, antimicrobial use, antibiotics, Mexican hospitals
- Published
- 2021
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