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4 results on '"Sassoe-Gonzalez A"'

1. Prospective cohort study of incidence and risk factors for catheter-associated urinary tract infections in 145 intensive care units of 9 Latin American countries: INICC findings

Author

Yin, Ruijie, Jin, Zhilin, Lee, Brandon Hochahn, Alvarez, Gustavo Andres, Stagnaro, Juan Pablo, Valderrama-Beltran, Sandra Liliana, Gualtero, Sandra Milena, Jiménez-Alvarez, Luisa Fernanda, Reyes, Lidia Patricia, Henao Rodas, Claudia Milena, Gomez, Katherine, Alarcon, Johana, Aguilar Moreno, Lina Alejandra, Bravo Ojeda, Juan Sebastian, Cano Medina, Yuliana Andrea, Chapeta Parada, Edwin Giovannny, Zuniga Chavarria, Maria Adelia, Quesada Mora, Ana Marcela, Aguirre-Avalos, Guadalupe, Mijangos-Méndez, Julio Cesar, Sassoe-Gonzalez, Alejandro, Millán-Castillo, Claudia Marisol, Aleman-Bocanegra, Mary Cruz, Echazarreta-Martínez, Clara Veronica, Hernandez-Chena, Blanca Estela, Jarad, Rajab Mohamed Abu, Villegas-Mota, Maria Isabel, Montoya-Malváez, Mildred, Aguilar-de-Moros, Daisy, Castaño-Guerra, Elizabeth, Córdoba, Judith, Castañeda-Sabogal, Alex, Medeiros, Eduardo Alexandrino, Fram, Dayana, Dueñas, Lourdes, Carreazo, Nilton Yhuri, Salgado, Estuardo, and Rosenthal, Victor Daniel

Published
2023
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2. 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

Author

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

Published
2022
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3. 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

Author

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

Subjects
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.

Published
2022
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4. Multinational prospective cohort study of incidence and risk factors for central line-associated bloodstream infections in ICUs of 8 Latin American countries.

Author

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, and Sassoe-Gonzalez, Alejandro

Abstract

• Latin American central line-associated bloodstream infections (CLABSI) rates are higher than those of high income countries. • Our objective is to identify CLABSI rates and risk factors in Latin American intensive care units (ICUs). • Length of stay, duration of central line, femoral, arterial and jugular increase CLABSI risk. • Public hospital, and Medical-surgical ICU increase CLABSI risk. • PICC was not associated with risk for CLABSI. Our objective was to identify central line (CL)-associated bloodstream infections (CLABSI) rates and risk factors in Latin-America. From January 1, 2014 to February 10, 2022, we conducted a multinational multicenter prospective cohort study in 58 ICUs of 34 hospitals in 21 cities in 8 Latin American countries (Argentina, Brazil, Colombia, Costa Rica, Dominican Republic, Ecuador, Mexico, Panama). We applied multiple-logistic regression. Outcomes are shown as adjusted-odds ratios (aOR). About 29,385 patients were hospitalized during 92,956 days, acquired 400 CLABSIs, and pooled CLABSI rate was 4.30 CLABSIs per 1,000 CL-days. We analyzed following 10 variables: Gender, age, length of stay (LOS) before CLABSI acquisition, CL-days before CLABSI acquisition, CL-device utilization (DU) ratio, CL-type, tracheostomy use, hospitalization type, intensive care unit (ICU) type, and facility ownership, Following variables were independently associated with CLABSI: LOS before CLABSI acquisition, rising risk 3% daily (aOR=1.03;95%CI=1.02-1.04; P <.0001); number of CL-days before CLABSI acquisition, rising risk 4% per CL-day (aOR=1.04;95%CI=1.03-1.05; P <.0001); publicly-owned facility (aOR=2.33;95%CI=1.79-3.02; P <.0001). ICU with highest risk was medical-surgical (aOR=2.61;95%CI=1.41-4.81; P <.0001). CL with the highest risk were femoral (aOR=2.71;95%CI=1.61-4.55; P <.0001), and internal-jugular (aOR=2.62;95%CI=1.82-3.79; P <.0001). PICC (aOR=1.25;95%CI=0.63-2.51; P =.52) was not associated with CLABSI risk. Based on these findings it is suggested to focus on reducing LOS, CL-days, using PICC instead of femoral or internal-jugular; and implementing evidence-based CLABSI prevention recommendations. [ABSTRACT FROM AUTHOR]

Published
2023
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