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1. 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

Author

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.

Published
2024
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2. Prospective cohort study of incidence and risk factors for Catheter-associated Urinary Tract Infections in 212 Intensive Care Units of nine Middle Eastern countries

Author

Jin, Zhilin, Yin, Ruijie, Brown, Eric Christopher, Shukla, Bhavarth, Lee, Brandon Hochahn, Abdulaziz-Alkhawaja, Safaa, Magray, Tahera Anwar, Agha, Hala Mounir, El-Sisi, Amal, El-Kholy, Amani Ali, Bayani, Victor, Daboor, Mohammad Abdellatif, Al-Ruzzieh, Majeda Afeef, Guclu, Ertugrul, Horoz, Ozden Ozgur, Kendirli, Tanil, Koksal, Iftihar, Memish, Ziad A, Olmez-Gazioglu, Esra, Dursun, Oguz, Kara, Tugce Tural, Eroglu, Ahmet, Havan, Merve, Deniz, Suna Secil Ozturk, Aktas, Gizem, Yildizdas, Dincer, Okulu, Emel, Kostekci, Yasemin Ezgi, Omar, Abeer Aly, and Rosenthal, Victor Daniel

Published
2023

3. 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

Author

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

Published
2024

4. 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

Author

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

Published
2024
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6. 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)

Author

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

Published
2023
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7. Risk factors for mortality in ICU patients in 10 middle eastern countries: The role of healthcare-associated infections

Author

Rosenthal, Victor Daniel, primary, Jin, Zhilin, additional, Memish, Ziad A., additional, Daboor, Mohammad Abdellatif, additional, Al- Ruzzieh, Majeda Afeef, additional, Hussien, Najah Hasan, additional, Guclu, Ertugrul, additional, Olmez-Gazioglu, Esra, additional, Ogutlu, Aziz, additional, Agha, Hala Mounir, additional, El-Sisi, Amal, additional, Fathalla, Amr Ahmed, additional, Yildizdas, Dincer, additional, Yildizdas, Hacer Yapicioglu, additional, Ozlu, Ferda, additional, Horoz, Ozden Ozgur, additional, Omar, Abeer Aly, additional, Belkebir, Souad, additional, Kanaa, Alaa, additional, Jeetawi, Rawan, additional, El-Kholy, Amani Ali, additional, Bayani, Victor, additional, Alwakil, Wafaa, additional, Abdulaziz-Alkhawaja, Safaa, additional, Swar, Saleh Fakhr, additional, Magray, Tahera Anwar, additional, Alsayegh, Ameena Ahmed, additional, and Yin, Ruijie, additional

Published
2022
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8. Prospective Cohort Study of Incidence and Risk Factors for Catheter-associated Urinary Tract Infections in 212 Intensive Care Units of Nine Middle Eastern Countries.

Author

Zhilin Jin, Ruijie Yin, Brown, Christopher, Shukla, Bhavarth, Hochahn Lee, Brandon, Abdulaziz-Alkhawaja, Safaa, Magray, Tahera Anwar, Agha, Hala Mounir, El-Sisi, Amal, El-Kholy, Amani Ali, Bayani, Victor, Daboor, Mohammad Abdellatif, Al-Ruzzieh, Majeda Afeef, Guclu, Ertugrul, Olmez-Gazioglu, Esra, Dursun, Oguz, Kara, Tuğçe Tural, Koksal, Iftihar, Eroglu, Ahmet, and Havan, Merve

Subjects
*INTENSIVE care units, *HOSPITALS, *LENGTH of stay in hospitals, *CONFIDENCE intervals, *MULTIPLE regression analysis, *CATHETER-associated urinary tract infections, *COMPARATIVE studies, *HOSPITAL care, *DESCRIPTIVE statistics, *ODDS ratio, *LONGITUDINAL method, *DISEASE risk factors
Abstract

Objectives: To identify urinary catheter (UC)-associated urinary tract infections (CAUTI) incidence and risk factors (RF) in nine Middle Eastern countries. Methods: We conducted a prospective cohort study between 1 January 2014 and 2 December 2022 in 212 intensive care units (ICUs) of 67 hospitals in 38 cities in nine Middle Eastern countries (Bahrain, Egypt, Jordan, Kuwait, Lebanon, Morocco, Saudi Arabia, Turkey, and the UAE). To estimate CAUTI incidence, we used the number of UC days as denominator and the number of CAUTIs as numerator. To estimate CAUTI RFs, we analyzed the following 10 variables using multiple logistic regression: patient sex, age, length of stay (LOS) before CAUTI acquisition, UC-days before CAUTI acquisition, UC-device utilization (DU) ratio, hospitalization type, ICU type, facility-ownership, country income level classified by World Bank, and time period. Results: Among 50 637 patients hospitalized for 434 523 patient days, there were 580 cases of acquired CAUTIs. The pooled CAUTI rate per 1000 UC days was 1.84. The following variables were independently associated with CAUTI: age, rising risk 1.0% yearly (adjusted odds ratio [aOR] = 1.01, 95% CI: 1.01-1.02; p < 0.0001); female sex (aOR = 1.31, 95% CI: 1.09-1.56; p < 0.0001); LOS before CAUTI acquisition, rising risk 6.0% daily (aOR = 1.06, 95% CI: 1.05-1.06; p < 0.0001); and UC/DU ratio (aOR = 1.11, 95% CI: 1.06-1.14; p < 0.0001). Patients from lower-middle-income countries (aOR = 4.11, 95% CI: 2.49-6.76; p < 0.0001) had a similar CAUTI risk to the upper-middle countries (aOR = 3.75, 95% CI: 1.83-7.68; p < 0.0001). The type of ICU with the highest risk for CAUTI was neurologic ICU (aOR = 27.35, 95% CI: 23.03-33.12; p < 0.0001), followed by medical ICU (aOR = 6.18, 95% CI: 2.07-18.53; p < 0.0001) when compared to cardiothoracic ICU. The periods 2014-2016 (aOR = 7.36, 95% CI: 5.48-23.96; p < 0.001) and 2017-2019 (aOR = 1.15, 95% CI: 3.46-15.61; p < 0.001) had a similar risk to each other, but a higher risk compared to 2020-2022. Conclusions: The following CAUTI RFs are unlikely to change: age, sex, ICU type, and country income level. Based on these findings, it is suggested to focus on reducing LOS, UC/DU ratio, and implementing evidence-based CAUTI prevention recommendations. [ABSTRACT FROM AUTHOR]

Published
2023
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