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10 results on '"Prasad Rajhans"'

1. Academic College of Emergency Experts in India′s INDO-US Joint Working Group (JWG) White Paper on the Integrated Emergency Communication Response Service in India: Much more than just a number!

Author

Anuja Joshi, Prasad Rajhans, Sagar Galwankar, Bonnie Arquilla, Mamta Swaroop, Stanislaw Stawicki, Bidhan Das, Praveen Aggarwal, Sanjeev Bhoi, and O P Kalra

Subjects
Integrated emergency communication reponse service, integrated national emergency number for India, national emergency number, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9
Abstract

The proposal for an integrated national emergency number for India is garnering a lot of enthusiasm and stimulating debate. This ambitious project has a two-part paradigm shift to set in; the first being the integration into a single number and the infrastructure required for setting up and operating this number such that a call can be received and identified. The second is the submerged part of the iceberg: That of the ability to respond to a call and deliver the appropriate emergency service. The first part is more technical and has potential precedents like the 911 phone hotline, for example, to emulate. The main premise of this paper is that the second part is a rather subjective exercise largely determined by the realities of existing public infrastructure in a specific geographical area with respect to emergency services management, especially medical care. Consequently, we highlight the key areas of both precall preparedness and postcall execution that need to be reviewed prior to going live with an integrated number on a national scale.

Published
2013
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2. Mottling in Septic shock: Ethnicity and skin colour matter

Author

Sameer Jog, Vikram L, Prasad Rajhans, Prasad Akole, Balasaheb Pawar, Bhagyashri Bhurke, Nilesh Mahale, Shailaja Chavan, Pradip Dalvi, Prasanna Marudwar, Dnyaneshwar Diwane, Harshwardhan Pawar, Manasi Shahane, and Shraddha Gugale

Abstract

Background: Skin mottling as a clinical perfusion marker in septic shock is correlated well with severity and outcome in white skinned population and its validity as a clinical sign in dark skinned population is not known. Objectives of this study were to evaluate mottling in septic shock in the Indian ethnic population who has different skin colour as compared to white skinned population and compare mottling as an outcome predictor with Capillary Refill Time(CRT) and other biochemical parameters which are the established clinical markers of perfusion in septic shock. Methods: We conducted a prospective observational study of patients with skin colour category 21 to 34 on von Luschan scale or Fitzpatrick type IV and V who had septic shock needing high dose of norepinephrine ≥ 0.2 mcg/kg/min after fluid optimisation. The study was conducted in a mixed medical - surgical ICU over a period of 12 months. Two blinded experts (Dermatologist and a Cosmetic surgeon) independently classified the skin type, validated the occurrence of mottling and scored mottling in our patients. We recorded the demographics, hemodynamic variables, mottling score and observed for the incidence of mottling and its correlation with predictors of severity of septic shock. We also compared CRT, Arterial lactate, central venous oxygen saturation and venoarterial PCO2 gap with mottling as predictor of outcome in septic shock patients. Results: We included 108 patients with age 61±16 years. Mean SOFA and APACHE II scores at enrolment were 10.3 and 21.9 respectively. Incidence of mottling was 20.3 % (22/ 108). CRT > 3 seconds was observed in 50.9% (55/108) Development of mottling significantly correlated with mortality; 20/22(90.9%) patients died in mottling group versus 58/86(65.1%) in non-mottling group (p=0.028). Independent t test of mottling score vs death showed that higher the mottling score, ( score> 3) (p=0.008) more the certainty of death . (p=0.008. CRT > 3 seconds did not corelate with mortality; 40/55(72.7%) patients with CRT > 3 seconds died versus 32/53(74.4%) patients died in CRT≤ 3seconds group. Occurrence of mottling could independently predict mortality ; Positive predictive value of 90.9 % which was comparable to positive predictive value of lactate levels > 4mmol/lit, i.e. 94.1% . CRT > 3 seconds did not corelate with mortality; positive predictive value was 72.7 % Conclusion: Incidence of mottling in septic shock is much less in patients of Indian ethnicity with brown skin colour as compared to that in White skinned population. Occurrence of mottling and not ­­­delayed CRT, is a better predictor of outcome in this setting.

Published
2023
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3. Estimates of Sepsis Prevalence and Outcomes in Adult Patients in the ICU in India

Author

Naomi E. Hammond, Ashwani Kumar, Parmeet Kaur, Bharath Kumar Tirupakuzhi Vijayaraghavan, Arpita Ghosh, Sarah Grattan, Vivekanand Jha, Dilip Mathai, Balasubramanian Venkatesh, Pradeep Bhatia, Subhash Todi, Sharmila Chatterjee, Samir Sahu, Sanjeev Singh, Meghena Mathew, Ashwin Mani, Swarup Ranjan De, Ramesh Venkataraman, Sudeep Sirga, Pratheema Ramachandran, Devachandran Jayakumar, Dedeepiya Devaprasad, Usha Rani, Ebenezer Rabindrarajan, Nikhilesh Jain, Binila Chacko, Abhishek Samprathi, Shaleen Trivedi, Palepu B. Gopal, Prasad Rajhans, Prasanna Marudwar, Kishore Mangal, Rahul Pandit, Badri Narayana, Niyaz Ashraf, Khalid Ansari, Sujith Thomas, Sajith Kumar Radhakrishnan, Neeta George, Mahesh Balakrishna, Yatin Mehta, Tariq Ali, Joby V. George, Anusha Rohit, Narayana Yaddanapudi, Dhruva Chaudhry, Prachee Sathe, Tatyasaheb Jadhav, Sanjith Saseedharan, Roopa Karanam, Rajat Gupta, Sowmya Gopalan, Jaba Chauhan, and Prathiba Dileep

Subjects
Pulmonary and Respiratory Medicine, Cardiology and Cardiovascular Medicine, Critical Care and Intensive Care Medicine
Published
2022
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4. Six-year study on peripheral venous catheter-associated BSI rates in 262 ICUs in eight countries of South-East Asia: International Nosocomial Infection Control Consortium findings

Author

Vineya Rai, Nguyen Viet Hung, Suhas Nirkhiwale, Nirada Siriyakorn, Prasad Rajhans, Nikhil Modi, Sweta Shah, Josephine Anne Ng, Regina Berba, Vaibhavi R Subhedar, Nadimpalli Gita, Maithili Satish Kavathekar, M Tuvshinbayar, Byambadorj Batkhuu, Chandrika Kambam, Sonali Vadi, Manoj Agarwal, Burhan Jawadwala, Ramachadran Gopinath, Namita Jaggi, Ider Bat-Erdene, Tenzin Zompa, Guxiang Ye, Anup Warrier, Xiuqin Guo, M Bhattacharyya, Rhendra Hardy Mohamad Zaini, Mohit Kharbanda, Supriya Chabukswar, Le Thu Nguyet, D.P. Punia, Chin Seng Gan, Lucy Chai See Lum, Dolatsinh Zala, Andrew Trotter, Audrey Rose D Tapang, Sheila Nainan Myatra, Victor D. Rosenthal, Yatin Mehta, Kavita Sandhu, Subhash Todi, Deepak Singla, Siva Kumar, Samir Sahu, Debkishore Gupta, Nirav Pandya, Aisha Mubarak, Le Thi Anh Thu, Vanajakshi, Bala Ramachandran, Anil Karlekar, S Muralidharan, Purva Mathur, Maria Carmen Sg Buenaflor, Shakti Bedanta Mishra, Camilla Rodrigues, Nagamani Sen, Ami Varaiya, Sujit Kar Purkayasta, Suresh Kumar, Montri Luxsuwong, Nagarajan Ramakrishnan, Aruna Poojary, Asmita Sagar Sakle, Salil Kumar Mohanty, Mayur Patel, Pravin K Nair, Murali Chakravarthy, Sanjeev Singh, Suneeta Sahu, Kimberley M Dayapera, and Arpita Dwivedy

Subjects
medicine.medical_specialty, Asia, Time Factors, 030501 epidemiology, Risk Assessment, law.invention, 03 medical and health sciences, 0302 clinical medicine, Antibiotic resistance, law, Risk Factors, Bloodstream infection, Catheterization, Peripheral, Asian country, medicine, Humans, 030212 general & internal medicine, South east asia, Hospital Mortality, Prospective Studies, Cross Infection, Infection Control, business.industry, Incidence, Bacterial Infections, Length of Stay, Nosocomial infection control, Intensive care unit, Treatment Outcome, Nephrology, Catheter-Related Infections, Emergency medicine, Peripheral venous catheter, Surgery, 0305 other medical science, business, Vascular Access Devices
Abstract

Background: Short-term peripheral venous catheter–associated bloodstream infection rates have not been systematically studied in Asian countries, and data on peripheral venous catheter–associated bloodstream infections incidence by number of short-term peripheral venous catheter days are not available. Methods: Prospective, surveillance study on peripheral venous catheter–associated bloodstream infections conducted from 1 September 2013 to 31 May 2019 in 262 intensive care units, members of the International Nosocomial Infection Control Consortium, from 78 hospitals in 32 cities of 8 countries in the South-East Asia Region: China, India, Malaysia, Mongolia, Nepal, Philippines, Thailand, and Vietnam. For this research, we applied definition and criteria of the CDC NHSN, methodology of the INICC, and software named INICC Surveillance Online System. Results: We followed 83,295 intensive care unit patients for 369,371 bed-days and 376,492 peripheral venous catheter-days. We identified 999 peripheral venous catheter–associated bloodstream infections, amounting to a rate of 2.65/1000 peripheral venous catheter-days. Mortality in patients with peripheral venous catheter but without peripheral venous catheter–associated bloodstream infections was 4.53% and 12.21% in patients with peripheral venous catheter–associated bloodstream infections. The mean length of stay in patients with peripheral venous catheter but without peripheral venous catheter–associated bloodstream infections was 4.40 days and 7.11 days in patients with peripheral venous catheter and peripheral venous catheter–associated bloodstream infections. The microorganism profile showed 67.1% were Gram-negative bacteria: Escherichia coli (22.9%), Klebsiella spp (10.7%), Pseudomonas aeruginosa (5.3%), Enterobacter spp. (4.5%), and others (23.7%). The predominant Gram-positive bacteria were Staphylococcus aureus (11.4%). Conclusions: Infection prevention programs must be implemented to reduce the incidence of peripheral venous catheter–associated bloodstream infections.

Published
2020

5. International Nosocomial Infection Control Consortium (INICC) report, data summary of 45 countries for 2012-2017: Device-associated module

Author

Víctor Daniel Rosenthal, Ider Bat-Erdene, Debkishore Gupta, Souad Belkebir, Prasad Rajhans, Farid Zand, Sheila Nainan Myatra, Majeda Afeef, Vito L Tanzi, S. Muralidharan, Vaidotas Gurskis, Hail M. Al-Abdely, Amani El-Kholy, Safa A. Aziz AlKhawaja, Suha Sen, Yatin Mehta, Vineya Rai, Nguyen Viet Hung, Amani F. Sayed, Fausto Marcos Guerrero-Toapanta, Naheed Elahi, María del Rayo Morfin-Otero, Suwara Somabutr, Braulio Matias De-Carvalho, Mary Shine Magdarao, Velmira Angelova Velinova, Ana Marcela Quesada-Mora, Tanja Anguseva, Aamer Ikram, Daisy Aguilar-de-Moros, Wieslawa Duszynska, Nepomuceno Mejia, Florin George Horhat, Vladislav Belskiy, Vesna Mioljevic, Gabriela Di-Silvestre, Katarina Furova, May Osman Gamar-Elanbya, Umesh Gupta, Khalid Abidi, Lul Raka, Xiuqin Guo, Marco Tulio Luque-Torres, Kushlani Jayatilleke, Najla Ben-Jaballah, Achilleas Gikas, Harrison Ronald Sandoval-Castillo, Andrew Trotter, Sandra L. Valderrama-Beltrán, Hakan Leblebicioglu, F.O. Riera, M. López, D.M. Maurizi, J.E. Desse, I. Pérez, G.C. Silva, G.J. Chaparro, D. Golschmid, R. Cabrera, A.M. Montanini, A.C. Bianchi, J. Vimercati, M.C. Rodríguez-del-Valle, C.V. Domínguez, P.A. Saul, V. Chediack, M. Piastrelini, L.P. Cardena, L. Ramasco, M.S. Olivieri, P.F. Gallardo, P.D. Juarez, M.P. Brito, P. Botta, G. Alvarez, G. Benchetrit, M. Caridi, J.P. Stagnaro, I. Bourlot, M. García, N.V. Arregui, N.K. Saeed, S. Abdul-Aziz, S. ALSayegh, M.Z. Humood, K. Mohamed-Ali, S. Swar, T.A.S. Magray, T.B. Aguiar-Portela, T. Sugette-de-Aguiar, F.I. Serpa-Maia, L. Fernandes-Alves-de-Lima, L.A. Teixeira-Josino, M. Sampaio-Bezerra, R.C. Furtado-Maia, A. Romário-Mendes, A. Alves-De-Oliveira, A.P. Vasconcelos-Carneiro, J. Dos Anjos-Lima, K.H. Pinto-Coelho, M.L. Maciel-Canuto, M.X. Rocha-Batista, T. Moreira, N. Rodrigues-Amarilo, T.M. Lima-de-Barros, K. Arruda Guimarães, C. Batista, C. Santos, F.J. de-Lima-Silva, E. Santos-Mota, L. Karla, M.C. Ferreira-de-Souza, N. Luzia, S.S de-Oliveira, C. Takeda, D. Azevedo-Ferreira-Lima, J. Faheina, L.M. Coelho-Oliveira, S.C. do-Nascimento, V.L. Machado-Silva, null Bento-Ferreira, J. Olszewski, M.T. Tenorio, A.C. Silva-Lemos, C.A. Ramos-Feijó, D.M. Cardoso, M.A. Correa-Barbosa, G. Assunção-Ponte, D.V. da-Silva-Escudero, E.A. Servolo-Medeiros, M. Andrade-Oliveira-Reis, E.D. Kostadinov, V.J. Dicheva, M.M. Petrov, C. Guo, H. Yu, T. Liu, G. Song, C. Wang, L.M. Cañas-Giraldo, D.A. Marin-Tobar, E.M. Trujillo-Ramirez, P. Andrea-Rios, C. Álvarez-Moreno, C. Linares, P.A. González-Rubio, B.E. Ariza-Ayala, L.J. Gamba-Moreno, S.L. Gualtero-Trujill, S.J. Segura-Sarmiento, J. Rodriguez-Pena, R. Ortega, N. Olarte, Y.A. Pardo-Lopez, A. Luis Marino Otela-Baicue, A.R. Vargas-Garcia, E.G. Roncancio, K. Gomez-Nieto, M. Espinosa-Valencia, N. Barahona-Guzman, C. Avila-Acosta, W. Raigoza-Martinez, W. Villamil-Gomez, E.G. Chapeta-Parada, A.E. Mindiola-Rochel, A.H. Corchuelo-Martinez, A. Martinez, A. Lagares-Guzman, M. Rodriguez-Ferrer, D. Yepes-Gomez, G.A. Muñoz-Gutierrez, A. Arguello-Ruiz, M.A. Zuniga-Chavarria, L. Maroto-Vargas, M. Valverde-Hernández, A. Solano-Chinchilla, I. Calvo-Hernandez, O. Chavarria-Ugalde, G. Tolari, R.A. Rojas-Fermin, C.V. Diaz-Rodriguez, S. Huascar, M. Ortiz, M.M. Bovera, N. Alquinga, G. Santacruz, E. Jara, V. Delgado, E. Salgado-Yepez, F. Valencia, C. Pelaez, H.A. Gonzalez-Flores, E.E. Coello-Gordon, F. Picoita, M. Arboleda, M.F. Garcia, J. Velez, M. Valle, L. Unigarro, V. Figueroa, K. Marin, H. Caballero-Narvaez, V. Bayani, S.A. Ahmed, A.M. Alansary, A.R. Hassan, M.M. Abdel-Halim, M.A. El-Fattah, R.H. Abdelaziz-Yousef, A. Hala, K.M. Abdelhady, H. Ahmed-Fouad, H. Mounir-Agha, H.S. Hamza, Z. Salah, D.M. Abdel-Aziz, S.B. Ibrahim, A.M. Helal, A.F. AbdelMassih, A. Reham Mahmoud, B. Elawady, R.H. El-sherif, Y.A. Fattah-Radwan, T.S. Abdel-Mawla, N.M. Kamal-Elden, M. Kartsonaki, D.M. Rivera, S. Mandal, S. Mukherjee, P. Navaneet, B. Padmini, J.S. Sorabjee, A.S. Sakle, M.S. Potdar, D. Mane, H.K. Sale, M.M. Abdul-Gaffar, M. Kazi, S. Chabukswar, M. Anju, D. Gaikwad, A. Harshe, S. Blessymole, P.K. Nair, D.K. Khanna, F. Chacko, A. Rajalakshmi, A. Mubarak, M. Kharbanda, S. Kumar, P. Mathur, S. Saranya, F. Abubakar, S. Sampat, V. Raut, S.K. Biswas, R. Kelkar, J.V. Divatia, M. Chakravarthy, B.N. Gokul, R. Sukanya, L. Pushparaj, A. Thejasvini, S. Rangaswamy, N. Saini, C. Bhattacharya, S. Das, S. Sanyal, B.N. Chaudhury, C. Rodrigues, G. Khanna, A. Dwivedy, S. Binu, S. Shetty, J. Eappen, T. Valsa, A. Sriram, S.K. Todi, M. Bhattacharyya, A. Bhakta, B. Ramachandran, R. Krupanandan, P. Sahoo, N. Mohanty, S. Sahu, S. Misra, B. Ray, S. Pattnaik, H. Pillai, A.R. Warrier, L. Ranganathan, A.K. Mani, S.K. Rajagopal, B.K. Abraham, R. Venkatraman, N. Ramakrishnan, D. Devaprasad, K. Siva, D.G. Divekar, M.S. Satish Kavathekar, M.V. Suryawanshi, A. Poojary, J. Sheeba, P. Patil, S. Kukreja, K. Varma, S. Narayanan, T. Sohanlal, A. Agarwal, M. Agarwal, G. Nadimpalli, S. Bhamare, S. Thorat, O. Sarda, P. Nadimpalli, S. Nirkhiwale, G.S. Gehlot, S. Bhattacharya, N. Pandya, A.K.O. Raphel, D. Zala, S.B. Mishra, M.H. Patel, D.G.C. Aggarwal, B.Q. Jawadwal, N.K. Pawar, S.N. Kardekar, A.N. Manked, A.S. Tamboli, A. Manked, Z. Khety, T. Singhal, S. Shah, V. Kothari, R. Naik, R. Narain, S. Sengupta, A. Karmakar, S. Mishra, B.K. Pati, V. Kantroo, S. Kansal, N. Modi, R. Chawla, A. Chawla, I. Roy, M. Bej, P. Mukherjee, S. Baidya, A. Durell, S. Vadi, S. Saseedharan, P. Anant, J.P. Edwin, N. Sen, K. Sandhu, S. Sharma, V. Palaniswamy, P. Sharma, M. Selvaraj, L. Saurabh, D.P. Punia, D.K. Soni, R. Misra, R. Harsvardhan, A. Azim, C. Kambam, A. Garg, S. Ekta, M. Lakhe, C.B. Sharma, G. Singh, A. Kaur, S. Singhal, K.D. Chhabra, G. Ramakrishnan, H. Kamboj, S. Pillai, P. Rani, D. Singla, A. Sanaei, B. Maghsudi, G. Sabetian, M. Masjedi, E. Shafiee, R. Nikandish, S. Paydar, H.A. Khalili, A. Moradi, P. Sadeghi, S. Bolandparvaz, S. Mubarak, M. Makhlouf, M. Awwad, O. Ayyad, A.A. Shaweesh, M.M. Khader, A. Alghazawi, N. Hussien, M. Alruzzieh, Y.K. Mohamed, M. ALazhary, O.A. Abdul Aziz, M. Alazmi, J. Mendoza, P.A. De Vera, A.S. Rillorta, M. de Guzman, M. Girvan, M. Torres, N. Alzahrani, S. Alfaraj, U. Gopal, M.G. Manuel, R. Alshehri, L. Lessing, H. Alzoman, J. Abdrahiem, H. Adballah, J. Thankachan, H. Gomaa, T. Asad, M. AL-Alawi, N.A. Al-Abdullah, N.L. Demaisip, E. Laungayan-Cortez, A.F. Cabato, J.M. Gonzales, M.A. Al Raey, S.A. Al-Darani, M.R. Aziz, B. Al-Manea, E. Samy, M. AlDalaton, M.J. Alaliany, H.M. Alabdely, N.J. Helali, G. Sindayen, A.A. Malificio, H.B. Al-Dossari, A. Kelany, A.G. Algethami, D. Mohamed, L. Yanne, A. Tan, S. Babu, S.M. Abduljabbar, M.A. Al-Zaydani, H. Ahmed, A. Al Jarie, A.S.M. Al-Qathani, H.Y. Al-Alkami, S.J.B. Alih, R. Gasmin-Aromin, E. Balon-Ubalde, H.H. Diab, N.A. Kader, I.Y. Hassan-Assiry, E. Albeladi, S. Aboushoushah, N. Qushmaq, J. Fernandez, W.M. Hussain, R.D. Rajavel, S.Z. Bukhari, H. Rushdi, A.A. Turkistani, J.J. Mushtaq, E. Bohlega, S. Simon, E. Damlig, S.G. Elsherbini, S. Abraham, E. Kaid, A. Al-Attas, G. Hawsawi, B. Hussein, B. Esam, Y. Caminade, A.J. Santos, M.H. Abdulwahab, A.H. Aldossary, S. Al-Suliman, A.A. AlTalib, N. Albaghly, M.E. HaqlreMia, R. Altowerqi, K.M. Ghalilah, M. Alradady, A. Al-Qatri, M. Chaouali, E.L. Shyrine, J. Philipose, M. Raees, N.S. AbdulKhalik, M. Madco, C. Acostan, R. Safwat, M. Halwani, N.A.H. Abdul-Aal, A. Thomas, S.M. Abdulatif, M.A. Ali-Karrar, N. Al-Gosn, A.A. Al-Hindi, R.N. Jaha, S.N. AlQahtani, E.P. Ayugat, M.I. Al-Hussain, A. Aldossary, A.A. Al-Talib, M.E. Haqlre-Mia, S. Briones, R. Krishnan, K. Tabassum, L. Alharbi, A. Madani, M.A. Al-Gethamy, D.M. Alamri, G. Spahija, A. Gashi, A. Kurian, S.M. George, A.M. Mohamed, R.J. Ramapurath, S.T. Varghese, N.M. Abdo, M. Foda-Salama, H.H. Al-Mousa, A.A. Omar, M.F. Salama, M. Toleb, S. Khamis, S.S. Kanj, N.K. Zahreddine, Z. Kanafani, T. Kardas, R. Ahmadieh, Z. Hammoud, I. Zeid, A. Al-Souheil, H. Ayash, T. Mahfouz, T. Kondratas, D. Grinkeviciute, R. Kevalas, A. Dagys, Z. Mitrev, Z. Bogoevska-Miteva, K. Jankovska, S.T. Guroska, M. Petrovska, K. Popovska, C. Ng, Y.M. Hoon, YM.S. Hasan, M.I. Othman-Jailani, M.F. Hadi-Jamaluddin, A.A. Othman, H. Zainol, W.N. Wan-Yusoff, C.S. Gan, L.C.S. Lum, C.S. Ling, F.A. Aziz, R. Zhazali, M.R. Abud-Wahab, T.S. Cheng, I.M. Elghuwael, W.R. Wan-Mat, R. Abd-Rahman, H.R. Perez-Gomez, M. Kasten-Monges, S. Esparza-Ahumada, E. Rodriguez-Noriega, E. Gonzalez-Diaz, D. Mayoral-Pardo, A. Cerero-Gudino, M.A. Altuzar-Figueroa, J. Perez-Cruz, M. Escobar-Vazquez, D.M.L. Aragon, H. Coronado-Magana, J.C. Mijangos-Mendez, F. Corona-Jimenez, G. Aguirre-Avalos, A. Lopez-Mateos, M.Y. Martinez-Marroquin, M. Montell-Garcia, A. Martinez-Martinez, E. Leon-Sanchez, G. Gomez-Flores, M. Ramirez, M.E. Gomez, M. Lozano, V.N. Mercado, I. Zamudio-Lugo, C.J. Gomez-Gonzalez, M.G. Miranda-Novales, I. Villegas-Mota, C. Reyes-Garcia, M.K. Ramirez-Morales, M. Sanchez-Rivas, M.A. Cureno-Diaz, B. Matias-Tellez, J. Gonzalez-Martinez, R. Juarez-Vargas, O. Pastor-Salinas, V.H. Gutierrez-Munoz, J.M. Conde-Mercado, G. Bruno-Carrasco, M.A. Manrique, V.A. Monroy-Colin, Z. Cruz-Rivera, J. Rodriguez-Pacheco, N.L. Cruz, B.E. Hernandez-Chena, O. Guido-Ramirez, G. Arteaga-Troncoso, F.M. Guerra-Infante, M. Lopez-Hurtado, J.A. Denicia Caleco, E.E. Leyva-Medellin, A. Salamanca-Meneses, C. Cosio-Moran, R. Ruiz-Rendon, L.A. Aguilar-Angel, M. Sanchez-Vargas, R.C. Mares-Morales, L.C. Fernandez-Alvarez, B.V. Castillo-Cruz, M.R. Gonzalez-Ma, M.C. Zavala-Ramír, L. Rivera-Reyna, L.G. del-Moral-Rossete, C. Lopez-Rubio, M. Valadez-de-Alba, A. Bat-Erdene, K.H. Chuluunchimeg, O. Baatar, B. Batkhuu, Z. Ariyasuren, G. Bayasgalan, S. Baigalmaa, T.S. Uyanga, P. Suvderdene, D. Enkhtsetseg, D. Suvd-Erdene, E. Chimedtseye, G. Bilguun, M. Tuvshinbayar, M. Dorj, T. Khajidmaa, G. Batjargal, M. Naranpurev, T. Bolormaa, T. Battsetseg, Ch Batsuren, N. Batsaikhan, B. Tsolmon, A. Saranbaatar, P. Natsagnyam, O. Nyamdawa, N. Madani, R. Abouqal, A.A. Zeggwagh, K. Berechid, T.P. Dendane, A. Koirala, R. Giri, S. Sainju, S.P. Acharya, N. Paul, A. Parveen, A. Raza, S. Nizamuddin, F. Sultan, X. Imran, R. Sajjad, M. Khan, F. Sana, N. Tayyab, A. Ahmed, G. Zaman, I. Khan, F. Khurram, A. Hussain, F.T. Zahra, A. Imtiaz, N. Daud, M. Sarwar, Z. Roop, S. Yusuf, F. Hanif, X. Shumaila, J. Zeb, S.R. Ali, S. Demas, S. Ariff, A. Riaz, A.S. Hussain, A. Kanaan, R. Jeetawi, E.G. Castaño, L.L. Moreno-Castillo, E. García-Mayorca, W.E. Prudencio-Leon, A. Vivas-Pardo, M.V. Changano-Rodriguez, L.I. Castillo-Bravo, K.F. Aibar-Yaranga, V.A. Marquez-Mondalgo, J. Mueras-Quevedo, C. Meza-Borja, J.L. Flor, Y.M. Fernandez-Camacho, C. Banda-Flores, J. Pichilingue-Chagray, A. Castaneda-Sabogal, J.C. Caoili, M.C. Mariano, R.R. Maglente, S. Santos, G. de-Guzman, M.T. Mendoza, O.P. Javellana, A.N.L. Tajanlangit, A.R.D. Tapang, M.C. Sg-Buenaflor, E. Labro, R. Carma, A.M.P. Dy, J.D. Fortin, J.A. Navoa-Ng, J.L. Cesar, B.S. Bonifacio, M.J.P. Llames, H.L.B. Gata, A.S. Tamayo, H.K.E. Calupit, V.V. Catcho, L.D. Bergosa, M.T.B. Abuy, B. Barteczko-Grajek, S. Rojek, A. Szczesny, M. Domanska, G. Lipinska, J. Jaroslaw, A. Wieczoreka, A. Szczykutowicza, M. Gawor, M. Piwoda, J. Rydz-Lutrzykowska, M. Grudzinska, P. Kolat-Brodecka, K. Smiechowicz, B. Tamowicz, A. Mikstacki, A. Grams, P. Sobczynski, M. Nowicka, V. Kretov, V. Shalapuda, A. Molkov, S. Puzanov, I. Utkin, A. Tchekulaev, V. Tulupova, S. Vasiljevic, L. Nikolic, G. Ristic, J. Eremija, J. Kojovic, D. Lekic, A. Simic, S. Hlinkova, A. Lesnakova, S.K. Kadankunnel, M.M. Abdo-Ali, R. Pimathai, S. Wanitanukool, N. Supa, P. Prasan, M. Luxsuwong, Y. Khuenkaew, J. Lamngamsupha, N. Siriyakorn, V. Prasanthai, A. Apisarnthanarak, A. Borgi, A. Bouziri, H. Cabadak, G.E. Tuncer, C. Bulut, C.A. Hatipoglu, F.E. Sebnem, A.P. Demiroz, A. Kaya, G. Ersoz, N. Kuyucu, S. Karacorlu, O. Oncul, L. Gorenek, H. Erdem, D. Yildizdas, O.O. Horoz, E. Guclu, G. Kaya, O. Karabay, M. Altindis, N. Oztoprak, Y. Sahip, C. Uzun, N. Erben, G. Usluer, I. Ozgunes, M. Ozcelik, B.M. Ceyda, M. Oral, N. Unal, Y.G. Cigdem, M.K. Bayar, O. Bermede, S. Saygili, I. Yesiler, O. Memikoglu, R. Tekin, A. Oncul, A. Gunduz, D. Ozdemir, M.F. Geyik, S.Y. Erdogan, C. Aygun, A. Dilek, S. Esen, H. Turgut, H. Sungurtekin, D. Ugurcan, V. Yarar, Y. Bilir, N. Bayram, I. Devrim, H. Agin, G. Ceylan, N. Yasar, Y. Oruc, A. Ramazanoglu, O. Turhan, M. Cengiz, A.N. Yalcin, O. Dursun, P. Gunasan, S. Kaya, G. Senol, A.S. Kocagoz, H. Al-Rahma, P. Annamma, A. El-Houfi, H. Vidal, F. Perez, G. D-Empaire, Y. Ruiz, D. Hernandez, D. Aponte, E. Salinas, H.R. Vidal, N. Navarrete, R. Vargas, E. Sanchez, C. Ngo Quy, T.A. Thu, L.T.T. Nguyet, P.T. Hang, T.T.T. Hang, T.T.M. Hanh, D.P.P. Anh, and Ondokuz Mayıs Üniversitesi

Subjects
Catheterization, Central Venous, Infection Control, Epidemiology, Health care-associated infection, Antibiotic resistance, Health Policy, Public Health, Environmental and Occupational Health, Bacterial Infections, Global Health, Device-associated infection, Anti-Bacterial Agents, Intensive Care Units, Infectious Diseases, Catheters, Indwelling, Nosocomial infection, Catheter-Related Infections, Drug Resistance, Bacterial, Humans, Ventilator-associated pneumonia, Hospital infection, Retrospective Studies
Abstract

KARABAY, OGUZ/0000-0003-1514-1685; Kaya, Sehnaz/0000-0003-0002-1517; Gan, Chin Seng/0000-0002-6758-4798; Valderrama, Sandra/0000-0003-1833-1599; Abouqal, Redouane/0000-0002-6117-4341; Unal, Necmettin/0000-0002-9440-7893; Yousef, Reham H. A./0000-0003-4004-3008; Horhat, Florin George/0000-0001-6133-0204 WOS: 000522628200013 PubMed: 31676155 Background: We report the results of International Nosocomial Infection Control Consortium (INICC) surveillance study from January 2012 to December 2017 in 523 intensive care units (ICUs) in 45 countries from Latin America, Europe, Eastern Mediterranean, Southeast Asia, and Western Pacific. Methods: During the 6-year study period, prospective data from 532,483 ICU patients hospitalized in 242 hospitals, for an aggregate of 2,197,304 patient days, were collected through the INICC Surveillance Online System (ISOS). The Centers for Disease Control and Prevention-National Healthcare Safety Network (CDC-NHSN) definitions for device-associated health care-associated infection (DA-HAI) were applied. Results: Although device use in INICC ICUs was similar to that reported from CDC-NHSN ICUs, DA-HAI rates were higher in the INICC ICUs: in the medical-surgical ICUs, the pooled central line-associated bloodstream infection rate was higher (5.05 vs 0.8 per 1,000 central line-days); the ventilator-associated pneumonia rate was also higher (14.1 vs 0.9 per 1,000 ventilator-days,), as well as the rate of catheter-associated urinary tract infection (5.1 vs 1.7 per 1,000 catheter-days). From blood cultures samples, frequencies of resistance, such as of Pseudomonas aeruginosa to piperacillin-tazobactam (33.0% vs 18.3%), were also higher. Conclusions: Despite a significant trend toward the reduction in INICC ICUs, DA-HAI rates are still much higher compared with CDC-NHSN's ICUs representing the developed world. It is INICC's main goal to provide basic and cost-effective resources, through the INICC Surveillance Online System to tackle the burden of DA-HAIs effectively. (C) 2019 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved. International Nosocomial Infection Control Consortium Surveillance Online System Funding for the design, development, maintenance, technical support, data validation, and report generation of the International Nosocomial Infection Control Consortium Surveillance Online System, and the activities carried out at the International Nosocomial Infection Control headquarters were provided by Victor D. Rosenthal, and the Foundation to Fight against Nosocomial Infections.

Published
2020
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6. Six-year multicenter study on short-term peripheral venous catheters-related bloodstream infection rates in 204 intensive care units of 57 hospitals in 19 cities of India: International Nosocomial Infection Control Consortium (INICC) findings

Author

D.P. Punia, Mohit Kharbanda, Kavita Sandhu, Siva Kumar, Nagamani Sen, Maithili Satish Kavathekar, Sonali Vadi, Dolatsinh Zala, Samir Sahu, Ramachadran Gopinath, Tenzin Zompa, Manoj Agarwal, Sheila Nainan Myatra, Vaibhavi R Subhedar, Nadimpalli Gita, Burhan Jawadwala, Nikhil Modi, Suhas Nirkhiwale, Mayur Patel, S Muralidharan, Camilla Rodrigues, Sanjeev Singh, Arpita Dwivedy, Aruna Poojary, Sweta Shah, Anup Warrier, Nagarajan Ramakrishnan, Ami Varaiya, Sujit Kar Purkayasta, Suneeta Sahu, Anil Karlekar, M Bhattacharyya, Purva Mathur, Pravin K Nair, Deepak Singla, Aisha Mubarak, Shakti Bedanta Mishra, Asmita Sagar Sakle, Salil Kumar Mohanty, Debkishore Gupta, Murali Chakravarthy, M.R. Vanajakshi, Prasad Rajhans, Suresh Kumar, Namita Jaggi, Bala Ramachandran, Subhash Todi, Yatin Mehta, Nirav Pandya, Victor D. Rosenthal, Chandrika Kambam, and Supriya Chabukswar

Subjects
medicine.medical_specialty, Catheters, Epidemiology, India, medicine.disease_cause, 03 medical and health sciences, 0302 clinical medicine, Antibiotic resistance, Intensive care, Sepsis, medicine, Infection control, Humans, 030212 general & internal medicine, Prospective Studies, Cities, 0303 health sciences, Cross Infection, Infection Control, 030306 microbiology, Pseudomonas aeruginosa, business.industry, Health Policy, Incidence (epidemiology), Public Health, Environmental and Occupational Health, Nosocomial infection control, Hospitals, Intensive Care Units, Infectious Diseases, Catheter-Related Infections, Emergency medicine, Peripheral venous catheter, business, Developed country
Abstract

Background Short-term peripheral venous catheters-related bloodstream infections (PVCR-BSIs) rates have not been systematically studied in developing countries, and data on their incidence by number of device-days are not available. Methods Prospective, surveillance study on PVCR-BSI conducted from September 1, 2013 to May 31, 2019 in 204 intensive care units (ICUs), members of the International Nosocomial Infection Control Consortium (INICC), from 57 hospitals in 19 cities of India. We applied US INICC definition criteria and reported methods using the INICC Surveillance Online System. Results We followed 7,513 ICU patients for 296,893 bed-days and 295,795 short term peripheral venous catheter (PVC)-days. We identified 863 PVCR-BSIs, amounting to a rate of 2.91/1,000 PVC-days. Mortality in patients with PVC but without PVCR-BSI was 4.14%, and 11.59% in patients with PVCR-BSI. The length of stay in patients with PVC but without PVCR-BSI was 4.13 days, and 5.9 days in patients with PVCR-BSI. The micro-organism profile showed 68% of gram negative bacteria: Escherichia coli (23%), Klebsiella spp (15%), Pseudomonas aeruginosa (5%), and others. The predominant gram-positive bacteria were Staphylococcus aureus (10%). Conclusions PVCR-BSI rates found in our ICUs were much higher than rates published from industrialized countries. Infection prevention programs must be implemented to reduce the incidence of PVCR-BSIs.

Published
2019

10. Academic College of Emergency Experts in India′s INDO-US Joint Working Group (JWG) White Paper on the Integrated Emergency Communication Response Service in India: Much more than just a number!

Author

Sanjeev Bhoi, Sagar Galwankar, Mamta Swaroop, Stanislaw P Stawicki, Bonnie Arquilla, Om Prakash Kalra, Anuja Joshi, Praveen Aggarwal, Bidhan Das, and Prasad Rajhans

Subjects
Civil Emergency Message, Service (business), integrated national emergency number for India, Public infrastructure, Emergency management, Hotline, business.industry, Integrated emergency communication reponse service, national emergency number, lcsh:Medical emergencies. Critical care. Intensive care. First aid, lcsh:RC86-88.9, Public relations, White paper, Phone, Environmental health, Preparedness, Emergency Medicine, Medicine, Position Paper, business
Abstract

The proposal for an integrated national emergency number for India is garnering a lot of enthusiasm and stimulating debate. This ambitious project has a two-part paradigm shift to set in; the first being the integration into a single number and the infrastructure required for setting up and operating this number such that a call can be received and identified. The second is the submerged part of the iceberg: That of the ability to respond to a call and deliver the appropriate emergency service. The first part is more technical and has potential precedents like the 911 phone hotline, for example, to emulate. The main premise of this paper is that the second part is a rather subjective exercise largely determined by the realities of existing public infrastructure in a specific geographical area with respect to emergency services management, especially medical care. Consequently, we highlight the key areas of both precall preparedness and postcall execution that need to be reviewed prior to going live with an integrated number on a national scale.

Published
2013
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