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Device-associated infection rates, bacterial resistance, length of stay, and mortality in Kuwait: International Nosocomial Infection Consortium findings.
- Source :
-
American journal of infection control [Am J Infect Control] 2016 Apr 01; Vol. 44 (4), pp. 444-9. Date of Electronic Publication: 2016 Jan 05. - Publication Year :
- 2016
-
Abstract
- Background: To report the results of the International Infection Control Consortium (INICC) study conducted in Kuwait from November 2013-March 2015.<br />Methods: A device-associated health care-acquired infection (DA-HAI) prospective surveillance study in 7 adult, pediatric, and neonatal intensive care units (ICUs) using the U.S. Centers for Disease Control and Prevention's (CDC's) National Healthcare Safety Network (NHSN) definitions and INICC methods.<br />Results: We followed 3,732 adult and pediatric patients for 21,611 bed days and 671 neonatal patients for 4,515 bed days. In the medical-surgical ICUs, the central line-associated bloodstream infection (CLABSI) rate was 3.5 per 1,000 central line days, the ventilator-associated pneumonia (VAP) rate was 4.0 per 1,000 mechanical ventilator days, and the catheter-associated urinary tract infection (CAUTI) rate was 3.3 per 1,000 urinary catheter days; all of them were lower than INICC rates (CLABSI: 4.9; VAP: 16.5; and CAUTI: 5.3) and higher than NHSN rates (CLABSI: 0.9; VAP: 1.1; and CAUTI: 1.2). Resistance of Staphylococcus aureus to oxacillin was 100%, resistance of Acinetobacter baumannii to imipenem and meropenem was 77.6%, and resistance of Klebsiella pneumoniae to imipenem and meropenem was 29.4%. Extra length of stay was 27.1 days for CLABSI, 22.2 days for VAP, and 19.2 days for CAUTI in adult and pediatric ICUs. Extra crude mortality was 19.9% for CLABSI, 30.9% for VAP, and 11.1% for CAUTI in adult and pediatric ICUs.<br />Conclusions: DA-HAI rates in our ICUs are higher than the CDC-NSHN rates and lower than the INICC international rates.<br /> (Copyright © 2016 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Adolescent
Adult
Aged
Aged, 80 and over
Bacteria classification
Bacteria isolation & purification
Bacterial Infections epidemiology
Bacterial Infections mortality
Child
Child, Preschool
Female
Humans
Infant
Infant, Newborn
Kuwait epidemiology
Length of Stay
Male
Middle Aged
Prevalence
Prospective Studies
Survival Analysis
Bacteria drug effects
Catheter-Related Infections epidemiology
Catheter-Related Infections mortality
Drug Resistance, Bacterial
Pneumonia, Ventilator-Associated epidemiology
Pneumonia, Ventilator-Associated mortality
Subjects
Details
- Language :
- English
- ISSN :
- 1527-3296
- Volume :
- 44
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- American journal of infection control
- Publication Type :
- Academic Journal
- Accession number :
- 26775929
- Full Text :
- https://doi.org/10.1016/j.ajic.2015.10.031