1. Device-associated infection rates, bacterial resistance, length of stay, and mortality in intensive care units of Costa Rica: Findings of the International Nosocomial Infection Control Consortium (INICC).
- Author
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Chavarria Ugalde, Olber, Fernandez Hidalgo, Rosalia, Rosenthal, Victor D., Hernandez, Ivar Calvo, Munoz Gutierrez, Gabriel, Gonzalez Fuentes, Carlos, Maroto Vargas, Laura, Solano Chinchilla, Antonio, Zúñiga Chavarría, Maria Adelia, and Arguello Ruiz, Adela
- Subjects
PNEUMONIA-related mortality ,ALLIED health personnel ,BLOODBORNE infections ,CATHETERIZATION complications ,PREVENTION of communicable diseases ,CONFIDENCE intervals ,CROSS infection ,DRUG resistance in microorganisms ,LENGTH of stay in hospitals ,INTENSIVE care units ,LONGITUDINAL method ,PNEUMONIA ,PROBABILITY theory ,PUBLIC health surveillance ,URINARY tract infections ,MECHANICAL ventilators ,RELATIVE medical risk ,DATA analysis software ,CATHETER-related infections - Abstract
Objective: To report the results of the International Nosocomial Infection Control Consortium (INICC) study conducted in Costa Rica from April 2007 to April 2015. Methods: A device-associated healthcare-acquired infection (DA-HAI) prospective surveillance study in two adult intensive care units (ICUs) from two hospitals applying CDC/NHSN's criteria and definitions, using INICC Online Surveillance System. Results: Data was collected froml, 128 adult ICU patients over 4,055 bed-days. The central line-associated bloodstream infection (CLABSI) rate was 2.9 per 1,000 centra line (CL)-days, the ventilator-associated pneumonia (VAP) rate was 30.7 per 1,000 mechanical ventilator (MV)-days, and the catheter-associated urinary tract infection (CAUTI) rate was 1.5per 1,000 urinary catheter (UC)-days. The CLABSI rate was similar to INICC rates (4.9) and higher than CDC/NHSN rates (0.8), with a higher CL device utilization ratio (DUR). The CAUTI rate was lower than INICC's (5.3) and similar to CDC/NHSNs'(1.3), with a lower UC DUR. Despite the VAP rate being higher than INICC (16.5) and CDC/NHSN's rates (1.1), MV DUR was lower in this study's ICUs. Resistance rates of 5. aureus to oxacillin and of E. coli to imipenem and meropenem were higher than INICC and CDC/NHSN's rates. Excess length of stay was 11.2 days for patients with CLABSI and 13.6 for patients with VAR Excess crude mortality was 25.6% for patients with VAR Conclusions: Most DA-HAI rates found in this study's ICUs are higher than CDC/NSHN's rates and similar to or higher than INICC rates. [ABSTRACT FROM AUTHOR]
- Published
- 2016