Affiliations 

  • 1 International Nosocomial Infection Control Consortium, Ciudad Autonoma De Buenos Aires, Argentina. Electronic address: victor_rosenthal@inicc.org
  • 2 Department of Anesthesiology and Intensive Therapy, Wroclaw Medical University, Wroclaw, Poland
  • 3 Intermed Hospital, Ulaanbaatar, Mongolia
  • 4 Hospital Of Lithuanian University Of Health Sciences Kauno Klinikos, Kaunas, Lithuania
  • 5 King Hussein Cancer Center, Amman, Jordan
  • 6 Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, India
  • 7 The Calcutta Medical Research Institute; Bm Birla Heart Reseach Centre, Kolkata, India
  • 8 An-Najah National University, An-Najah University Hospital, Nablus, Palestine
  • 9 Deenanath Mangeshkar Hospital, Pune, India
  • 10 Anesthesia and Critical Care Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
  • 11 Amri Hospitals Mukundapur Dhakuria, Kolkata, India
  • 12 Desun Hospital, Kolkata, India
  • 13 Holy Spirit Hospital, Mumbai, India
  • 14 IMS And SUM Hospital, Bhubaneswar, India
  • 15 Instituto Medico Platense Sa, Uti De Adultos, Provincia De Buenos Aires, La Plata, Argentina
  • 16 Medanta The Medicity, New Delhi, India
  • 17 Shri Vinoba Bhave Civil Hospital, Silvassa, India
  • 18 4th Clinical Military Hospital, Wroclaw, Poland
  • 19 Hospital Civil De Guadalajara "Fray Antonio Alcalde"- Servicio De Terapia Intensiva, Guadalajara, Mexico
  • 20 Hospital Del Niño Dr José Renán Esquivel, Panama, Panama
  • 21 Hospital General Regional 6 De Ciudad Madero, Madero, Mexico
  • 22 Ankara University Faculty Of Medicine, Ankara, Turkey
  • 23 Antalya Education And Research Hospital, Antalya, Turkey
  • 24 Balcali Hospital, Adana, Turkey
  • 25 Cairo University Specialized Pediatric Hospital, Cairo, Egypt
  • 26 Pamukkale University Hospital, Denizli, Turkey
  • 27 Pediatric ICU, University of Malaya Medical Center, Kuala Lumpur, Malaysia
  • 28 Bach Mai Hospital, Hanoi, Vietnam
  • 29 Hammoud Hospital University Medical Center, Saida, Lebanon
  • 30 Surveillance Department, Infection Control Directorate, Ministry Of Health, Kuwait City, Kuwait
  • 31 University General Hospital Of Heraklion, Heraklion, Greece
  • 32 Cairo University Hospital and Dar Al-Fouad Hospital, 6th Of October City, Egypt; ag) Mohamed V University of Rabat, Rabat, Morocco
  • 33 Ibn Sina University Hospital Center, Rabat Children's Hospital, Rabat, Morocco
  • 34 Grande International Hospital, Kathmandu, Nepal
  • 35 Hospital General De Zona Umaa No 1 Oaxaca, Oaxaca De Juarez, Mexico
  • 36 Children Hospital Of Tunis University Of Tunis El Manar, Tunis, Tunisia
  • 37 Clínica Universitaria Colombia, Bogotá, Colombia
  • 38 National University Hospital, Singapore, Singapore
  • 39 Hospital São Paulo, Escola Paulista De Medicina, Unifesp, Sao Paulo, Brazil
  • 40 Clinica La Merced, Quito, Ecuador
  • 41 University Of Medicine And Pharmacy Victor Babes Timisoara Emergency County Clinical Hospital, Timisoara, Romania
  • 42 Hzga "Dr. Ricardo Gutiérrez", Provincia De Buenos Aires, La Plata, Argentina
  • 43 St Lukes Medical Center Quezon City, Philippines
  • 44 Sri Jayewardenepura General Hospital, Nugegoda, Sri Lanka
  • 45 Thanh Nhan Hospital, Hanoi, Vietnam
  • 46 National Institute For Public Health Of Kosovo And Medical School Prishtina University, Prishtina, Kosovo
  • 47 Umae Hospital De Pediatría Cmn Sxxi, Mexico Df, Mexico
  • 48 St George University Hospital, Plovdiv, Bulgaria
  • 49 Thammasart University Hospital, Thailand
  • 50 Military Hospital Of Rawalpindi Pakistan, Rawalpindi, Pakistan
  • 51 Dubai Hospital, Dubai, United Arab Emirates
  • 52 Hospital General De La Plaza De La Salud, Santo Domingo, Dominican Republic
  • 53 Antiguo Hospital Civil De Guadalajara- Unidad De Infectologia, Guadalajara, Mexico
  • 54 Salmaniya Medical Complex, Manama, Bahrain
  • 55 Special Hospital For Surgical Diseases Filip Vtori, Skopje, Macedonija
  • 56 Port Moresby General Hospital, Port Moresby, Papua New Guinea
  • 57 Privolzhskiy District Medical Center, Nizhniy Novgorod, Russia
  • 58 Pusat Perubatan Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
  • 59 Instituto Del Corazon De Bucaramanga, Bogota, Colombia
  • 60 Hospital Docente Clínico Quirúrgico Joaquín Albarrán, La Habana, Cuba
  • 61 Universidad Simon Bolivar, Barranquilla, Colombia
  • 62 Noble Hospital, Pune, India
  • 63 Sree Chitra Tirunal Institute For Medical Sciences And Technology (Sctimst), Thiruvananthapuram, Kerala, India
  • 64 Apollo Hospitals, Bhubaneswar, India
  • 65 Bhailal Amin General Hospital, Vadodara, India
  • 66 Breach Candy Hospital Trust, Mumbai, India
  • 67 Indraprastha Apollo Hospital Delhi, New Delhi, India
  • 68 Sheikh Ragheb Harb Hospital, Nabatyiah, Lebanon
  • 69 American University Of Beirut Medical Center, Beirut, Lebanon
  • 70 Clinical Center Serbia Emergency Center, Belgrade, Serbia
  • 71 Catholic University In Ruzomberok Faculty Of Health Central Military Hospital Snp Ruzomberok, Ruzomberok, Slovakia
  • 72 St. Elisabeth University, Institute for Prevention and Intervention, Bratislava, Slovakia
  • 73 Ministry of Health, Kingdom of Saudi Arabia
  • 74 Sakarya University Training And Research Hospital, Sakarya, Turkey
  • 75 University Of Health Sciences, Haydarpasa Training And Reserch Hospital, Istanbul, Turkey
  • 76 Ankara University Ibni-Sina Hospital, Ankara, Turkey
  • 77 Dicle University Hospital, Diyarbakır, Turkey
  • 78 Akdeniz University School Of Medicine, Antalya, Turkey
  • 79 Eskisehir Osmangazi University, Faculty Of Medicine, Eskisehir, Turkey
Am J Infect Control, 2021 Oct;49(10):1267-1274.
PMID: 33901588 DOI: 10.1016/j.ajic.2021.04.077

Abstract

BACKGROUND: We report the results of INICC surveillance study from 2013 to 2018, in 664 intensive care units (ICUs) in 133 cities, of 45 countries, from Latin-America, Europe, Africa, Eastern-Mediterranean, Southeast-Asia, and Western-Pacific.

METHODS: Prospective data from patients hospitalized in ICUs were collected through INICC Surveillance Online System. CDC-NHSN definitions for device-associated healthcare-associated infection (DA-HAI) were applied.

RESULTS: We collected data from 428,847 patients, for an aggregate of 2,815,402 bed-days, 1,468,216 central line (CL)-days, 1,053,330 mechanical ventilator (MV)-days, 1,740,776 urinary catheter (UC)-days. We found 7,785 CL-associated bloodstream infections (CLAB), 12,085 ventilator-associated events (VAE), and 5,509 UC-associated urinary tract infections (CAUTI). Pooled DA-HAI rates were 5.91% and 9.01 DA-HAIs/1,000 bed-days. Pooled CLAB rate was 5.30/1,000 CL-days; VAE rate was 11.47/1,000 MV-days, and CAUTI rate was 3.16/1,000 UC-days. P aeruginosa was non-susceptible (NS) to imipenem in 52.72% of cases; to colistin in 10.38%; to ceftazidime in 50%; to ciprofloxacin in 40.28%; and to amikacin in 34.05%. Klebsiella spp was NS to imipenem in 49.16%; to ceftazidime in 78.01%; to ciprofloxacin in 66.26%; and to amikacin in 42.45%. coagulase-negative Staphylococci and S aureus were NS to oxacillin in 91.44% and 56.03%, respectively. Enterococcus spp was NS to vancomycin in 42.31% of the cases.

CONCLUSIONS: DA-HAI rates and bacterial resistance are high and continuous efforts are needed to reduce them.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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