Device-associated infection rates in intensive care units of Brazilian hospitals: datos de la Comunidad Científica Internacional de Control de Infecciones Nosocomiales Tasa de infecciones asociadas a aparatos en unidades de cuidados intensivos de hospitales brasileños
OBJECTIVES: To measure device-associated infection (DAI) rates, microbiological profiles, bacterial resistance, extra length of stay, and attributable mortality in intensive care units (ICUs) in three Brazilian hospitals that are members of the International Nosocomial Infection Control Consortium (...
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ftdoajarticles:oai:doaj.org/article:07d55a39573e4a1685aa1b89bad6bc62 2023-05-15T15:19:21+02:00 Device-associated infection rates in intensive care units of Brazilian hospitals: datos de la Comunidad Científica Internacional de Control de Infecciones Nosocomiales Tasa de infecciones asociadas a aparatos en unidades de cuidados intensivos de hospitales brasileños Reinaldo Salomao Victor D. Rosenthal Gorki Grimberg Simone Nouer Blecher Silvia Buchner-Ferreira Rosa Vianna Maria Ângela Maretti-da-Silva 2008-09-01T00:00:00Z https://doaj.org/article/07d55a39573e4a1685aa1b89bad6bc62 EN ES PT eng spa por Pan American Health Organization http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892008000900006 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 https://doaj.org/article/07d55a39573e4a1685aa1b89bad6bc62 Revista Panamericana de Salud Pública, Vol 24, Iss 3, Pp 195-202 (2008) Infecciones bacterianas infección hospitalaria farmacorresistencia bacteriana hospitales control de infecciones profesionales para control de infecciones unidades de terapia intensiva tiempo de internación mortalidad Brasil Bacterial infection cross infection drug resistance bacterial hospitals infection control infection control practitioners intensive care units length of stay mortality Brazil Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2008 ftdoajarticles 2022-12-31T06:29:54Z OBJECTIVES: To measure device-associated infection (DAI) rates, microbiological profiles, bacterial resistance, extra length of stay, and attributable mortality in intensive care units (ICUs) in three Brazilian hospitals that are members of the International Nosocomial Infection Control Consortium (INICC). METHODS: Prospective cohort surveillance of DAIs was conducted in five ICUs in three city hospitals in Brazil by applying the definitions of the U.S. Centers for Disease Control and Prevention National Nosocomial Infections Surveillance System (CDC-NNIS). RESULTS: Between April 2003 and February 2006, 1 031 patients hospitalized in five ICUs for an aggregate 10 293 days acquired 307 DAIs, a rate of 29.8% or 29.8 DAIs per 1 000 ICU-days. The ventilator-associated pneumonia (VAP) rate was 20.9 per 1 000 ventilator-days; the rate for central venous catheter-associated bloodstream infections (CVC-BSI) was 9.1 per 1 000 catheter-days; and the rate for catheter-associated urinary tract infections (CAUTI) was 9.6 per 1 000 catheter-days. Ninety-five percent of all Staphylococcus aureus DAIs were caused by methicillin-resistant strains. Infections caused by Enterobacteriaceae were resistant to ceftriaxone in 96.7% of cases, resistant to ceftazidime in 79.3% of cases, and resistant to piperacillin-tazobactam in 85.7% of cases. Pseudomonas aeruginosa DAIs were resistant to ciprofloxacin in 71.3% of cases, resistant to ceftazidime in 75.5% of cases, and resistant to imipenem in 27.7% of cases. Patients with DAIs in the ICUs of the hospitals included in this study presented extra mortality rates of 15.3% (RR 1.79, P = 0.0149) for VAP, 27.8% (RR 2.44, P = 0.0004) for CVC-BSI, and 10.7% (RR 1.56, P = 0.2875) for CAUTI. CONCLUSION: The DAI rates were high in the ICUs of the Brazilian hospitals included in this study. Patient safety can be improved through the implementation of an active infection control program comprising surveillance of DAIs and infection prevention guidelines. These actions should become a priority in ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Dais ENVELOPE(161.267,161.267,-77.550,-77.550) |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English Spanish Portuguese |
topic |
Infecciones bacterianas infección hospitalaria farmacorresistencia bacteriana hospitales control de infecciones profesionales para control de infecciones unidades de terapia intensiva tiempo de internación mortalidad Brasil Bacterial infection cross infection drug resistance bacterial hospitals infection control infection control practitioners intensive care units length of stay mortality Brazil Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Infecciones bacterianas infección hospitalaria farmacorresistencia bacteriana hospitales control de infecciones profesionales para control de infecciones unidades de terapia intensiva tiempo de internación mortalidad Brasil Bacterial infection cross infection drug resistance bacterial hospitals infection control infection control practitioners intensive care units length of stay mortality Brazil Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Reinaldo Salomao Victor D. Rosenthal Gorki Grimberg Simone Nouer Blecher Silvia Buchner-Ferreira Rosa Vianna Maria Ângela Maretti-da-Silva Device-associated infection rates in intensive care units of Brazilian hospitals: datos de la Comunidad Científica Internacional de Control de Infecciones Nosocomiales Tasa de infecciones asociadas a aparatos en unidades de cuidados intensivos de hospitales brasileños |
topic_facet |
Infecciones bacterianas infección hospitalaria farmacorresistencia bacteriana hospitales control de infecciones profesionales para control de infecciones unidades de terapia intensiva tiempo de internación mortalidad Brasil Bacterial infection cross infection drug resistance bacterial hospitals infection control infection control practitioners intensive care units length of stay mortality Brazil Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
OBJECTIVES: To measure device-associated infection (DAI) rates, microbiological profiles, bacterial resistance, extra length of stay, and attributable mortality in intensive care units (ICUs) in three Brazilian hospitals that are members of the International Nosocomial Infection Control Consortium (INICC). METHODS: Prospective cohort surveillance of DAIs was conducted in five ICUs in three city hospitals in Brazil by applying the definitions of the U.S. Centers for Disease Control and Prevention National Nosocomial Infections Surveillance System (CDC-NNIS). RESULTS: Between April 2003 and February 2006, 1 031 patients hospitalized in five ICUs for an aggregate 10 293 days acquired 307 DAIs, a rate of 29.8% or 29.8 DAIs per 1 000 ICU-days. The ventilator-associated pneumonia (VAP) rate was 20.9 per 1 000 ventilator-days; the rate for central venous catheter-associated bloodstream infections (CVC-BSI) was 9.1 per 1 000 catheter-days; and the rate for catheter-associated urinary tract infections (CAUTI) was 9.6 per 1 000 catheter-days. Ninety-five percent of all Staphylococcus aureus DAIs were caused by methicillin-resistant strains. Infections caused by Enterobacteriaceae were resistant to ceftriaxone in 96.7% of cases, resistant to ceftazidime in 79.3% of cases, and resistant to piperacillin-tazobactam in 85.7% of cases. Pseudomonas aeruginosa DAIs were resistant to ciprofloxacin in 71.3% of cases, resistant to ceftazidime in 75.5% of cases, and resistant to imipenem in 27.7% of cases. Patients with DAIs in the ICUs of the hospitals included in this study presented extra mortality rates of 15.3% (RR 1.79, P = 0.0149) for VAP, 27.8% (RR 2.44, P = 0.0004) for CVC-BSI, and 10.7% (RR 1.56, P = 0.2875) for CAUTI. CONCLUSION: The DAI rates were high in the ICUs of the Brazilian hospitals included in this study. Patient safety can be improved through the implementation of an active infection control program comprising surveillance of DAIs and infection prevention guidelines. These actions should become a priority in ... |
format |
Article in Journal/Newspaper |
author |
Reinaldo Salomao Victor D. Rosenthal Gorki Grimberg Simone Nouer Blecher Silvia Buchner-Ferreira Rosa Vianna Maria Ângela Maretti-da-Silva |
author_facet |
Reinaldo Salomao Victor D. Rosenthal Gorki Grimberg Simone Nouer Blecher Silvia Buchner-Ferreira Rosa Vianna Maria Ângela Maretti-da-Silva |
author_sort |
Reinaldo Salomao |
title |
Device-associated infection rates in intensive care units of Brazilian hospitals: datos de la Comunidad Científica Internacional de Control de Infecciones Nosocomiales Tasa de infecciones asociadas a aparatos en unidades de cuidados intensivos de hospitales brasileños |
title_short |
Device-associated infection rates in intensive care units of Brazilian hospitals: datos de la Comunidad Científica Internacional de Control de Infecciones Nosocomiales Tasa de infecciones asociadas a aparatos en unidades de cuidados intensivos de hospitales brasileños |
title_full |
Device-associated infection rates in intensive care units of Brazilian hospitals: datos de la Comunidad Científica Internacional de Control de Infecciones Nosocomiales Tasa de infecciones asociadas a aparatos en unidades de cuidados intensivos de hospitales brasileños |
title_fullStr |
Device-associated infection rates in intensive care units of Brazilian hospitals: datos de la Comunidad Científica Internacional de Control de Infecciones Nosocomiales Tasa de infecciones asociadas a aparatos en unidades de cuidados intensivos de hospitales brasileños |
title_full_unstemmed |
Device-associated infection rates in intensive care units of Brazilian hospitals: datos de la Comunidad Científica Internacional de Control de Infecciones Nosocomiales Tasa de infecciones asociadas a aparatos en unidades de cuidados intensivos de hospitales brasileños |
title_sort |
device-associated infection rates in intensive care units of brazilian hospitals: datos de la comunidad científica internacional de control de infecciones nosocomiales tasa de infecciones asociadas a aparatos en unidades de cuidados intensivos de hospitales brasileños |
publisher |
Pan American Health Organization |
publishDate |
2008 |
url |
https://doaj.org/article/07d55a39573e4a1685aa1b89bad6bc62 |
long_lat |
ENVELOPE(161.267,161.267,-77.550,-77.550) |
geographic |
Arctic Dais |
geographic_facet |
Arctic Dais |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 24, Iss 3, Pp 195-202 (2008) |
op_relation |
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892008000900006 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 https://doaj.org/article/07d55a39573e4a1685aa1b89bad6bc62 |
_version_ |
1766349532490104832 |