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International Nosocomial Infection Control Consortium (INICC) national report on device-associated infection rates in 19 cities of Turkey, data summary for 2003-2012

Date

2014

Author

Leblebicioglu, Hakan
Erben, Nurettin
Rosenthal, Victor Daniel
Atasay, Begum
Erbay, Ayse
Unal, Serhat
Senol, Gunes
Willke, Ayse
Ozgultekin, Asu
Altin, Nilgun
Bakir, Mehmet
Oncul, Oral
Ersoz, Gulden
Ozdemir, Davut
Yalcin, Ata Nevzat
Ozdemir, Halil
Yildizdas, Dincer
Koksal, Iftihar
Aygun, Canan
Sirmatel, Fatma
Sener, Alper
Tuna, Nazan
Akan, OTzay Arikan
Turgut, Huseyin
Demiroz, A. Pekcan
Kendirli, Tanil
Alp, Emine
Uzun, Cengiz
Ulusoy, Sercan
Arman, Dilek
Ozgunes, Ilhan
Usluer, Gaye
Kilic, Atila
Arsan, Saadet
Cabadak, Hatice
Sen, Suha
Gelebek, Yasemin
Zengin, Humeyra
Topeli, Arzu
Alper, Yusuf
Meric, Meliha
Azak, Emel
Inan, Asuman
Turan, Guldem
Haznedaroglu, Tuncer
Gorenek, Levent
Acar, Ali
Cesur, Salih
Engin, Aynur
Kaya, Ali
Kuyucu, Necdet
Geyik, Mehmet Faruk
Aydin, Ozlem Cetinkaya
Erdogan, Nurse Selvi
Turhan, Ozge
Gunay, Nurgul
Gumus, Eylul
Dursun, Oguz
Esen, Saban
Ulger, Fatma
Dilek, Ahmet
Yilmaz, Hava
Sunbul, Mustafa
Gokmen, Zeynel
Ozdemir, Sonay Incesoy
Horoz, Ozden Ozgur
Yylmaz, Gurdal
Kaya, Selcuk
Ulusoy, Hulya
Kucukoduk, Sukru
Ustun, Cemal
Baysal, Abant Izzet
Otkun, Metin
Tulunay, Melek
Oral, Mehmet
Unal, Necmettin
Cengiz, Mustafa
Yilmaz, Leyla
Sacar, Suzan
Sungurtekin, Hulya
Ugurcan, Dogac
Yetkin, M. Arzu
Bulut, Cemal
Erdinc, F. Sebnem
Hatipoglu, Cigdem Ataman
Ince, Erdal
Ciftci, Ergin
Odek, Caglar
Yaman, Ayhan
Karbuz, Adem
Aldemir, Bilge
Kilic, Aysegul Ulu
Arda, Bilgin
Bacakoglu, Feza
Hizel, Kenan

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Abstract

Background: Device-associated healthcare-acquired infections (DA-HAI) pose a threat to patient safety, particularly in the intensive care unit (ICU). We report the results of the International Infection Control Consortium (INICC) study conducted in Turkey from August 2003 through October 2012. Methods: A DA-HAI surveillance study in 63 adult, paediatric ICUs and neonatal ICUs (NICUs) from 29 hospitals, in 19 cities using the methods and definitions of the U.S. NHSN and INICC methods. Results: We collected prospective data from 94,498 ICU patients for 647,316 bed days. Pooled DA-HAI rates for adult and paediatric ICUs were 11.1 central line-associated bloodstream infections (CLABSIs) per 1000 central line (CL)-days, 21.4 ventilator-associated pneumonias (VAPs) per 1000 mechanical ventilator (MV)-days and 7.5 catheter-associated urinary tract infections (CAUTIs) per 1000 urinary catheter-days. Pooled DA-HAI rates for NICUs were 30 CLABSIs per 1000 CL-days, and 15.8 VAPs per 1000 MV-days. Extra length of stay (LOS) in adult and paediatric ICUs was 19.4 for CLABSI, 8.7 for VAP and 10.1 for CAUTI. Extra LOS in NICUs was 13.1 for patients with CLABSI and 16.2 for patients with VAP. Extra crude mortality was 12% for CLABSI, 19.4% for VAP and 10.5% for CAUTI in ICUs, and 15.4% for CLABSI and 10.5% for VAP in NICUs. Pooled device use (DU) ratios for adult and paediatric ICUs were 0.54 for MV, 0.65 for CL and 0.88 for UC, and 0.12 for MV, and 0.09 for CL in NICUs. The CLABSI rate was 8.5 per 1,000 CL days in the Medical Surgical ICUs included in this study, which is higher than the INICC report rate of 4.9, and more than eight times higher than the NHSN rate of 0.9. Similarly, the VAP and CAUTI rates were higher compared with U. S. NHSN (22.3 vs. 1.1 for VAP; 7.9 vs. 1.2 for CAUTI) and with the INICC report (22.3 vs. 16.5 in VAP; 7.9 vs. 5.3 in CAUTI). Conclusions: DA-HAI rates and DU ratios in our ICUs were higher than those reported in the INICC global report and in the US NHSN report.

Source

ANNALS OF CLINICAL MICROBIOLOGY AND ANTIMICROBIALS

Volume

13

URI

https://dx.doi.org/10.1186/s12941-014-0051-3
https://hdl.handle.net/20.500.12418/8118

Collections

  • Makale Koleksiyonu [5200]
  • Makale Koleksiyonu [5745]
  • Öksüz Yayınlar Koleksiyonu - WoS [6162]

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