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Am J Infect Control. 2010 Mar;38(2):95-104.e2. doi: 10.1016/j.ajic.2009.12.004.

International Nosocomial Infection Control Consortium (INICC) report, data summary for 2003-2008, issued June 2009.

Collaborators (314)

Flynn LP, Rausch D, Spagnolo A, Soroka LC, Forciniti S, Blasco M, Lezcano CB, Bernan ML, Bay MR, Diaz FR, Lastra CE, Kobylarz A, Viegas M, Di Núbila BM, Lanzetta D, Fernández LJ, Rossetti MA, Romani A, Migazzi C, Barolin C, Martínez E, Bedoya MA, Costamagna A, Dheza GR, Avalos J, Alvarez M, Benchetrit G, Bonaventura C, Caridi Mde L, Messina A, Ricci B, Frías ML, Churruarín G, Sztokhamer D, Kuchenbecker Rde S, Pires MR, Siliprandi EM, Pires dos Santos R, Angelieri DB, Nouer S, Vianna R, Machado AL, Gama E, Blanquet D, Spessatto JL, Pasini RS, Ferla S, Cardoso LG, Trabasso P, Lopes JM, Valadares PC, Batista JP, Campos MA, Salomao R, Maretti da Silva MA, Vilins M, Silva CH, Blecher S, Sánchez TE, Valente R, Apolinário D, Ferreira IB, Cechinel RB, Camboriú B, Silva JC, Biancalana ML, Zanandrea BB, Rohnkohl C, Regalin M, Freitas LF, Imori dos Santos MC, Qin JA, Juan H, Fang HC, Gao X, Lili T, Yeguxian, Gómez BM, Ruiz MG, Moreno CA, Linares C, Jiménez A, Gómez M, Guzmán NB, Ferrer MR, Villa GS, Guzmán AL, Moreno CA, Osorio L, Calderón ME, Olarte N, Valderrama A, Sussmann O, Mojica BE, Gómez WV, Menco A, Vergara GR, Arrieta P, Rojas C, Beltran H, Paez J, Sussmann O, Navarrete Mdel P, Muñoz HJ, Gómez WV, Dajud L, Mendoza M, Arrieta P, Millán JC, López MU, Agudelo JG, Calzada JM, Muñoz G, Argüello AR, González OD, González DF, Garcell HG, Pérez CM, Bran de Casares AC, Machuca Lde J, Chaniotaki K, Tsioutis C, Bampalis D, Bhakta A, Bhattacharjee M, Chakravarthy M, Gokul BN, R S, Pushparaj L, Ramachandran B, Sahu S, Mehta A, Rodrigues C, Hegd A, Kapadia F, Singh S, Kumar RK, Radhakrishnan K, Sen N, Subramani K, Sood S, Verma N, Gopinath R, Ravindra N, Myatra SN, Divatia JV, Kelkar R, Biswas S, Raut S, Sampat S, Kumar R, Mehta P, Surase P, Kothari V, Udwadia FE, Koppikar G, Bhandarkar L, Poojary A, Ansari R, Jadhav S, Karlekar A, Khuri-bulos N, Mahafzah A, Baftiu N, Spahija G, Zahreddine N, Sidani N, Jurdi LA, Kanafani Z, Dagys A, Kondratas T, Kevalas R, Anguseva T, Ampova V, Guroska ST, Higuera F, Ruiz AA, Campuzano R, Brito JM, Serrato IP, López MS, Hernández HT, Gómez AC, Morales JR, Rodríguez JE, Lugo IZ, Ruiz EM, Oropeza MS, Rangel-Frausto MS, Soto JM, Abouqal R, Madani N, Zeggwagh AA, Abidi K, Dendane T, Bouazzaoui NL, Meryem K, Khan SG, Ali F, Hussain Y, Butt F, Fakhri A, Memon BA, Bhutto GH, Alfaro FG, Alvarado C, De León LM, Navarro R, Moreno JL, Cerrud R, Angeles CS, Tavera ZD, Espinoza TA, López FS, Saldarriaga ME, Morvelí EU, Barriga H, Villacorta MS, Barrios SC, Cuellar L, Rosales R, Bravo LI, Cáceres ML, Zegarra SL, Astete NS, Guevara FC, Mendoza CB, Ramírez AV, Pastrana JS, Sabogal AC, Goicochea IP, Sanchez AA, Alva GR, Ventura JG, Aguilar MR, Plasencia NS, Rodríguez T, Maldonado EF, Espichan MJ, Echenique L, Navoa-Ng JA, Villanueva VD, Tolentino MC, Genuino GA, Consunji RJ, Mantaring JB 3rd, Thamlikitkul V, Ammar K, Hamdi A, Oncul O, Haznedaroglu T, Gorenek L, Acar A, Ozgültekin A, Turan G, Akgün N, Ersoz G, Kaya A, Kandemir O, Uzun C, Ozdemir D, Guclu E, Erdogan S, Akan OA, Tulunay M, Oral M, Unal N, Turgut H, Sacar S, Sungurtekin H, Uğurcan D, Esen S, Ulger F, Dilek A, Aygun C, Küçüködük S, Yalcin AN, Turhan O, Keskin S, Gumus E, Dursun O, Ulusoy S, Arda B, Bacakoglu F, Alp E, Aygen B, Arman D, Hizel K, Sardan YC, Yildirim G, Topeli A, Sirmatel F, Cengiz M, Yilmaz L, Koksal I, Yýlmaz G, Senel AC, Sözen EE, Erben N, Ozgunes I, Usluer G, Demiroz AP, Yetkin MA, Bulut C, Erdinc FS, Hatipoglu CA, Oztürk R, Dikmen Y, Aygún G, Gil de Añez ZD, Bravo LM, Trang DT, Nga TT, Zruong PH.

Author information

1
International Nosocomial Infection Control Consortium, Buenos Aires, Argentina. victor_rosenthal@inicc.org

Abstract

We report the results of the International Infection Control Consortium (INICC) surveillance study from January 2003 through December 2008 in 173 intensive care units (ICUs) in Latin America, Asia, Africa, and Europe. During the 6-year study, using Centers for Disease Control and Prevention (CDC) US National Healthcare Safety Network (NHSN; formerly the National Nosocomial Infection Surveillance system [NNIS]) definitions for device-associated health care-associated infection, we collected prospective data from 155,358 patients hospitalized in the consortium's hospital ICUs for an aggregate of 923,624 days. Although device utilization in the developing countries' ICUs was remarkably similar to that reported from US ICUs in the CDC's NHSN, rates of device-associated nosocomial infection were markedly higher in the ICUs of the INICC hospitals: the pooled rate of central venous catheter (CVC)-associated bloodstream infections (BSI) in the INICC ICUs, 7.6 per 1000 CVC-days, is nearly 3-fold higher than the 2.0 per 1000 CVC-days reported from comparable US ICUs, and the overall rate of ventilator-associated pneumonia (VAP) was also far higher, 13.6 versus 3.3 per 1000 ventilator-days, respectively, as was the rate of catheter-associated urinary tract infection (CAUTI), 6.3 versus 3.3 per 1000 catheter-days, respectively. Most strikingly, the frequencies of resistance of Staphylococcus aureus isolates to methicillin (MRSA) (84.1% vs 56.8%, respectively), Klebsiella pneumoniae to ceftazidime or ceftriaxone (76.1% vs 27.1%, respectively), Acinetobacter baumannii to imipenem (46.3% vs 29.2%, respectively), and Pseudomonas aeruginosa to piperacillin (78.0% vs 20.2%, respectively) were also far higher in the consortium's ICUs, and the crude unadjusted excess mortalities of device-related infections ranged from 23.6% (CVC-associated bloodstream infections) to 29.3% (VAP).

PMID:
20176284
DOI:
10.1016/j.ajic.2009.12.004
[Indexed for MEDLINE]

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