Format

Send to

Choose Destination
Am J Infect Control. 2012 Jun;40(5):396-407. doi: 10.1016/j.ajic.2011.05.020. Epub 2011 Sep 10.

International Nosocomial Infection Control Consortium (INICC) report, data summary of 36 countries, for 2004-2009.

Collaborators (547)

Frías ML, Churruarín G, Sztokhamer D, Flynn LP, Rausch D, Spagnolo A, Santero B, Soroka LC, Forciniti S, Blasco M, Lezcano CB, Lastra CE, Bedoya MÁ, Costamagna A, Dheza GR, Ávalos J, Álvarez M, Benchetrit G, Bonaventura C, de los Ángeles Caridi M, Messina A, Ricci B, Viegas M, Di Núbila BM, Lanzetta D, Fernández LJ, Rossetti MA, Romani A, Migazzi C, Barolin C, Martínez E, Bernan ML, Bay MR, Diaz FR, Dominguez CB, Coria GE, Martinelli ME, Grinberg G, Ferreira IB, Cechinel RB, Zanandrea BB, Rohnkohl C, Regalin M, Spessatto JL, Pasini RS, Ferla S, Salomao R, Silva MÂ, de Jesus Silva CH, Vilins M, Blecher S, Angelieri DB, de Souza Kuchenbecker R, Pires MR, Santos RP, Kuplich NM, Siliprandi EM, Santos RP, Cechinel RB, Peres A, Silva CP, Biancalana ML, Sánchez TE, Valente R, Apolinário D, Freitas LF, Santos MC, Lopes JM, Valadares PC, Batista JP, Campos MA, Moretti ML, Cardoso LG, Martins IS, Santos PT, Pinhejro DO, De Abreu JS, Richtmann R, Rodríguez T, Baltieri SR, Joana MS, Moreira M, Stadtlober GF, Cavaglieri AG, Karadimovm D, Velinova V, Qin JA, Juan H, Fang HC, Gao X, Lili T, Yao S, Hungmei W, Bin C, Ruisheng L, Yang Y, Ziqin X, Mei WH, Chun GS, Yang X, Gan A, Zhang A, Luo J, Zhao A, Li F, Liu B, Gao M, Zhao B, Wei L, Wang C, Fang L, Yi C, Xie X, Ling F, Wu Y, Xu F, Feng F, Weng F, Dong G, Ye G, Yang W, Yu H, Yang H, Yan H, Mao A, Zhou H, Chen W, Gong H, Tan H, Liu Y, Tang D, Hao J, Zhang H, Wang J, Qiu Y, Yu J, Gu X, Jiang J, Zhang M, Miu J, Zhao W, Shi J, Li L, Duo K, Cai L, Liu L, Li L, Hua L, Shao Q, An Y, Lu Q, Li G, Sun R, Yu H, Zhang W, Tao Z, Shen Y, Fan W, Chen H, Yao X, Wen H, Xiong X, Xu H, Liu X, Huang M, Wang X, Shao G, Yuan Y, Cao Y, Chen Y, Chen X, Gu Y, Zhu L, Huang Y, Wang M, Wang Y, Wu Y, Mao Y, Cheng Y, Zhao C, Sun Y, Zhu B, Sun Y, Cai M, Zhang Y, Xue M, Zhou Y, Zhang R, Du Y, Li D, Ni Y, Zhang L, Zhong Z, Zhu G, Yu Z, Cao M, Song Z, Xu J, Tong Z, Gu P, Agudelo JG, Sussmann O, Mojica BE, Rojas C, Beltran H, Paez J, Gómez WV, Dajud L, Mendoza M, Arrieta P, Osorio L, Olarte N, Valderrama A, Muñoz HJ, Guzmán NB, Ferrer MR, Villa GS, Guzmán AL, Linares C, Cortés LM, Campo LF, Gómez WV, Menco A, Arrieta P, Calderón ME, Parada EC, Fernandez AM, Martínez IF, Saleg PA, Vega YL, Luengas EL, Ramos CR, Hernández HT, Gomez DY, Gomez BM, Ruiz MG, Millán JC, López MU, Parada EC, Rochel AE, Hidalgo RF, Calzada JM, Muñoz G, Argüello AR, Chinchilla AS, Fuentes CG, Pérez CM, Pino OR, González OD, González DF, de Wang CM, Severino R, Tolari G, Delgado M, Vélez JW, Zapata MA, Valle MJ, Guayasamín S, Seliem ZS, Ali el KA, Abdel-Aziz D, El Sabour MA, Kalil M, Saeed A, El Gafarey M, Fouad L, Muhamed T, Saeed H, de Casares AC, de Jesús Machuca L, Chaniotaki K, Tsioutis C, Bampalis D, Gopinath R, Ravindra N, Karlekar A, Sood S, Verma N, Sen N, Subramani K, Raj JP, Mathur P, Kumar S, Sahu S, Govil D, Jaggi N, Bhatnagar S, Myatra SN, Kelkar R, Biswas S, Raut S, Sampat S, Kumar R, Todi SK, Bhakta A, Bhattacharjee M, Ramachandran B, Chakravarthy M, Gokul B, Sukanya R, Pushparaj L, Singh S, Radhakrishnan K, Udwadia F, Ansari R, Poojary A, Koppikar G, Bhandarkar L, Jadhav S, Dwivedy A, Shetty S, Binu S, Pawar M, Gupta A, Saini N, Kothari V, Singhal T, Shah S, Rodrigues C, Kapadia F, Mehta P, Surase P, Kothari V, Narayanan S, Munshi N, Padbidri V, Dawhale R, Jacobs SM, Khuri-bulos N, Mahafzah A, Baftiu N, Spahija G, Zahreddine N, Alamuddin L, Kanafani Z, Dagys A, Kondratas T, Kevalas R, Anguseva T, Ampova V, Guroska ST, Manikavasagam J, Tan LH, Kaur K, Assadian O, Kaur P, Oropeza MS, Ruiz AA, Campuzano R, Brito JM, Serrato IP, López MS, Hernández HT, Gómez AC, Morales JR, Rodríguez JE, Gallo JH, Almazán FA, Miramontes GI, Olivas Mdel R, Chávez AS, Espinoza YA, Gallegos LA, González JS, Rochín AM, Félix MJ, Peña RD, Gómez AB, Gutiérrez CA, Novales MG, De Jesús Herver M, Gaytán JJ, Olmeda JA, Martínez-Marroquín MY, Hernández A, García EO, Cervantes RV, Arteaga-Troncoso G, Infante FM, Méndez IM, Burguete MC, Barkat A, Bouazzaoui NL, Meryem K, Zeggwagh AA, Abidi K, Dendane T, Madani N, Khan SG, Ali F, Hussain Y, Butt F, Fakir A, Mahmood SF, Jamil B, Ali F, Memon BA, Bhutto GH, Alfaro FG, Alvarado C, De León LM, Navarro R, Moreno JL, Cerrad R, Sabogal AC, Goicochea IP, Sanchez AA, Alva GR, Ventura JG, Aguilar MR, Plasencia NS, Rodríguez T, Echegaray VL, Maldonado EF, Espichan MJ, Echenique L, Rosales R, Bravo LI, Cáceres ML, Espinoza TA, López FS, Saldarriaga ME, Morvelí EU, Barriga H, Villacorta MS, Barrios SC, Zegarra SL, Astete NS, Guevara FC, Mendoza CB, Ramírez AV, Pastrana JS, Wong FM, Ángeles CS, Tavera ZD, Ramirez E, Vergara CE, Mendoza L, Sosa GB, Chávez CM, Zegarra SL, Astete NS, Guevara FC, Mendoza CB, Ramírez AV, Pastrana JS, Berba R, Genuino GA, Consunji RJ, Mantaring JB 3rd, Villanueva VD, Tolentino MC, Galapia YA, Tambyah PA, Hakawi A, Kaluarachchi NN, Samaraweera GA, Ali IM, Satti AA, Jamulitrat S, Thamlikitkul V, Ben-Jaballah N, Ammar K, Öztürk R, Dikmen Y, Aygún G, Ulusoy S, Arda B, Bacakoglu F, Sardan YC, Yildirim G, Topeli A, Arıkan Ö, Tulunay M, Oral M, Ünal N, Alp E, Aygen B, Sirmatel F, Cengiz M, Yilmaz L, Özgültekin A, Akgün N, Ozdemir D, Guclu E, Erdogan S, Erben N, Ozgunes I, Usluer G, Aygun C, Küçüködük S, Arman D, Hizel K, Uzun C, Turgut H, Sacar S, Sungurtekin H, Uğurcan D, Koksal I, Yýlmaz G, Kaya S, Ulusoy H, Ersoz G, Kaya A, Kuyucu N, Esen S, Ulger F, Dilek A, Yalcin AN, Turhan O, Keskin S, Gumus E, Dursun O, Kendirli T, Ince E, Cliftci E, Özdemir H, Demiroz AP, Yetkin MA, Bulut C, Hatipoglu CA, Sebnem Erdinc F, Erbay A, Willke A, Meric M, Azak E, Oncul O, Haznedaroglu T, Gorenek L, Acar A, Silvera E, Techera S, Frachia A, Algorta G, de Añez ZD, Bravo LM, Orozco N, Mejías E, Van Trang DT, Nga TT, Zruong PH, Linares C, Cortés LM, Campo LF, Wu H, Wang W, Wolfram R.

Abstract

The results of a surveillance study conducted by the International Nosocomial Infection Control Consortium (INICC) from January 2004 through December 2009 in 422 intensive care units (ICUs) of 36 countries in Latin America, Asia, Africa, and Europe are reported. During the 6-year study period, using Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN; formerly the National Nosocomial Infection Surveillance system [NNIS]) definitions for device-associated health care-associated infections, we gathered prospective data from 313,008 patients hospitalized in the consortium's ICUs for an aggregate of 2,194,897 ICU bed-days. Despite the fact that the use of devices in the developing countries' ICUs was remarkably similar to that reported in US ICUs in the CDC's NHSN, rates of device-associated nosocomial infection were significantly higher in the ICUs of the INICC hospitals; the pooled rate of central line-associated bloodstream infection in the INICC ICUs of 6.8 per 1,000 central line-days was more than 3-fold higher than the 2.0 per 1,000 central line-days reported in comparable US ICUs. The overall rate of ventilator-associated pneumonia also was far higher (15.8 vs 3.3 per 1,000 ventilator-days), as was the rate of catheter-associated urinary tract infection (6.3 vs. 3.3 per 1,000 catheter-days). Notably, the frequencies of resistance of Pseudomonas aeruginosa isolates to imipenem (47.2% vs 23.0%), Klebsiella pneumoniae isolates to ceftazidime (76.3% vs 27.1%), Escherichia coli isolates to ceftazidime (66.7% vs 8.1%), Staphylococcus aureus isolates to methicillin (84.4% vs 56.8%), were also higher in the consortium's ICUs, and the crude unadjusted excess mortalities of device-related infections ranged from 7.3% (for catheter-associated urinary tract infection) to 15.2% (for ventilator-associated pneumonia).

PMID:
21908073
DOI:
10.1016/j.ajic.2011.05.020
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center