Six-year multicenter study on short-term peripheral venous catheters-related bloodstream infection rates in 727 intensive care units of 268 hospitals in 141 cities of 42 countries of Africa, the Americas, Eastern Mediterranean, Europe, South East Asia, and Western Pacific Regions: International Nosocomial Infection Control Consortium (INICC) findings

Short-term peripheral venous catheter-related bloodstream infection (PVCR-BSI) rates have not been systematically studied in resource-limited countries, and data on their incidence by number of device days are not available. Prospective, surveillance study on PVCR-BSI conducted from September 1, 201...

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Published in:	Infection control and hospital epidemiology Vol. 41; no. 5; pp. 553 - 563
Main Authors:	Rosenthal, Víctor Daniel, Bat-Erdene, Ider, Gupta, Debkishore, Belkebir, Souad, Rajhans, Prasad, Zand, Farid, Myatra, Sheila Nainan, Afeef, Majeda, Tanzi, Vito L, Muralidharan, S, Al-Abdely, Hail M, El-Kholy, Amani, AlKhawaja, Safa A Aziz, Demiroz, Ali Pekcan, Mehta, Yatin, Rai, Vineya, Hung, Nguyen Viet, Sayed, Amani F, Salgado-Yepez, Estuardo, Elahi, Naheed, Del Rayo Morfin-Otero, María, Luxsuwong, Montri, De-Carvalho, Braulio Matias, Tapang, Audrey Rose D, Velinova, Velmira Angelova, Quesada-Mora, Ana Marcela, Anguseva, Tanja, Ikram, Aamer, Aguilar-de-Moros, Daisy, Duszynska, Wieslawa, Mejia, Nepomuceno, Horhat, Florin George, Belskiy, Vladislav, Mioljevic, Vesna, Di-Silvestre, Gabriela, Furova, Katarina, Gamar-Elanbya, May Osman, Gupta, Umesh, Abidi, Khalid, Raka, Lul, Guo, Xiuqin, Jayatilleke, Kushlani, Ben-Jaballah, Najla, Sandoval-Castillo, Harrison Ronald, Trotter, Andrew, Valderrama-Beltrán, Sandra L, Leblebicioglu, Hakan, Guanche-Garcell, Humberto, de Lourdes-Dueñas, Miriam
Format:	Journal Article
Language:	English
Published:	United States Cambridge University Press 01-05-2020
Subjects:	Advisory Committees Africa - epidemiology Americas - epidemiology Asia, Southeastern - epidemiology Bacteremia - epidemiology Bacteremia - etiology Bacteria Catheter-Related Infections - epidemiology Catheter-Related Infections - microbiology Central Venous Catheters - microbiology Cities Cross Infection - epidemiology Cross Infection - microbiology Disease control E coli Europe - epidemiology Hospitals Humans Infection Control Intensive care Intensive Care Units Medical instruments Mediterranean Islands - epidemiology Mortality Multicenter Studies as Topic Nosocomial infection Nosocomial infections Nursing Pacific Islands - epidemiology Prospective Studies Public health Sentinel Surveillance Asia, Southeastern Americas Mediterranean Islands Europe Pacific Islands Africa Cities Argentina Southeast Asia United States > US East Asia Australia
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Summary:	Short-term peripheral venous catheter-related bloodstream infection (PVCR-BSI) rates have not been systematically studied in resource-limited countries, and data on their incidence by number of device days are not available. Prospective, surveillance study on PVCR-BSI conducted from September 1, 2013, to May 31, 2019, in 727 intensive care units (ICUs), by members of the International Nosocomial Infection Control Consortium (INICC), from 268 hospitals in 141 cities of 42 countries of Africa, the Americas, Eastern Mediterranean, Europe, South East Asia, and Western Pacific regions. For this research, we applied definition and criteria of the CDC NHSN, methodology of the INICC, and software named INICC Surveillance Online System. We followed 149,609 ICU patients for 731,135 bed days and 743,508 short-term peripheral venous catheter (PVC) days. We identified 1,789 PVCR-BSIs for an overall rate of 2.41 per 1,000 PVC days. Mortality in patients with PVC but without PVCR-BSI was 6.67%, and mortality was 18% in patients with PVC and PVCR-BSI. The length of stay of patients with PVC but without PVCR-BSI was 4.83 days, and the length of stay was 9.85 days in patients with PVC and PVCR-BSI. Among these infections, the microorganism profile showed 58% gram-negative bacteria: Escherichia coli (16%), Klebsiella spp (11%), Pseudomonas aeruginosa (6%), Enterobacter spp (4%), and others (20%) including Serratia marcescens. Staphylococcus aureus were the predominant gram-positive bacteria (12%). PVCR-BSI rates in INICC ICUs were much higher than rates published from industrialized countries. Infection prevention programs must be implemented to reduce the incidence of PVCR-BSIs in resource-limited countries.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0899-823X 1559-6834
DOI:	10.1017/ice.2020.20