International Nosocomial Infection Control Consortium (INICC) report, data summary of 45 countries for 2012-2017: Device-associated module

•We report INICC device-associated module data of 45 countries from 2012-2015.•We collected prospective data from 532,483 patients in 523 ICUs for 2,197,304 days.•DA-HAI rates and bacterial resistance were higher in INICC ICUs than in CDC-NHSN's.•Device utilization ratio in the INICC ICUs was s...

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Published in:	American journal of infection control Vol. 48; no. 4; pp. 423 - 432
Main Authors:	Zand, Farid, El-Kholy, Amani, Rai, Vineya, Anguseva, Tanja, Ikram, Aamer, Sandoval-Castillo, Harrison Ronald, Bourlot, I., García, M., Arregui, N.V., Humood, M.Z., Swar, S., Sugette-de-Aguiar, T., Moreira, T., Rodrigues-Amarilo, N., Azevedo-Ferreira-Lima, D., Servolo-Medeiros, E.A., Cañas-Giraldo, L.M., González-Rubio, P.A., Vargas-Garcia, A.R., Roncancio, E.G., Chapeta-Parada, E.G., Martinez, A., Salgado-Yepez, E., Valencia, F., Caballero-Narvaez, H., Ahmed, S.A., El-Fattah, M.A., Abdel-Aziz, D.M., Helal, A.M., Kamal-Elden, N.M., Chabukswar, S., Anju, M., Nair, P.K., Kharbanda, M., Divatia, J.V., Sanyal, S., Valsa, T., Mani, A.K., Tamboli, A.S., Mishra, S., Sharma, C.B., Kaur, A., Pillai, S., ALazhary, M., Alabdely, H.M., Ahmed, H., Rajavel, R.D., Turkistani, A.A., Abraham, S., Esam, B., Aldossary, A.H., Al-Suliman, S., HaqlreMia, M.E., Alradady, M., Raees, M., Abdulatif, S.M., Ali-Karrar, M.A., Jaha, R.N., Kurian, A., Foda-Salama, M., Ahmadieh, R., Mahfouz, T., Kondratas, T., Petrovska, M., Altuzar-Figueroa, M.A., Aragon, D.M.L., Sanchez-Rivas, M., Monroy-Colin, V.A., Guido-Ramirez, O., Battsetseg, T., Tsolmon, B., Saranbaatar, A., Zeggwagh, A.A., Nizamuddin, S., Sultan, F., Zahra, F.T., Daud, N., Ali, S.R., Castaño, E.G., Labro, E., Cesar, J.L., Domanska, M., Kolat-Brodecka, P., Smiechowicz, K., Kojovic, J., Abdo-Ali, M.M., Cabadak, H., Sebnem, F.E., Ersoz, G., Altindis, M., Oncul, A., Ceylan, G., Cengiz, M., Yalcin, A.N., Kocagoz, A.S., Perez, F., Sanchez, E., Nguyet, L.T.T., Hang, T.T.T., Anh, D.P.P.
Format:	Journal Article
Language:	English
Published:	United States Elsevier Inc 01-04-2020
Subjects:	Anti-Bacterial Agents - pharmacology Antibiotic resistance Bacterial Infections - epidemiology Bacterial Infections - microbiology Bacterial Infections - prevention & control Catheter-Related Infections - epidemiology Catheter-Related Infections - microbiology Catheterization, Central Venous - adverse effects Catheters, Indwelling - adverse effects Catheters, Indwelling - microbiology Device-associated infection Drug Resistance, Bacterial Global Health Health care–associated infection Hospital infection Humans Infection Control Intensive Care Units Nosocomial infection Retrospective Studies Ventilator-associated pneumonia Hospital infection Device-associated infection Nosocomial infection Ventilator-associated pneumonia Health care–associated infection Antibiotic resistance
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Summary:	•We report INICC device-associated module data of 45 countries from 2012-2015.•We collected prospective data from 532,483 patients in 523 ICUs for 2,197,304 days.•DA-HAI rates and bacterial resistance were higher in INICC ICUs than in CDC-NHSN's.•Device utilization ratio in the INICC ICUs was similar to CDC-NHSN's. We report the results of International Nosocomial Infection Control Consortium (INICC) surveillance study from January 2012 to December 2017 in 523 intensive care units (ICUs) in 45 countries from Latin America, Europe, Eastern Mediterranean, Southeast Asia, and Western Pacific. During the 6-year study period, prospective data from 532,483 ICU patients hospitalized in 242 hospitals, for an aggregate of 2,197,304 patient days, were collected through the INICC Surveillance Online System (ISOS). The Centers for Disease Control and Prevention-National Healthcare Safety Network (CDC-NHSN) definitions for device-associated health care–associated infection (DA-HAI) were applied. Although device use in INICC ICUs was similar to that reported from CDC-NHSN ICUs, DA-HAI rates were higher in the INICC ICUs: in the medical-surgical ICUs, the pooled central line-associated bloodstream infection rate was higher (5.05 vs 0.8 per 1,000 central line-days); the ventilator-associated pneumonia rate was also higher (14.1 vs 0.9 per 1,000 ventilator-days,), as well as the rate of catheter-associated urinary tract infection (5.1 vs 1.7 per 1,000 catheter-days). From blood cultures samples, frequencies of resistance, such as of Pseudomonas aeruginosa to piperacillin-tazobactam (33.0% vs 18.3%), were also higher. Despite a significant trend toward the reduction in INICC ICUs, DA-HAI rates are still much higher compared with CDC-NHSN's ICUs representing the developed world. It is INICC's main goal to provide basic and cost-effective resources, through the INICC Surveillance Online System to tackle the burden of DA-HAIs effectively.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0196-6553 1527-3296
DOI:	10.1016/j.ajic.2019.08.023