Multicenter study of device-associated infection rates in hospitals of Mongolia: Findings of the International Nosocomial Infection Control Consortium (INICC)

• Published in: American journal of infection control Vol. 44; no. 3; pp. 327 - 331
• Main Authors: Ider, Bat-Erdene, MD, Baatar, Otgon, MD, Rosenthal, Victor Daniel, MD, Khuderchuluun, Chuluunchimeg, MD, Baasanjav, Battsetseg, MD, Donkhim, Chuluunbaatar, MD, Batsuur, Byambadorj, MD, Jambiimolom, Munhzul, MD, Purevdorj, Suvd-Erdene, MD, Tsogtbaatar, Uyanga, MD, Sodnomdarjaa, Baigalmaa, MD, Gendaram, Bayasgalan, MD, Mendsaikhan, Naranpurev, MD, Begzjav, Tsolmon, MD, Narankhuu, Batsaikhan, MD, Ariungerel, Bat-Erdene, MD, Tumendemberel, Bolormaa, MD, Orellano, Pablo Wenceslao, DrPH
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-03-2016; Mosby-Year Book, Inc
• Subjects: Antibiotic resistance; Bacteria - drug effects; Bacteria - isolation & purification; Bed days; Bloodstream infection; Catheter-associated urinary tract infection; Catheter-Related Infections - epidemiology; Central line–associated bloodstream infections; Cross Infection - epidemiology; Disease control; Drug Resistance, Bacterial; Health care–associated infection; Hospitals; Humans; Infection Control; Infectious Disease; Intensive care; Intensive Care Units; Mongolia - epidemiology; Mortality; Network; Nosocomial infection; Nosocomial infections; Pneumonia; Pneumonia, Ventilator-Associated - epidemiology; Prevalence; Prospective Studies; Sepsis - epidemiology; Staphylococcus infections; Urinary tract infection; Urinary Tract Infections - epidemiology; Ventilator-associated pneumonia; United States > US; Mongolia; Nosocomial infection; Ventilator-associated pneumonia; Urinary tract infection; Bloodstream infection; Catheter-associated urinary tract infection; Antibiotic resistance; Network; Health care–associated infection; Central line–associated bloodstream infections; Bed days
• ISSN: 0196-6553; 1527-3296
• DOI: 10.1016/j.ajic.2015.10.010

Background To report the results of the International Nosocomial Infection Control Consortium (INICC) multicenter study conducted in Mongolia from September 2013-March 2015. Methods A device-associated health care–associated infection prospective surveillance study in 3 adult intensive care units (ICUs) from 3 hospitals using the U.S. Centers for Disease Control and Prevention (CDC) and National Healthcare Safety Network (NHSN) definitions and INICC methods. Results We documented 467 ICU patients for 2,133 bed days. The central line–associated bloodstream infection (CLABSI) rate was 19.7 per 1,000 central line days, the ventilator-associated pneumonia (VAP) rate was 43.7 per 1,000 mechanical ventilator days, and the catheter-associated urinary tract infection (CAUTI) rate was 15.7 per 1,000 urinary catheter days; all of the rates are higher than the INICC rates (CLABSI: 4.9; VAP: 16.5; and CAUTI: 5.3) and CDC-NHSN rates (CLABSI: 0.8; VAP: 1.1; and CAUTI: 1.3). Device use ratios were also higher than the CDC-NHSN and INICC ratios, except for the mechanical ventilator device use ratio, which was lower than the INICC ratio. Resistance of Staphylococcus aureus to oxacillin was 100%. Extra length of stay was 15.1 days for patients with CLABSI, 7.8 days for patients with VAP, and 8.2 days for patients with CAUTI. Extra crude mortality in the ICUs was 18.6% for CLABSI, 17.1% for VAP, and 5.1% for CAUTI. Conclusion Device-associated health care–associated infection rates and most device use ratios in our Mongolian hospitals' ICUs are higher than the CDC-NSHN and INICC rates.