Abstract:
PURPOSE:To determine the rate of device-associated healthcare-associated infections (DA-HAIs) at a respiratory intensive care unit (RICU) and in the pediatric intensive care units (PICUs) of member hospitals of the International Nosocomial Infection Control Consortium (INICC) in Egypt. MATERIALS AND METHODS:A prospective cohort DA-HAI surveillance study was conducted from December 2008 to July 2010 by applying the methodology of the INICC and the definitions of the NHSN-CDC. RESULTS:In the RICU, 473 patients were hospitalized for 2930d and acquired 155 DA-HAIs, with an overall rate of 32.8%. There were 52.9 DA-HAIs per 1000 ICU-days. In the PICUs, 143 patients were hospitalized for 1535d and acquired 35 DA-HAIs, with an overall rate of 24.5%. There were 22.8 DA-HAIs per 1000 ICU-days. The central line-associated blood stream infection (CLABSI) rate was 22.5 per 1000 line-days in the RICU and 18.8 in the PICUs; the ventilator-associated pneumonia (VAP) rate was 73.4 per 1000 ventilator-days in the RICU and 31.8 in the PICUs; and the catheter-associated urinary tract infection (CAUTI) rate was 34.2 per 1000 catheter-days in the RICU. CONCLUSIONS:DA-HAIs in the ICUs in Egypt pose greater threats to patient safety than in industrialized countries, and infection control programs, including surveillance and guidelines, must become a priority.
journal_name
J Infect Public Healthjournal_title
Journal of infection and public healthauthors
Rasslan O,Seliem ZS,Ghazi IA,El Sabour MA,El Kholy AA,Sadeq FM,Kalil M,Abdel-Aziz D,Sharaf HY,Saeed A,Agha H,El-Abdeen SA,El Gafarey M,El Tantawy A,Fouad L,Abel-Haleim MM,Muhamed T,Saeed H,Rosenthal VDdoi
10.1016/j.jiph.2012.07.002subject
Has Abstractpub_date
2012-12-01 00:00:00pages
394-402issue
6eissn
1876-0341issn
1876-035Xpii
S1876-0341(12)00083-4journal_volume
5pub_type
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