Author:
Mehta Yatin,Jaggi Namita,Rosenthal Victor Daniel,Kavathekar Maithili,Sakle Asmita,Munshi Nita,Chakravarthy Murali,Todi Subhash Kumar,Saini Narinder,Rodrigues Camilla,Varma Karthikeya,Dubey Rekha,Kazi Mohammad Mukhit,Udwadia F. E.,Myatra Sheila Nainan,Shah Sweta,Dwivedy Arpita,Karlekar Anil,Singh Sanjeev,Sen Nagamani,Limaye-Joshi Kashmira,Ramachandran Bala,Sahu Suneeta,Pandya Nirav,Mathur Purva,Sahu Samir,Singh Suman P.,Bilolikar Anil Kumar,Kumar Siva,Mehta Preeti,Padbidri Vikram,Gita N.,Patnaik Saroj K.,Francis Thara,Warrier Anup R.,Muralidharan S.,Nair Pravin Kumar,Subhedar Vaibhavi R.,Gopinath Ramachadran,Azim Afzal,Sood Sanjeev
Abstract
OBJECTIVETo report the International Nosocomial Infection Control Consortium surveillance data from 40 hospitals (20 cities) in India 2004–2013.METHODSSurveillance using US National Healthcare Safety Network’s criteria and definitions, and International Nosocomial Infection Control Consortium methodology.RESULTSWe collected data from 236,700 ICU patients for 970,713 bed-daysPooled device-associated healthcare-associated infection rates for adult and pediatric ICUs were 5.1 central line–associated bloodstream infections (CLABSIs)/1,000 central line–days, 9.4 cases of ventilator-associated pneumonia (VAPs)/1,000 mechanical ventilator–days, and 2.1 catheter-associated urinary tract infections/1,000 urinary catheter–daysIn neonatal ICUs (NICUs) pooled rates were 36.2 CLABSIs/1,000 central line–days and 1.9 VAPs/1,000 mechanical ventilator–daysExtra length of stay in adult and pediatric ICUs was 9.5 for CLABSI, 9.1 for VAP, and 10.0 for catheter-associated urinary tract infections. Extra length of stay in NICUs was 14.7 for CLABSI and 38.7 for VAPCrude extra mortality was 16.3% for CLABSI, 22.7% for VAP, and 6.6% for catheter-associated urinary tract infections in adult and pediatric ICUs, and 1.2% for CLABSI and 8.3% for VAP in NICUsPooled device use ratios were 0.21 for mechanical ventilator, 0.39 for central line, and 0.53 for urinary catheter in adult and pediatric ICUs; and 0.07 for mechanical ventilator and 0.06 for central line in NICUs.CONCLUSIONSDespite a lower device use ratio in our ICUs, our device-associated healthcare-associated infection rates are higher than National Healthcare Safety Network, but lower than International Nosocomial Infection Control Consortium Report.Infect. Control Hosp. Epidemiol. 2016;37(2):172–181
Publisher
Cambridge University Press (CUP)
Subject
Infectious Diseases,Microbiology (medical),Epidemiology