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dc.contributor.authorRosenthal, Victor D.
dc.contributor.authorHu Bijie
dc.contributor.authorMaki, Dennis G.
dc.contributor.authorMehta, Yatin
dc.contributor.authorApisarnthanarak, Anucha
dc.contributor.authorMedeiros, Eduardo A.
dc.contributor.authorChavarria Ugalde, Olber
dc.date.accessioned2020-06-21T14:27:43Z
dc.date.available2020-06-21T14:27:43Z
dc.date.issued2012
dc.identifier.issn0196-6553
dc.identifier.issn1527-3296
dc.identifier.urihttps://doi.org/10.1016/j.ajic.2011.05.020
dc.identifier.urihttps://hdl.handle.net/20.500.12712/16518
dc.descriptionMedeiros, Eduardo A/0000-0002-6205-259X; Garcell, Humberto Guanche/0000-0001-7279-0062; Leblebicioglu, Hakan/0000-0002-6033-8543; Dikmen, Yalim/0000-0002-3122-5099; Abouqal, Redouane/0000-0002-6117-4341; Kendirli, Tanil/0000-0001-9458-2803; Tsioutis, Constantinos/0000-0002-7865-8529; Yalcin, Ata Nevzat/0000-0002-7243-7354; Abouqal, Redouane/0000-0002-6117-4341; Acar, Ali/0000-0003-2008-5112; alvarez Moreno, carlos Arturo/0000-0001-5419-4494; Ozdemir, Halil/0000-0002-7318-1688; Satti, Asim/0000-0001-8432-6101; Barahona G., Nayide/0000-0003-3559-6900; Gikas, Achilleas/0000-0002-8455-9631; Mitrev, Zan/0000-0001-7859-8821; Jayatilleke, Kushlani/0000-0002-3931-6630; Unal, Necmettin/0000-0002-9440-7893; Kanj, Souha/0000-0001-6413-3396; Gonzalez Martinez, Marisela del Rocio/0000-0003-1474-736X; Rodriguez Ferrer, Marena Luz/0000-0002-8053-8454en_US
dc.descriptionWOS: 000304378300003en_US
dc.descriptionPubMed: 21908073en_US
dc.description.abstractThe results of a surveillance study conducted by the International Nosocomial Infection Control Consortium (INICC) from January 2004 through December 2009 in 422 intensive care units (ICUs) of 36 countries in Latin America, Asia, Africa, and Europe are reported. During the 6-year study period, using Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN; formerly the National Nosocomial Infection Surveillance system [NNIS]) definitions for device-associated health care-associated infections, we gathered prospective data from 313,008 patients hospitalized in the consortium's ICUs for an aggregate of 2,194,897 ICU bed-days. Despite the fact that the use of devices in the developing countries' ICUs was remarkably similar to that reported in US ICUs in the CDC's NHSN, rates of device-associated nosocomial infection were significantly higher in the ICUs of the INICC hospitals; the pooled rate of central line-associated bloodstream infection in the INICC ICUs of 6.8 per 1,000 central line-days was more than 3-fold higher than the 2.0 per 1,000 central line-days reported in comparable US ICUs. The overall rate of ventilator-associated pneumonia also was far higher (15.8 vs 3.3 per 1,000 ventilator-days), as was the rate of catheter-associated urinary tract infection (6.3 vs. 3.3 per 1,000 catheter-days). Notably, the frequencies of resistance of Pseudomonas aeruginosa isolates to imipenem (47.2% vs 23.0%), Klebsiella pneumoniae isolates to ceftazidime (76.3% vs 27.1%), Escherichia coli isolates to ceftazidime (66.7% vs 8.1%), Staphylococcus aureus isolates to methicillin (84.4% vs 56.8%), were also higher in the consortium's ICUs, and the crude unadjusted excess mortalities of device-related infections ranged from 7.3% (for catheter-associated urinary tract infection) to 15.2% (for ventilator-associated pneumonia). Copyright (C) 2011 by the Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.en_US
dc.language.isoengen_US
dc.publisherMosby-Elsevieren_US
dc.relation.isversionof10.1016/j.ajic.2011.05.020en_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectNetworken_US
dc.subjectHospital infectionen_US
dc.subjectNosocomial infectionen_US
dc.subjectHealth care-associated infectionen_US
dc.subjectDevice-associated infectionen_US
dc.subjectVentilator-associated pneumoniaen_US
dc.subjectCatheter-associated urinary tract infectionen_US
dc.subjectCentral line-associated bloodstream infectionen_US
dc.subjectBloodstream infectionen_US
dc.subjectUrinary tract infectionen_US
dc.subjectAntibiotic resistanceen_US
dc.subjectDeveloping countriesen_US
dc.subjectLimited-resources countriesen_US
dc.subjectLow-income countriesen_US
dc.titleInternational Nosocomial Infection Control Consortium (INICC) report, data summary of 36 countries, for 2004-2009en_US
dc.typearticleen_US
dc.contributor.departmentOMÜen_US
dc.identifier.volume40en_US
dc.identifier.issue5en_US
dc.identifier.startpage396en_US
dc.identifier.endpage407en_US
dc.relation.journalAmerican Journal of Infection Controlen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US


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