Frequency of device-associated infections in intensive care units

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HEDAYAT YAGHOOBI MOJTABA; Sabahi Mohammadmahdi; GHADERI ELAHE; SEIFRABIEI MOHAMMAD ALI; RAHIMI BASHAR FARSHID

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Journal: TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ) Year:2019 | Volume:77 | Issue:11 Page(s): 696-700

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Title

Frequency of device-associated infections in intensive care units

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Keywords

antimicrobial resistanceQ2

catheter-related infectionsQ1

cross infectionQ1

epidemiologic studiesQ1

intensive care unitsQ2

urinary cathetersQ2

urinary tract infectionsQ3

ventilator-associated pneumoniaQ1

Abstract

Background: Health care associated infections (HAIs) are a class of infections that infect patients during hospital admissions and receive medical services. These infections occurs within 48 to 72 hours of admission and up to 6 weeks after discharge. Surveillance of device-associated infections (DAIs) in intensive care units (ICUs) is substantial in planning healthcare strategies. This study was conducted to determine the deviceassociated infections' burden and antimicrobial resistance patterns. Methods: In this descriptive-analytic study, three common device-associated infections included central line-associated bloodstream infection (CLA-BSI), ventilator associated pneumonia (VAP), and catheter-associated urinary tract infection (CA-UTI), were assessed in intensive care units of Besat Hospital in Hamedan from April 2017 to April 2018. In order to determine the incidence of device-associated infections, the number of device-associated infection cases was calculated during the study period and divided into the number of device-days used. The device-days included all days of exposure to that device (vascular catheter, endotracheal tube (ventilator), or urinary catheter) in all patients in the study population. Results: Out of 1806 intensive care unit admitted cases, 168 patients (9. 3%) were device-associated infection with distribution of 92 cases (55%) of ventilator-associated pneumonia (VAP), 56 cases (34%) of catheter-associated urinary tract infection (CA-UTI) and 20 cases (11%) of central line-associated bloodstream infection (CL-BSI). The incidence of VAP, CA-UTI and CL-BSI was 44. 7, 17. 5, and 21. 61 days, respectively. The most organisms were Acinetobacter (27. 4%), Klebsiella (18. 3%), Escherichia coli (E. coli) (15. 4%). Vancomycin-resistant enterococcus (VRE) was 75%. Acinetobacter resistance to colistin and carbapenem was 16. 8%. About half of Pseudomonas isolates were resistant to meropenem. Conclusion: According to the present findings of this study, a high incidence of deviceassociated infections and resistant organisms in our intensive care units were documented, which represents a need to reinforce the preventive and control programs. Various results in different studies can be due to differences in the level of health care in different centers and countries.

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APA: Copy

HEDAYAT YAGHOOBI, MOJTABA, Sabahi, Mohammadmahdi, GHADERI, ELAHE, SEIFRABIEI, MOHAMMAD ALI, & RAHIMI BASHAR, FARSHID. (2020). Frequency of device-associated infections in intensive care units. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), 77(11 ), 696-700. SID. https://sid.ir/paper/368129/en

Vancouver: Copy

HEDAYAT YAGHOOBI MOJTABA, Sabahi Mohammadmahdi, GHADERI ELAHE, SEIFRABIEI MOHAMMAD ALI, RAHIMI BASHAR FARSHID. Frequency of device-associated infections in intensive care units. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ)[Internet]. 2020;77(11 ):696-700. Available from: https://sid.ir/paper/368129/en

IEEE: Copy

MOJTABA HEDAYAT YAGHOOBI, Mohammadmahdi Sabahi, ELAHE GHADERI, MOHAMMAD ALI SEIFRABIEI, and FARSHID RAHIMI BASHAR, “Frequency of device-associated infections in intensive care units,” TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), vol. 77, no. 11 , pp. 696–700, 2020, [Online]. Available: https://sid.ir/paper/368129/en

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