Device-associated infection rates, device use, length of stay, and mortality in intensive care units of 4 Chinese hospitals: International Nosocomial Control Consortium findings

Hu, Bijie; Tao, Lili; Rosenthal, Víctor D.; Liu, Kun; Yang, Yun; Suo, Yao; Gao, Xuan; Li, Ruisheng; Su, Danxia; Wang, Hungmei; Hao, Chunxia; Pan, Wenqin; Saunders, Catherine L.

doi:10.1016/j.ajic.2012.03.037

Cited by 53 publications

(50 citation statements)

References 23 publications

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“…[20][21][22] Among patients in the ICU receiving MV, the incidence of VAP ranged from 20.5% (retrospective cohort) to 43.5% (nested case-control studies) depending on the study type assessed. For reference, a systematic review of English-language observational studies and randomized trials that provided incidences of VAP by Safdar et al 2 23 estimated 43% use across seven ICUs in Shanghai. These data, coupled with the fact that approximately 90% of ICU-acquired pneumonia occurs in patients receiving MV, support the relatively high incidence rate reported in our analysis.…”

Section: Discussionmentioning

confidence: 99%

Disease burden of intensive care unit-acquired pneumonia in China: a systematic review and meta-analysis

Zhang

Yao

Zhan

et al. 2014

International Journal of Infectious Diseases

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Section: Discussionmentioning

confidence: 99%

Disease burden of intensive care unit-acquired pneumonia in China: a systematic review and meta-analysis

Zhang

Yao

Zhan

et al. 2014

International Journal of Infectious Diseases

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“…A ocorrência de infecções relacionadas à assistência à saúdeem pacientes internados em unidade de terapia intensiva contribui para o aumento no tempo de internação, maior mortalidade e aumento de gastos com medicamentos e materiais (9)(10)(11) . Essas complicações infecciosas podem representar ônus ao paciente, expresso no aumento da carga de doença e no estabelecimento de quadro séptico associado (12) .…”

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Fatores De Risco Às Infecções Relacionadas À Assistência Em Unidades De Terapia Intensiva*

et al. 2018

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RESUMO: Objetivo: identificar os pacientes e os fatores de risco associados à ocorrência de infecções relacionadas à assistência à saúde em unidades de terapia intensiva. Método: estudo transversal realizado com 155 pacientes internados entre 2012 e 2014 em duas unidades de terapia intensiva de dois hospitais públicos do Distrito Federal. Os dados foram coletados em prontuário e registrados em planilha no programa Microsoft Excel®. Foram considerados significativos resultados com p-value<0,05. Resultados: do total de 155 pacientes, 55 (35,5%) pacientes foram acometidos por infecções relacionadas à assistência à saúde durante a internação na unidade de terapia intensiva. Tempo de internação (p=0,001), internação por causas clínicas (p=0,017), diabetes mellitus (p=0,002) e cirurgia eletiva (p=0,011), foram fatores de risco, independentes para essas infecções. Conclusão: as complicações infecciosas acometeram cerca de um terço dos pacientes no cenário de terapia intensiva. A vigilância dessas complicações pode orientar ações para melhoria da segurança do paciente crítico. DESCRITORES: Infecção hospitalar; Unidades de terapia intensiva; Fatores de risco; Hospitais públicos; Pacientes. RISK FACTORS FOR HEALTHCARE-ASSOCIATED INFECTIONS IN INTENSIVE CARE UNITSABSTRACT: Objective: to identify patients and risk factors related to the occurrence of healthcare-associated infections in intensive care units. Method: cross-sectional study with 155 hospitalized patients between 2012 and 2014 in two intensive care units of two public hospitals of the Federal District. Data were collected from the medical records and recorded in a spreadsheet using the Microsoft Excel® program. Results with p-value <0.05 were considered significant. Results: of the total of 155 patients, 55 (35.5%) patients were affected by healthcare-associated infections during hospitalization in the intensive care unit. Length of stay (p=0.001), hospitalization due to clinical causes (p=0.017), diabetes mellitus (p=0.002) and elective surgery (p=0.011) were independent risk factors for these infections. Conclusion: infectious complications affected approximately one third of the patients in the intensive care setting. Surveillance of these complications may guide actions to improve the safety of critical patients. KEYWORDS: Cross Infection; Intensive care units; Risk factors; Hospitals, public; Patients. FACTORES DE RIESGO A INFECCIONES ASOCIADAS A LA ASISTENCIA EN UNIDADES DE TERAPIA INTENSIVA*RESUMEN: Objetivo: identificar los pacientes y los factores de riesgo asociados a la ocurrencia de infecciones relacionadas a la asistencia a la salud en unidades de terapia intensiva. Método: estudio transversal realizado con 155 pacientes internados entre 2012 y 2014 en dos unidades de terapia intensiva de dos hospitales públicos de Distrito Federal. Se recogieron los datos por medio de prontuario y se los registraron en programa Microsoft Excel®. Se consideraron significativos resultados con p-value<0,05. Resultados: del total de 155 pacientes, 55 (35,5%) pacientes ...

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“…Catheterassociated urinary tract infections (CAUTIs) have not been as extensively studied in pediatric populations, but are associated with poor outcomes among adults. 5,6 Health care-associated infections (HAIs) result in protracted hospital stays, 1 increased cost, [7][8][9] and prolonged need for mechanical ventilation. 3 They are also associated with poor neurodevelopmental outcomes, particularly for extremely low birth weight infants.…”

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confidence: 99%

Health Care-Associated Infections Among Critically Ill Children in the US, 2007–2012

Patrick¹,

Kawai

Kleinman

et al. 2014

Pediatrics

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BACKGROUND: Health care–associated infections (HAIs) are harmful and costly and can result in substantial morbidity for hospitalized children; however, little is known about national trends in HAIs in neonatal and pediatric populations. Our objective was to determine the incidence of HAIs among a large sample of hospitals in the United States caring for critically ill children from 2007 to 2012. METHODS: In this cohort study, we included NICUs and PICUs located in hospitals reporting data to the Centers for Disease Control and Prevention’s National Healthcare Safety Network for central line–associated bloodstream infections (CLABSIs), ventilator-associated pneumonias, and catheter-associated urinary tract infections. We used a time-series design to evaluate changes in HAI rates. RESULTS: A total of 173 US hospitals provided data from NICUs, and 64 provided data from PICUs. From 2007 to 2012, rates of CLABSIs decreased in NICUs from 4.9 to 1.5 per 1000 central-line days (incidence rate ratio (IRR) per quarter = 0.96, 95% confidence interval 0.94–0.97) and in PICUs from 4.7 to 1.0 per 1000 central-line days (IRR per quarter = 0.96 [0.94–0.98]). Rates of ventilator-associated pneumonias decreased in NICUs from 1.6 to 0.6 per 1000 ventilator days (IRR per quarter = 0.97 [0.93–0.99]) and PICUs from 1.9 to 0.7 per 1000 ventilator-days (IRR per quarter = 0.95 [0.92–0.98]). Rates of catheter-associated urinary tract infections did not change significantly in PICUs. CONCLUSIONS: Between 2007 and 2012 there were substantial reductions in HAIs among hospitalized neonates and children.

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Device-associated infection rates, device use, length of stay, and mortality in intensive care units of 4 Chinese hospitals: International Nosocomial Control Consortium findings

Cited by 53 publications

References 23 publications

Disease burden of intensive care unit-acquired pneumonia in China: a systematic review and meta-analysis

Disease burden of intensive care unit-acquired pneumonia in China: a systematic review and meta-analysis

Fatores De Risco Às Infecções Relacionadas À Assistência Em Unidades De Terapia Intensiva*

Health Care-Associated Infections Among Critically Ill Children in the US, 2007–2012

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