Socioeconomic impact on device-associated infections in limited-resource neonatal intensive care units: findings of the INICC

Abstract

Hospital type and country socioeconomic level influence DA-HAI rates and overall mortality in developing countries.

Clinical impact and cost-effectiveness of split-septum and single-use prefilled flushing device vs 3-way stopcock on central line–associated bloodstream infection rates in India: a randomized clinical trial conducted by the International Nosocomial Infection Control Consortium (INICC)

“…3 The socioeconomic level of a country has an impact on rates of health careeassociated infection (HAI) in ICU settings in developing countries. 6,7 However, to date only 2 studies addressing this issue have been published, which showed higher CLABSI rates in pediatric ICUs in lower-middle-income countries compared with upper-middle-income countries, 6 and significantly higher CLABSI rates in neonatal ICU patients from low-income countries than in lower-middle or upper-middle-income countries. 7 In the developing countries, including India, 8 it has been demonstrated that CLABSI rates can be reduced by more than 50% [8][9][10][11][12][13][14] by adopting a multidimensional approach with the simultaneous implementation of 6 elements: (1) a bundle of interventions, (2) education, (3) outcome surveillance, (4) process surveillance, (5) feedback on CLABSI rates and consequences, and (6) performance feedback.…”

Surgical site infection rates in four Mexican cities: Findings of the International Nosocomial Infection Control Consortium (INICC)

“…The relation between the HAI rates and their associations to the type of hospital (public, academic, and private), and the relation between HAI rates and the country's socioeconomic level (defined as low income, mid low income and high income) have been recently analyzed and published by the INICC [19,20]. Such findings show that higher socio-economic levels were correlated with lower infection risk [19,20].…”

Riesgo de bacteriemia asociada a dispositivos intravasculares estratificados por peso de nacimiento en recién nacidos de un hospital público de alta complejidad: seguimiento de siete años

“…Esta asociación también ha sido descrita en estudios prospectivos, donde se estima un mayor riesgo de bacteriemias tras el uso de CU (Hazard Ratio 1,79) versus otros dispositivos por vía venosa central 16 . Los microorganismos aislados fueron principalmente cocáceas grampositivas, siendo el más frecuente Staphylococcus coagulasa negativa en las bacteriemias asociadas al uso de CVCP y CU, seguido de S. aureus que tuvo una mayor presencia en desarrollo de bacteriemias asociadas a CVP; tendencia similar se describe en los reportes de la NHSN y en otros estudios 1,17,18 . Dentro de los bacilos gramnegativos, más frecuente fue K. pneumoniae en cualquiera de los tipos de dispositivos intravasculares estudiados.…”