Surveillance of Device-Associated Infection and Antimicrobial Resistance Rates in the Medical/Surgical Intensive Care Unit of Emergency Hospital at Tanta University, Egypt

Burden of Device-Associated Infections in an Adult Medical and Surgical Intensive Care Units of a Tertiary Care Hospital in Egypt

“…In our study, VAP was the most common DAI and accounted for 55.8% of all DAIs followed by CAUTI (32.5%) and finally CLABSI (11.6%). This order is in agreement with a study carried out in Tanta University 13 , but with different percentages (73.17%, 19.51% and 7.32%, respectively). Similarly, VAP was the most frequent infection (66.7%), followed by CAUTI (22.2%) and CLABSI (11.1%) in one more Egyptian study conducted in adult medical ICUs of Cairo University hospitals 14 .…”

“…The CLABSI rate of our study was 1.3 per 1000 catheter-days (95% CI, 0.68-2.34), which is lower than the INICC report's rate (4.11 per 1,000 catheter-days [95% CI, 4.0-4.2]) 16 and higher than the CDC-NHSN report (0.8 per 1,000 catheter-days [95% CI, 0.8-0.9]) 20 . In addition, our CLABSI rate was lower than a study done in Egypt (6.93 per 1,000 central line-days) 13 , in Cyprus (15.9/1000 device days) 1 and the Greek study (12.1 infections per 1,000 central line-days) 12 . The low CLABSI rate reported in our study may be explained by the adherence to adequate aseptic techniques during central line insertion and maintenance.…”

“…In our study, we found that DAIs accounted for 71.1% of all HAIs, with an overall rate of 4.4 DAIs per 1,000 device days (95% CI, 3.56-5.43). This rate is found to be markedly lower than a surveillance study carried out in medical-surgical ICUs at Emergency Hospital of Tanta University (24.17/1,000 device-days) 13 . Meanwhile, in this study, it has been shown that DAI rate among the medical ICUs was found to be 4.4 DAIs per 1,000 device days.…”

“…This rate is similar to a study reported in Greece with 12.5 (95% CI, 10.7-14.4) infections per 1,000 patient-days 12 , and closely similar to the Cyprus study (10.1/1000 device days) 1 . Higher rates were reported by the Egyptian study (52.17/1,000 ventilator-days) 13 and the Greek study (20/1,000 ventilator-days) 18 One more Egyptian study reported that late onset VAP represented 41.2 per 1000 ventilator days which is higher than our study 19 Several causal factors can contribute to the high VAP rates in our study including inadequate supplies and inappropriate recycling of respiratory care tubing as well as the close proximity of patient beds.…”