Device-associated infection rates in 398 intensive care units in Shanghai-2011

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Device-associated infection rates in 398 intensive care units in Shanghai, China:

International Nosocomial Infection Control Consortium (INICC) findings

Lili Tao a, Bijie Hub,*, Victor D. Rosenthal c, Xiaodong Gao b, Lixian He b

a Department of Respiratory Medicine, Huadong Hospital, Fudan University, Shanghai, China

b Department of Respiratory Medicine, Zhongshan Hospital, Fudan University, 180 Fenglin Rd, Shanghai, 200032, China

c International Nosocomial Infection Control Consortium, Buenos Aires, Argentina

Article history:Received 4 January 2011Received in revised form 11 June 2011Accepted 20 June 2011Corresponding Editor: Mark Holodniy,California, USA
Objectives: To determine device-associated healthcare-associated infection (DA-HAI) rates and themicroorganism profile in 398 intensive care units (ICUs) of 70 hospitals in Shanghai, China.Methods: An open-label, prospective, cohort, active DA-HAI surveillance study was conducted onpatients admitted to 398 tertiary-care ICUs in China from September 2004 to December 2009,implementing the methodology developed by the International Nosocomial Infection ControlConsortium (INICC). The data were collected in the participating ICUs, and uploaded and analyzed atthe INICC headquarters on proprietary software. DA-HAI rates were registered by applying thedefinitions of the US Centers for Disease Control and Prevention (CDC) National Healthcare SafetyNetwork (NHSN). We analyzed the rates of DAI-HAI, ventilator-associated pneumonia (VAP), centralline-associated bloodstream infection (CLABSI), and catheter-associated urinary tract infection (CAUTI),and their microorganism profiles.Results: During the 5 years and 4 months of the study, 391 527 patients hospitalized in an ICU for anaggregate of 3 245 244 days, acquired 20 866 DA-HAIs, an overall rate of 5.3% (95% confidence interval(CI) 5.3–5.4) and 6.4 (95% CI 6.3–6.5) infections per 1000 ICU-days. VAP posed the greatest risk (20.8 per1000 ventilator-days, 95% CI 20.4–21.1), followed by CAUTI (6.4 per 1000 catheter-days, 95% CI 6.3–6.6)and CLABSI (3.1 per 1000 catheter-days, 95% CI 3.0–3.2). The most common isolated microorganism wasAcinetobacter baumannii (19.1%), followed by Pseudomonas aeruginosa (17.2%), Klebsiella pneumoniae(11.9%), and Staphylococcus aureus (11.9%).Conclusions: DA-HAIs in the ICUs of Shanghai pose a far greater threat to patient safety than in ICUs in theUSA. This is particularly the case for the VAP rate, which is much higher than the rates found in developedcountries. Active infection control programs that carry out infection surveillance and implementprevention guidelines can improve patient safety and must become a priority. 2011 International Society for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

harmoni

正关注ICU方面的感染文章，有了这些就更好找到参照系了

xinlianliuhen

               好多单词不认识得查查字典  慢慢消化，谢谢胡教授~

蓝鱼o_0

下载学习。您这篇文章是国内DAIs数据的权威参照了。