Device-Associated Infection Rates in 20 Cities of India, Data Summary for 2004–2013: Findings of the International Nosocomial Infection Control Consortium. (26th November 2015)

• Record Type: Journal Article
• Authors: Mehta, Yatin; Jaggi, Namita; Rosenthal, Victor Daniel; Kavathekar, Maithili; Sakle, Asmita; Munshi, Nita; Chakravarthy, Murali; Todi, Subhash Kumar; Saini, Narinder; Rodrigues, Camilla; Varma, Karthikeya; Dubey, Rekha; Kazi, Mohammad Mukhit; Udwadia, F. E.; Myatra, Sheila Nainan; Shah, Sweta; Dwivedy, Arpita; Karlekar, Anil; Singh, Sanjeev; Sen, Nagamani; Limaye-Joshi, Kashmira; Ramachandran, Bala; Sahu, Suneeta; Pandya, Nirav; Mathur, Purva; Sahu, Samir; Singh, Suman P.; Bilolikar, Anil Kumar; Kumar, Siva; Mehta, Preeti; Padbidri, Vikram; Gita, N.; Patnaik, Saroj K.; Francis, Thara; Warrier, Anup R.; Muralidharan, S.; Nair, Pravin Kumar; Subhedar, Vaibhavi R.; Gopinath, Ramachadran; Azim, Afzal; Sood, Sanjeev;
• Is Part Of: Infection control and hospital epidemiology. Volume 37:Number 2(2016)
• Page Start: 172
• Page End: 181
• Publication Date: 2015-11-26
• Subjects: Nosocomial infections -- Epidemiology -- Periodicals; Health facilities -- Sanitation -- Periodicals; Hospital buildings -- Sanitation -- Periodicals; Cross Infection -- Periodicals; Epidemiology -- Periodicals; Hospitals -- Periodicals; Infection Control -- Periodicals; 614.44
• DOI: 10.1017/ice.2015.276
• Languages: English
• ISSNs: 0899-823X

Abstract

Abstract : OBJECTIVE: To report the International Nosocomial Infection Control Consortium surveillance data from 40 hospitals (20 cities) in India 2004–2013. METHODS: Surveillance using US National Healthcare Safety Network's criteria and definitions, and International Nosocomial Infection Control Consortium methodology. RESULTS: We collected data from 236, 700 ICU patients for 970, 713 bed-days Pooled device-associated healthcare-associated infection rates for adult and pediatric ICUs were 5.1 central line–associated bloodstream infections (CLABSIs)/1, 000 central line–days, 9.4 cases of ventilator-associated pneumonia (VAPs)/1, 000 mechanical ventilator–days, and 2.1 catheter-associated urinary tract infections/1, 000 urinary catheter–days In neonatal ICUs (NICUs) pooled rates were 36.2 CLABSIs/1, 000 central line–days and 1.9 VAPs/1, 000 mechanical ventilator–days Extra length of stay in adult and pediatric ICUs was 9.5 for CLABSI, 9.1 for VAP, and 10.0 for catheter-associated urinary tract infections. Extra length of stay in NICUs was 14.7 for CLABSI and 38.7 for VAP Crude extra mortality was 16.3% for CLABSI, 22.7% for VAP, and 6.6% for catheter-associated urinary tract infections in adult and pediatric ICUs, and 1.2% for CLABSI and 8.3% for VAP in NICUs Pooled device use ratios were 0.21 for mechanical ventilator, 0.39 for central line, and 0.53 for urinary catheter in adult and pediatric ICUs; and 0.07 for mechanical ventilator and 0.06 for central line in NICUs. CONCLUSIONS: Despite a lower device use ratio in our ICUs, our device-associated healthcare-associated infection rates are higher than National Healthcare Safety Network, but lower than International Nosocomial Infection Control Consortium Report. Infect. Control Hosp. Epidemiol. 2016;37(2):172–181