International Nosocomial Infection Control Consortium (INICC) national report on device-associated infection rates in 19 cities of Turkey, data summary for 2003-2012

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dc.contributor.authorLeblebicioğlu, Hakan
dc.contributor.authorErben, Nurettin
dc.contributor.authorRosenthal, Victor Daniel
dc.contributor.authorAtasay, Begüm
dc.contributor.authorErbay, Ayşe
dc.contributor.authorÜnal, Serhat
dc.contributor.authorHızel, Kenan
dc.date.accessioned2020-04-30T23:18:33Z
dc.date.available2020-04-30T23:18:33Z
dc.date.issued2014
dc.departmentDÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.descriptionHoroz, Ozden Ozgur/0000-0001-7590-650X; Erben, Nurettin/0000-0003-0373-0132; Ciftci, Ergin/0000-0002-4955-160X; UNAL, SERHAT/0000-0003-1184-4711; Yalcin, Ata Nevzat/0000-0002-7243-7354; Kendirli, Tanil/0000-0001-9458-2803; Leblebicioglu, Hakan/0000-0002-6033-8543; Acar, Ali/0000-0003-2008-5112; ozdemir, sonay incesoy/0000-0003-2863-901X; Unal, Necmettin/0000-0002-9440-7893; yildizdas, dincer/0000-0003-0739-5108en_US
dc.descriptionWOS: 000346433300001en_US
dc.descriptionPubMed: 25403704en_US
dc.description.abstractBackground: Device-associated healthcare-acquired infections (DA-HAI) pose a threat to patient safety, particularly in the intensive care unit (ICU). We report the results of the International Infection Control Consortium (INICC) study conducted in Turkey from August 2003 through October 2012. Methods: A DA-HAI surveillance study in 63 adult, paediatric ICUs and neonatal ICUs (NICUs) from 29 hospitals, in 19 cities using the methods and definitions of the U.S. NHSN and INICC methods. Results: We collected prospective data from 94,498 ICU patients for 647,316 bed days. Pooled DA-HAI rates for adult and paediatric ICUs were 11.1 central line-associated bloodstream infections (CLABSIs) per 1000 central line (CL)-days, 21.4 ventilator-associated pneumonias (VAPs) per 1000 mechanical ventilator (MV)-days and 7.5 catheter-associated urinary tract infections (CAUTIs) per 1000 urinary catheter-days. Pooled DA-HAI rates for NICUs were 30 CLABSIs per 1000 CL-days, and 15.8 VAPs per 1000 MV-days. Extra length of stay (LOS) in adult and paediatric ICUs was 19.4 for CLABSI, 8.7 for VAP and 10.1 for CAUTI. Extra LOS in NICUs was 13.1 for patients with CLABSI and 16.2 for patients with VAP. Extra crude mortality was 12% for CLABSI, 19.4% for VAP and 10.5% for CAUTI in ICUs, and 15.4% for CLABSI and 10.5% for VAP in NICUs. Pooled device use (DU) ratios for adult and paediatric ICUs were 0.54 for MV, 0.65 for CL and 0.88 for UC, and 0.12 for MV, and 0.09 for CL in NICUs. The CLABSI rate was 8.5 per 1,000 CL days in the Medical Surgical ICUs included in this study, which is higher than the INICC report rate of 4.9, and more than eight times higher than the NHSN rate of 0.9. Similarly, the VAP and CAUTI rates were higher compared with U. S. NHSN (22.3 vs. 1.1 for VAP; 7.9 vs. 1.2 for CAUTI) and with the INICC report (22.3 vs. 16.5 in VAP; 7.9 vs. 5.3 in CAUTI). Conclusions: DA-HAI rates and DU ratios in our ICUs were higher than those reported in the INICC global report and in the US NHSN report.en_US
dc.description.sponsorshipFoundation to Fight against Nosocomial Infectionsen_US
dc.description.sponsorshipThe funding for the activities carried out at INICC head quarters were provided by the corresponding author, Victor D. Rosenthal, and Foundation to Fight against Nosocomial Infections.en_US
dc.identifier.doi10.1186/s12941-014-0051-3en_US
dc.identifier.issn1476-0711
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttps://doi.org/10.1186/s12941-014-0051-3
dc.identifier.urihttps://hdl.handle.net/20.500.12684/3393
dc.identifier.volume13en_US
dc.identifier.wosWOS:000346433300001en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherBmcen_US
dc.relation.ispartofAnnals Of Clinical Microbiology And Antimicrobialsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectHospital infectionen_US
dc.subjectNosocomial infectionen_US
dc.subjectHealthcare-associated infectionen_US
dc.subjectINICCen_US
dc.subjectInternational Nosocomial Infection Consortiumen_US
dc.subjectTurkeyen_US
dc.subjectDevice-associated infectionen_US
dc.subjectAntibiotic resistanceen_US
dc.subjectVentilator-associated pneumoniaen_US
dc.subjectCatheter-associated urinary tract infectionen_US
dc.subjectCentral line-associated bloodstream infectionsen_US
dc.subjectBloodstream infectionen_US
dc.subjectUrinary tract infectionen_US
dc.subjectNetworken_US
dc.titleInternational Nosocomial Infection Control Consortium (INICC) national report on device-associated infection rates in 19 cities of Turkey, data summary for 2003-2012en_US
dc.typeArticleen_US

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