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Six-year study on peripheral venous catheter-associated BSI rates in 262 ICUs in eight countries of South-East Asia: International Nosocomial Infection Control Consortium findings.

东南亚八个国家262个icu外周静脉导管相关BSI率的六年研究: 国际医院感染控制联盟调查结果。

  • 影响因子:1.12
  • DOI:10.1177/1129729820917259
  • 作者列表:"Rosenthal VD","Bat-Erdene I","Gupta D","Rajhans P","Myatra SN","Muralidharan S","Mehta Y","Rai V","Hung NV","Luxsuwong M","Tapang ARD","Guo X","Trotter A","Kharbanda M","Rodrigues C","Dwivedy A","Shah S","Poojary A","Todi SK","Chabukswar S","Bhattacharyya M","Ramachandran B","Ramakrishnan N","Purkayasta SK","Sakle AS","Kumar S","Warrier AR","Kavathekar MS","Sahu S","Mubarak A","Modi N","Jaggi N","Gita N","Mishra SB","Sahu S","Jawadwala B","Zala D","Zompa T","Mathur P","Nirkhiwale S","Vadi S","Singh S","Agarwal M","Sen N","Karlekar A","Punia DP","Kumar S","Gopinath R","Nair PK","Gan CS","Chakravarthy M","Sandhu K","Kambam C","Mohanty SK","Varaiya A","Pandya N","Subhedar VR","Vanajakshi MR","Singla D","Tuvshinbayar M","Patel M","Ye G","Lum LCS","Zaini RHM","Batkhuu B","Dayapera KM","Nguyet LT","Berba R","Buenaflor MCS","Ng JA","Siriyakorn N","Thu LTA
  • 发表时间:2021-01-01
Abstract

BACKGROUND:Short-term peripheral venous catheter-associated bloodstream infection rates have not been systematically studied in Asian countries, and data on peripheral venous catheter-associated bloodstream infections incidence by number of short-term peripheral venous catheter days are not available. METHODS:Prospective, surveillance study on peripheral venous catheter-associated bloodstream infections conducted from 1 September 2013 to 31 May 2019 in 262 intensive care units, members of the International Nosocomial Infection Control Consortium, from 78 hospitals in 32 cities of 8 countries in the South-East Asia Region: China, India, Malaysia, Mongolia, Nepal, Philippines, Thailand, and Vietnam. For this research, we applied definition and criteria of the CDC NHSN, methodology of the INICC, and software named INICC Surveillance Online System. RESULTS:We followed 83,295 intensive care unit patients for 369,371 bed-days and 376,492 peripheral venous catheter-days. We identified 999 peripheral venous catheter-associated bloodstream infections, amounting to a rate of 2.65/1000 peripheral venous catheter-days. Mortality in patients with peripheral venous catheter but without peripheral venous catheter-associated bloodstream infections was 4.53% and 12.21% in patients with peripheral venous catheter-associated bloodstream infections. The mean length of stay in patients with peripheral venous catheter but without peripheral venous catheter-associated bloodstream infections was 4.40 days and 7.11 days in patients with peripheral venous catheter and peripheral venous catheter-associated bloodstream infections. The microorganism profile showed 67.1% were Gram-negative bacteria: Escherichia coli (22.9%), Klebsiella spp (10.7%), Pseudomonas aeruginosa (5.3%), Enterobacter spp. (4.5%), and others (23.7%). The predominant Gram-positive bacteria were Staphylococcus aureus (11.4%). CONCLUSIONS:Infection prevention programs must be implemented to reduce the incidence of peripheral venous catheter-associated bloodstream infections.

摘要

背景: 在亚洲国家,短期外周静脉导管相关血流感染率尚未得到系统研究,并且没有关于外周静脉导管相关血流感染发生率的数据。 方法: 2013年9月1日至20 19年5月31日,来自东南亚地区8个国家32个城市78家医院的262个重症监护病房 (国际医院感染控制联盟成员) 进行了外周静脉导管相关血流感染的前瞻性监测研究: 中国,印度,马来西亚、蒙古、尼泊尔、菲律宾、泰国和越南。在这项研究中,我们应用了CDC NHSN的定义和标准、INICC的方法学和名为INICC监控在线系统的软件。 结果: 我们对83,295名重症监护病房患者进行了369,371床日和376,492外周静脉导管日的随访。我们确定了999例外周静脉导管相关性血流感染,总发生率为2.65/1000外周静脉导管日。有外周静脉导管但无外周静脉导管相关血流感染患者的死亡率为4.53%,外周静脉导管相关血流感染患者为12.21%。在有外周静脉导管但无外周静脉导管相关性血流感染的患者中,平均住院时间分别为4.40天和7.11天。微生物谱显示67.1% 为革兰氏阴性菌: 大肠埃希菌 (22.9%),克雷伯菌属 (10.7%),铜绿假单胞菌 (5.3%),肠杆菌属。4.5%),其他 (23.7%)。革兰阳性菌以金黄色葡萄球菌为主 (11.4%)。 结论: 必须实施感染预防计划以降低外周静脉导管相关血流感染的发生率。

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影响因子:2.68
发表时间:2021-02-01
DOI:10.1080/14656566.2020.1814255
作者列表:["Sawada H","Oeda T","Kohsaka M","Tomita S","Umemura A","Park K","Yamamoto K","Kiyohara K"]

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DOI:10.1007/s11033-021-06299-9
作者列表:["Louvrier A","Terranova L","Meyer C","Meyer F","Euvrard E","Kroemer M","Rolin G"]

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