• español
    • English
    • português
  • English 
    • español
    • English
    • português
  • IRIS PAHO Home
  • PAHO website
  • Indexes
  • All Collections
  • About IRIS
  • Institutional Memory
  • Contact
JavaScript is disabled for your browser. Some features of this site may not work without it.
View Item 
  •   IRIS PAHO Home
  • 1.PAHO Headquarters / Sede de la OPS
  • Scientific Journals and Newsletters / Revistas Científicas y Boletines
  • Pan American Journal of Public Health
  • View Item
  •   IRIS PAHO Home
  • 1.PAHO Headquarters / Sede de la OPS
  • Scientific Journals and Newsletters / Revistas Científicas y Boletines
  • Pan American Journal of Public Health
  • View Item

Device-associated infection rates in intensive care units of Brazilian hospitals: datos de la Comunidad Científica Internacional de Control de Infecciones Nosocomiales

Thumbnail
View/Open
a06v24n3.pdf (90.26Kb)
Date
2008
Author
Salomao, Reinaldo
Rosenthal, Victor D
Grimberg, Gorki
Nouer, Simone
Blecher, Sergio
Buchner-Ferreira, Silvia
Vianna, Rosa
Maretti-da-Silva, Maria Ângela
Metadata
Show full item record
Abstract
OBJECTIVES: To measure device-associated infection (DAI) rates, microbiological profiles, bacterial resistance, extra length of stay, and attributable mortality in intensive care units (ICUs) in three Brazilian hospitals that are members of the International Nosocomial Infection Control Consortium (INICC). METHODS: Prospective cohort surveillance of DAIs was conducted in five ICUs in three city hospitals in Brazil by applying the definitions of the U.S. Centers for Disease Control and Prevention National Nosocomial Infections Surveillance System (CDC-NNIS). RESULTS: Between April 2003 and February 2006, 1 031 patients hospitalized in five ICUs for an aggregate 10 293 days acquired 307 DAIs, a rate of 29.8 percent or 29.8 DAIs per 1 000 ICU-days. The ventilator-associated pneumonia (VAP) rate was 20.9 per 1 000 ventilator-days; the rate for central venous catheter-associated bloodstream infections (CVC-BSI) was 9.1 per 1 000 catheter-days; and the rate for catheter-associated urinary tract infections (CAUTI) was 9.6 per 1 000 catheter-days. Ninety-five percent of all Staphylococcus aureus DAIs were caused by methicillin-resistant strains. Infections caused by Enterobacteriaceae were resistant to ceftriaxone in 96.7 percent of cases, resistant to ceftazidime in 79.3 percent of cases, and resistant to piperacillin-tazobactam in 85.7 percent of cases. Pseudomonas aeruginosa DAIs were resistant to ciprofloxacin in 71.3 percent of cases, resistant to ceftazidime in 75.5 percent of cases, and resistant to imipenem in 27.7 percent of cases. Patients with DAIs in the ICUs of the hospitals included in this study presented extra mortality rates of 15.3 percent (RR 1.79, P = 0.0149) for VAP, 27.8 percent (RR 2.44, P = 0.0004) for CVC-BSI, and 10.7 percent (RR 1.56, P = 0.2875) for CAUTI. CONCLUSION: The DAI rates were high in the ICUs of the Brazilian hospitals included in this study. Patient safety can be improved through the implementation of an ...(AU)
 
OBJETIVOS: Determinar las tasas de infección asociadas a aparatos (IAA), los perfiles microbiológicos, la resistencia bacteriana, la estancia hospitalaria adicional y la mortalidad atribuible en las unidades de cuidados intensivos (UCI) de tres hospitales brasileños miembros de la Comunidad Científica Internacional de Control de Infecciones Nosocomiales (INICC). MÉTODOS: Se realizó una vigilancia prospectiva de cohorte de las IAA en cinco UCI de tres hospitales urbanos de Brasil, según las definiciones del Sistema Nacional de Vigilancia de Infecciones Nosocomiales de los Centros para el Control y la Prevención de Enfermedades (CDC-NNIS) de los Estados Unidos de América. RESULTADOS: Entre abril de 2003 y febrero de 2006 se hospitalizaron 1 031 pacientes en las cinco UCI estudiadas, con un total de 10 293 días en los que se adquirieron 307 IAA, para una tasa de 29,8 por ciento (29,8 IAA por 1 000 días-UCI). Las tasas fueron: de 20,9 casos por 1 000 días-ventilador en neumonía asociada a respiradores (NAR); de 9,1 por 1 000 días-catéter en infecciones circulatorias asociadas con cateterismo venoso central (IC-CVC); y de 9,6 por 1 000 días-catéter en infecciones urinarias asociadas con el uso de catéteres (IUAC). De las IAA causadas por Staphylococcus aureus, 95 por ciento se debieron a cepas resistentes a la meticilina. De las infecciones causadas por Enterobacteriaceae, 96,7 por ciento fueron resistentes a la ceftriaxona, 79,3 por ciento a la ceftazidima y 85,7 por ciento a la combinación piperacilina-tazobactam. De las IAA causadas por Pseudomonas aeruginosa, 71,3 por ciento resultaron resistentes a la ciprofloxacina, 75,5 por ciento a la ceftazidima y 27,7 por ciento al imipenem. Los pacientes con IAA en las UCI estudiadas presentaron tasas de mortalidad adicional de 15,3 por ciento (riesgo relativo [RR] = 1,79; P = 0,0149) por NAR, 27,8 por ciento (RR = 2,44; P = 0,0004) por IC-CVC y 10,7 por ciento (RR = 1,56; P = 0,2875) por IUAC. ...(AU)
 
Series
Rev Panam Salud Publica;24(3),sept. 2008
Subject
Bacterial infection; Cross infection; Drug Resistance, Bacterial; Hospitals; Infection control; Infection control practitioners; Intensive care units; Length of Stay; Mortality; Brazil; Infecciones Bacterianas; Infección Hospitalaria; Farmacorresistencia Bacteriana; Hospitales; Control de Infecciones; Profesionales para Control de Infecciones; Unidades de terapia intensiva; Tiempo de internación; Mortalidad; Brasil; Cateteres de Demora; Cateteres de Demora; Infecção Hospitalar; Hospitais; Controle de Infecções; Unidades de Terapia Intensiva; Cooperação Internacional; Dispositivos de Fixação Cirúrgica; Dispositivos de Fixação Cirúrgica; Brasil; Infecção Hospitalar
URI
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892008000900006&lng=pt&nrm=iso&tlng=en
https://iris.paho.org/handle/10665.2/9932
Citation
Salomao, Reinaldo,Rosenthal, Victor D,Grimberg, Gorki,Nouer, Simone,Blecher, Sergio,Buchner-Ferreira, Silvia,Vianna, Rosa,Maretti-da-Silva, Maria Ângela (2008) Device-associated infection rates in intensive care units of Brazilian hospitals: datos de la Comunidad Científica Internacional de Control de Infecciones Nosocomiales. Rev Panam Salud Publica;24(3) 195-202,sept. 2008. Retrieved from http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892008000900006&lng=pt&nrm=iso&tlng=en
Collections
  • Pan American Journal of Public Health

Related items

Showing items related by title, author, creator and subject.

  • Thumbnail

    Device-associated infection rates and mortality in intensive care units of Peruvian hospitals: findings of the International Nosocomial Infection Control Consortium 

    Cuellar, Luis E; Fernandez-Maldonado, Eduardo; Rosenthal, Victor D; Castaneda-Sabogal, Alex; Rosales, Rosa; Mayorga-Espichan, Manuel J; Camacho-Cosavalente, Luis A; Castillo-Bravo, Luis I (2008)
  • Thumbnail

    Epidemiological Alert: COVID-19 among healthcare workers (31 August 2020) 

    Pan American Health Organization; Health Emergencies (PHE) (Washington, D.C., PAHO, 2020-08-31)
    During the previous 4 weeks, a 26% relative increase in cases and 20% relative increase in deaths has been observed. The highest proportions of new cases continue to be reported in the United States of America (36%) and ...
  • Thumbnail

    Epidemiological Update: Coronavirus disease (COVID-19) (18 September 2020) 

    Pan American Health Organization; Health Emergencies (PHE) (Washington, D.C., PAHO, 2020-09-18)
    Since the 26 August PAHO/WHO Epidemiological Update on COVID-19 and as of 15 September 2020, the five countries/territories in the Americas for which there was a ≥200% relative increase in the number of cases are: Curacao ...

Browse

All of IRIS PAHOCommunities & CollectionsBy Issue DateAuthorsTitlesSubjectsSeries TitleType of materialLanguageCategoryTechnical Unit/Country OfficeThis CollectionBy Issue DateAuthorsTitlesSubjectsSeries TitleType of materialLanguageCategoryTechnical Unit/Country Office

Statistics

View Usage Statistics

Pan American Health Organization
World Health Organization. Regional Office for the Americas
525 Twenty-third Street, N.W., Washington, D.C. 20037, United States of America
Tel.: +1 (202) 974-3000 Fax: +1 (202) 974-3663
email: libraryhq@paho.org

Links

  • PAHO Featured Publications
  • WHO Digital Library (IRIS)
  • Virtual Health Library (VHL)
  • Global Index Medicus (GIM)