Device-associated hospital-acquired infection rates in Turkish intensive care units. Findings of the International Nosocomial Infection Control Consortium (INICC)

Summary We conducted a prospective study of targeted surveillance of healthcare-associated infections (HAIs) in 13 intensive care units (ICUs) from 12 Turkish hospitals, all members of the International Nosocomial Infection Control Consortium (INICC). The definitions of the US Centers for Disease Co...

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Bibliographic Details
Published in:The Journal of hospital infection 2007-03, Vol.65 (3), p.251-257
Main Authors: Leblebicioglu, H, Rosenthal, V.D, Arkan, Ö.A, Özgültekin, A, Yalcin, A.N, Koksal, I, Usluer, G, Sardan, Y.C, Ulusoy, S
Format: Article
Language:English
Subjects:
Adult
Aged
Bacterial diseases
Bacterial diseases of the urinary system
Bacterial Infections - epidemiology
Biological and medical sciences
Catheterization, Central Venous - adverse effects
Catheterization, Central Venous - statistics & numerical data
Cross Infection - epidemiology
Cross Infection - etiology
Developing country
Device associated infection
Drug Resistance, Bacterial
Enterobacteriaceae
Enterococcus
Europe
Female
General aspects
Healthcare associated infection
Human bacterial diseases
Human infectious diseases. Experimental studies and models
Humans
Infectious Disease
Infectious diseases
INICC
Intensive care unit
Intensive Care Units - statistics & numerical data
Male
Medical sciences
Middle Aged
Nephrology. Urinary tract diseases
Nosocomial infection
Pneumonia, Ventilator-Associated - epidemiology
Prospective Studies
Pseudomonas aeruginosa
Rates
Sentinel Surveillance
Staphylococcus aureus
Turkey - epidemiology
Urinary Catheterization - adverse effects
Urinary Catheterization - statistics & numerical data
Urinary system involvement in other diseases. Miscellaneous
Urinary Tract Infections - epidemiology
Urinary Tract Infections - etiology
Urinary tract. Prostate gland
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Summary:Summary We conducted a prospective study of targeted surveillance of healthcare-associated infections (HAIs) in 13 intensive care units (ICUs) from 12 Turkish hospitals, all members of the International Nosocomial Infection Control Consortium (INICC). The definitions of the US Centers for Disease Control and Prevention National Nosocomial Infections Surveillance System (NNISS) were applied. During the three-year study, 3288 patients for accumulated duration of 37 631 days acquired 1277 device-associated infections (DAI), an overall rate of 38.3% or 33.9 DAIs per 1000 ICU-days. Ventilator-associated pneumonia (VAP) (47.4% of all DAI, 26.5 cases per 1000 ventilator-days) gave the highest risk, followed by central venous catheter (CVC)-related bloodstream infections (30.4% of all DAI, 17.6 cases per 1000 catheter-days) and catheter-associated urinary tract infections (22.1% of all DAI, 8.3 cases per 1000 catheter-days). Overall 89.2% of all Staphylococcus aureus infections were caused by meticillin-resistant strains, 48.2% of the Enterobacteriaceae isolates were resistant to ceftriaxone, 52.0% to ceftazidime, and 33.2% to piperacilin–tazobactam; 51.1% of Pseudomonas aeruginosa isolates were resistant to fluoroquinolones, 50.7% to ceftazidime, 38.7% to imipenem, and 30.0% to piperacilin–tazobactam; 1.9% of Enterococcus sp. isolates were resistant to vancomycin. This is the first multi-centre study showing DAI in Turkish ICUs. DAI rates in the ICUs of Turkey are higher than reports from industrialized countries.
ISSN:0195-6701
1532-2939
DOI:10.1016/j.jhin.2006.10.012