Pooled ICU CLABSI rates in 20 cities of India

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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.

Reference:

Mehta, Y., Jaggi, N., Rosenthal, V.D., Kavathekar, M., Sakle, A., Munshi, N., Chakravarthy, M., Todi, S.K., Saini, N., Rodrigues, C., Varma, K., Dubey, R., Kazi, M.M., Udwadia, F.E., Myatra, S.N., Shah, S., Dwivedy, A., Karlekar, A., Singh, S., Sen, N., Limaye-Joshi, K., Ramachandran, B., Sahu, S., Pandya, N., Mathur, P., Sahu, S., Singh, S.P., Bilolikar, A.K., Kumar, S., Mehta, P., Padbidri, V., Gita, N., Patnaik, S.K., Francis, T., Warrier, A.R., Muralidharan, S., Nair, P.K., Subhedar, V.R., Gopinath, R., Azim, A. and Sood, S. (2015) Device-Associated Infection Rates in 20 Cities of India, Data Summary for 2004-2013: Findings of the International Nosocomial Infection Control Consortium. Infection Control and Hospital Epidemiology. November 26th. [epub ahead of print].

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