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首页> 外文期刊>Eastern Mediterranean Health Journal: Al-Magallat al-Sihhiyyat li-Sarq al-Mutawassit >Assessment of device-associated infection rates in teaching hospitals in Islamic Republic of Iran
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Assessment of device-associated infection rates in teaching hospitals in Islamic Republic of Iran

机译：伊朗伊斯兰共和国教学医院中与设备相关的感染率评估

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Background : Surveillance of health care-associated infections (HCAIs) is an integral part of infection control programmes, especially in intensive care units (ICUs). Device-associated infections (DAIs) are a major threat to patient safety. Aim : To measure DAI rates in ICUs. Methods : Central line-associated bloodstream infection (CLABSI), ventilator-associated pneumonia (VAP), and catheter-associated urinary tract infection (CAUTI) were assessed in the ICUs of 4 tertiary-care teaching hospitals in Tehran, Islamic Republic of Iran. Results : The incidence rate of CLABSI, VAP and CAUTI was 10.20, 21.08 and 7.42 per 1000 device-days, respectively. The utilization ratio for central lines, ventilators and urinary catheters was 0.62, 0.47, and 0.84, respectively. The most common organisms were Acinetobacter (33.5%) and Klebsiella (19.0%). Sixty to eighty percent of Enterobacteriaceae were extended-spectrum beta-lactamase producing. About half of Pseudomonas aeruginosa isolates were resistant to piperacillin/tazobactam and carbapenem. Acinetobacter resistance rate to ampicillin/sulbactam and carbapenem was 70–80%. The prevalence of methicillin-resistant Staphylococcus aureus and vancomycin-resistant Enterococcus was 84.6% and 83.3%, respectively. Conclusions : This study showed high incidence rates of DAIs and resistant organisms, and appropriate interventions are necessary to reduce these rates.
机译：背景：卫生保健相关感染（HCAI）的监视是感染控制计划不可或缺的一部分，尤其是在重症监护病房（ICU）中。设备相关感染（DAI）是对患者安全的主要威胁。目的：测量ICU中的DAI率。方法：在伊朗伊斯兰共和国德黑兰的四家三级教学医院的重症监护病房（ICU）中评估了中心线相关的血液感染（CLABSI），呼吸机相关的肺炎（VAP）和导管相关的尿路感染（CAUTI）。结果：每1000个设备日，CLABSI，VAP和CAUTI的发生率分别为10.20、21.08和7.42。中线，呼吸机和导尿管的利用率分别为0.62、0.47和0.84。最常见的生物是不动杆菌（33.5％）和克雷伯菌（19.0％）。肠杆菌科细菌的百分之六十至百分之八十是产生广谱β-内酰胺酶的。大约一半的铜绿假单胞菌菌株对哌拉西林/他唑巴坦和碳青霉烯有抗药性。不动杆菌对氨苄西林/舒巴坦和碳青霉烯的耐药率为70-80％。耐甲氧西林的金黄色葡萄球菌和耐万古霉素的肠球菌的患病率分别为84.6％和83.3％。结论：这项研究表明DAI和耐药菌的发生率很高，需要采取适当的干预措施以降低这些发生率。

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