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首页> 外文期刊>Infection control and hospital epidemiology >Six-year multicenter study on short-term peripheral venous catheters-related bloodstream infection rates in 727 intensive care units of 268 hospitals in 141 cities of 42 countries of Africa, the Americas, Eastern Mediterranean, Europe, South East Asia, and Western Pacific Regions: International Nosocomial Infection Control Consortium (INICC) findings
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Six-year multicenter study on short-term peripheral venous catheters-related bloodstream infection rates in 727 intensive care units of 268 hospitals in 141 cities of 42 countries of Africa, the Americas, Eastern Mediterranean, Europe, South East Asia, and Western Pacific Regions: International Nosocomial Infection Control Consortium (INICC) findings

机译：六年多中心研究短期外周静脉导管相关血流感染率为727个重症监护室268个医院，在非洲42个国家，美洲，东部地中海，欧洲，东南亚和西太平洋地区的42个城市 ：国际医院感染控制联盟（INICC）调查结果

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Background: Short-term peripheral venous catheter-related bloodstream infection (PVCR-BSI) rates have not been systematically studied in resource-limited countries, and data on their incidence by number of device days are not available. Methods: Prospective, surveillance study on PVCR-BSI conducted from September 1, 2013, to May 31, 2019, in 727 intensive care units (ICUs), by members of the International Nosocomial Infection Control Consortium (INICC), from 268 hospitals in 141 cities of 42 countries of Africa, the Americas, Eastern Mediterranean, Europe, South East Asia, and Western Pacific regions. 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 149,609 ICU patients for 731,135 bed days and 743,508 short-term peripheral venous catheter (PVC) days. We identified 1,789 PVCR-BSIs for an overall rate of 2.41 per 1,000 PVC days. Mortality in patients with PVC but without PVCR-BSI was 6.67%, and mortality was 18% in patients with PVC and PVCR-BSI. The length of stay of patients with PVC but without PVCR-BSI was 4.83 days, and the length of stay was 9.85 days in patients with PVC and PVCR-BSI. Among these infections, the microorganism profile showed 58% gram-negative bacteria: Escherichia coli (16%), Klebsiella spp (11%), Pseudomonas aeruginosa (6%), Enterobacter spp (4%), and others (20%) including Serratia marcescens. Staphylococcus aureus were the predominant gram-positive bacteria (12%). Conclusions: PVCR-BSI rates in INICC ICUs were much higher than rates published from industrialized countries. Infection prevention programs must be implemented to reduce the incidence of PVCR-BSIs in resource-limited countries.
机译：背景：在资源有限的国家/地区未经系统地研究短期外周静脉导管相关血流感染（PVCR-BSI）率，并且无法获得设备数量的发病率的数据。方法：2013年9月1日至2019年9月1日，2019年5月31日，2019年5月31日，由国际医院感染控制联盟（INICC）的727个重症监护单位（ICU），来自268名医院的预期，监测研究非洲42个国家的城市，美洲，东地中海，欧洲，东南亚和西太平洋地区。对于本研究，我们应用了CDC NHSN的定义和标准，INICC的方法，以及名为Inicc监视在线系统的软件。结果：我们跟踪了149,609名ICU患者731,135床位，743,508个短期外周静脉导管（PVC）天。我们确定了1,789个PVCR-BSI，总速率为每1000个PVC天2.41。 PVC患者但没有PVCR-BSI患者的死亡率为6.67％，PVC和PVCR-BSI患者的死亡率为18％。 PVC患者但没有PVCR-BSI的患者的寿命长度为4.83天，PVC和PVCR-BSI患者患者的入住时间为9.85天。在这些感染中，微生物谱显示58％革兰氏阴性细菌：大肠杆菌（16％），Klebsiella SPP（11％），假单胞菌铜绿假单胞菌（6％），肠杆菌SPP（4％），以及其他（20％） Serratia marcescens。金黄色葡萄球菌是主要的革兰氏阳性细菌（12％）。结论：INICC ICU的PVCR-BSI差价远高于工业化国家公布的利率。必须实施感染预防计划，以减少资源有限国家的PVCR-BSI的发病率。

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