E-ISSN 2576-3741
 

Original Research (Original Article) 


Device-associated infection rates in different intensive care units in a tertiary care hospital in Egypt

Rania Hassan Salim, Abd El-Hady El-Gilany Abdel-Fattah, Noha Badr El-Deen ElMashad, Amina Mostafa Abd El-Aal.

Abstract
Abstract
Background: Device-associated hospital-acquired infections (DA-HAIs) are a threat to patient safety, particularly in the intensive care units (ICUs).
Methods: A prospective observational study was carried out for 12 months from January 2017 to December 2017 in five ICUs including General intensive care unit (General ICU), Cardiology care unit (CCU), Neonatal intensive care unit (NICU), Pediatric intensive care unit (PICU), and Neurosurgery intensive care unit (Neurosurgery ICU) of Mansoura New General Hospital (MNGH). Data were collected from patient's file and laboratory results according to definitions of CDC. DA-HAIs were calculated by dividing the total number of device associated infections (DAIs) by the total number of device days and multiplying the result by 1,000.
Results: In the current study 1,666 patients hospitalized for 11.280 days in the different ICUs. These patients acquired 91 DA-HAIs. The most frequent DA-HAIs (per 1000 device-days) were Ventilator-associated Pneumonia (VAP) (10.9), central line-associated blood stream infection, (CLA-BSI) (5.9), and catheter-associated urinary tract infections (CA-UTI) (5.6). The urinary catheter utilization ratio was 0.54, central line utilization ratio was 0.33, and ventilator utilization ratis was 0.28. The most frequently isolated organisms were Klebsiella spp. (34%) and E.coli (20.9%). The most frequent bacteria causing VAP, CLA-BSI, and CA-UTI were Klebsiella spp. (60%), Staphylococcus aureus and Enterococcus spp (27.3% for each)., and E.coli (41.2%) respectively..
Conclusion: Surveillance of DA-HAIs is the first step to improve infection control activity and to implement preventive bundles measures in the intensive care unit.

Key words: Key words: Ventilator-associated pneumonia-Central line-associated bloodstream Infection-Catheter-associated urinary tract infection-causative organisms.


 
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How to Cite this Article
Pubmed Style

Salim RH, Abdel-Fattah AEE, NBEE, El-Aal AMA, . Device-associated infection rates in different intensive care units in a tertiary care hospital in Egypt. Am J Prev Med Public Health. 2019; 4(1): 1-7. doi:10.5455/ajpmph.20181030050337


Web Style

Salim RH, Abdel-Fattah AEE, NBEE, El-Aal AMA, . Device-associated infection rates in different intensive care units in a tertiary care hospital in Egypt. http://www.ajpmph.com/?mno=14923 [Access: September 15, 2019]. doi:10.5455/ajpmph.20181030050337


AMA (American Medical Association) Style

Salim RH, Abdel-Fattah AEE, NBEE, El-Aal AMA, . Device-associated infection rates in different intensive care units in a tertiary care hospital in Egypt. Am J Prev Med Public Health. 2019; 4(1): 1-7. doi:10.5455/ajpmph.20181030050337



Vancouver/ICMJE Style

Salim RH, Abdel-Fattah AEE, NBEE, El-Aal AMA, . Device-associated infection rates in different intensive care units in a tertiary care hospital in Egypt. Am J Prev Med Public Health. (2019), [cited September 15, 2019]; 4(1): 1-7. doi:10.5455/ajpmph.20181030050337



Harvard Style

Salim, R. . H. ., Abdel-Fattah, A. E. . E., , N. B. E. . E., El-Aal, A. M. . A. & (2019) Device-associated infection rates in different intensive care units in a tertiary care hospital in Egypt. Am J Prev Med Public Health, 4 (1), 1-7. doi:10.5455/ajpmph.20181030050337



Turabian Style

Salim, Rania Hassan , Abd El-Hady El-Gilany Abdel-Fattah, Noha Badr El-Deen ElMashad, Amina Mostafa Abd El-Aal, and . 2019. Device-associated infection rates in different intensive care units in a tertiary care hospital in Egypt. American Journal of Preventive Medicine and Public Health, 4 (1), 1-7. doi:10.5455/ajpmph.20181030050337



Chicago Style

Salim, Rania Hassan , Abd El-Hady El-Gilany Abdel-Fattah, Noha Badr El-Deen ElMashad, Amina Mostafa Abd El-Aal, and . "Device-associated infection rates in different intensive care units in a tertiary care hospital in Egypt." American Journal of Preventive Medicine and Public Health 4 (2019), 1-7. doi:10.5455/ajpmph.20181030050337



MLA (The Modern Language Association) Style

Salim, Rania Hassan , Abd El-Hady El-Gilany Abdel-Fattah, Noha Badr El-Deen ElMashad, Amina Mostafa Abd El-Aal, and . "Device-associated infection rates in different intensive care units in a tertiary care hospital in Egypt." American Journal of Preventive Medicine and Public Health 4.1 (2019), 1-7. Print. doi:10.5455/ajpmph.20181030050337



APA (American Psychological Association) Style

Salim, R. . H. ., Abdel-Fattah, A. E. . E., , N. B. E. . E., El-Aal, A. M. . A. & (2019) Device-associated infection rates in different intensive care units in a tertiary care hospital in Egypt. American Journal of Preventive Medicine and Public Health, 4 (1), 1-7. doi:10.5455/ajpmph.20181030050337





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