International Nosocomial Infection Control Consortium (INICC) report, data summary of 45 countries for 2012-2017: Device-associated module.
Víctor Daniel Rosenthal, Ider Bat-Erdene, Debkishore Gupta, Souad Belkebir, Prasad Rajhans, Farid Zand, Sheila Nainan Myatra, Majeda Afeef, Vito L Tanzi, S Muralidharan, Vaidotas Gurskis, Hail M Al-Abdely, Amani El-Kholy, Safa A Aziz AlKhawaja, Suha Sen, Yatin Mehta, Vineya Rai, Nguyen Viet Hung, Amani F Sayed, Fausto Marcos Guerrero-Toapanta, Naheed Elahi, María Del Rayo Morfin-Otero, Suwara Somabutr, Braulio Matias De-Carvalho, Mary Shine Magdarao, Velmira Angelova Velinova, Ana Marcela Quesada-Mora, Tanja Anguseva, Aamer Ikram, Daisy Aguilar-de-Moros, Wieslawa Duszynska, Nepomuceno Mejia, Florin George Horhat, Vladislav Belskiy, Vesna Mioljevic, Gabriela Di-Silvestre, Katarina Furova, May Osman Gamar-Elanbya, Umesh Gupta, Khalid Abidi, Lul Raka, Xiuqin Guo, Marco Tulio Luque-Torres, Kushlani Jayatilleke, Najla Ben-Jaballah, Achilleas Gikas, Harrison Ronald Sandoval-Castillo, Andrew Trotter, Sandra L Valderrama-Beltrán, Hakan Leblebicioglu, International Nosocomial Infection Control Consortium
Author Information
Víctor Daniel Rosenthal: Infection Control Department, International Nosocomial Infection Control Consortium, Buenos Aires, Argentina. Electronic address: victor_rosenthal@inicc.org.
Ider Bat-Erdene: Infection Control Department, Infection Control Professionals of Mongolia, and Intermed Hospital, Ulaanbaatar, Mongolia.
Debkishore Gupta: Infection Control Department, BM Birla Heart Research Centre, and The Calcutta Medical Research Institute, Calcutta, India.
Souad Belkebir: Infection Control Department, An Najah National University Hospital, Nablus, Palestine.
Prasad Rajhans: Infection Control Department, Deenanath Mangeshkar Hospital, Pune, India.
Farid Zand: Infection Control Department, Anesthesiology and Critical Care Research Center, Nemazee Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
Sheila Nainan Myatra: Infection Control Department, Tata Memorial Hospital, Mumbai, India.
Majeda Afeef: Infection Control Department, King Hussein Cancer Center, Amman, Jordan.
Vito L Tanzi: Infection Control Department, Hammoud Hospital University Medical Center, Saida, Lebanon.
S Muralidharan: Infection Control Department, G Kuppusamy Naidu Memorial Hospital, Coimbatore, India.
Vaidotas Gurskis: Infection Control Department, Hospital of Lithuanian University of Health Sciences, Kaunas, Lithuania.
Hail M Al-Abdely: Infection Control Department, General Directorate of Infection Prevention and Control, Ministry of Health, Kingdom of Saudi Arabia.
Amani El-Kholy: Infection Control Department, Dar Al Fouad Hospital, 6th of October City, and Cairo University Hospital, Cairo; Egypt.
Safa A Aziz AlKhawaja: Infection Control Department, General Directorate of Infection Prevention and Control, Ministry of Health, Bahrain.
Suha Sen: Infection Control Department, Turkiye Yuksek Ihtisas Education And Research Hospital, Ankara, Turkey.
Yatin Mehta: Infection Control Department, Medanta The Medicity, New Delhi, India.
Vineya Rai: Infection Control Department, University Malaya Medical Centre, Kuala Lumpur, Malaysia.
Nguyen Viet Hung: Infection Control Department, Bach Mai Hospital, Hanoi, Vietnam.
Amani F Sayed: Infection Control Department, Farwaniya Hospital, Kuwait City, Kuwait.
Fausto Marcos Guerrero-Toapanta: Infection Control Department, Hospital Carlos Andrade Marin, Quito, Ecuador.
Naheed Elahi: Infection Control Department, Dubai Hospital, Dubai, United Arab Emirates.
María Del Rayo Morfin-Otero: Infection Control Department, Hospital Civil de Guadalajara Fray Antonio Alcalde Infection Control Committee, Guadalajara, Mexico.
Suwara Somabutr: Infection Control Department, Bangpakok 9 International Hospital, Pratumthani, Thailand.
Braulio Matias De-Carvalho: Infection Control Department, Hospital de Messejana, Fortaleza, Brazil.
Mary Shine Magdarao: Makati Medical Center, Makati, Philippines.
BACKGROUND: We report the results of International Nosocomial Infection Control Consortium (INICC) surveillance study from January 2012 to December 2017 in 523 intensive care units (ICUs) in 45 countries from Latin America, Europe, Eastern Mediterranean, Southeast Asia, and Western Pacific. METHODS: During the 6-year study period, prospective data from 532,483 ICU patients hospitalized in 242 hospitals, for an aggregate of 2,197,304 patient days, were collected through the INICC Surveillance Online System (ISOS). The Centers for Disease Control and Prevention-National Healthcare Safety Network (CDC-NHSN) definitions for device-associated health care-associated infection (DA-HAI) were applied. RESULTS: Although device use in INICC ICUs was similar to that reported from CDC-NHSN ICUs, DA-HAI rates were higher in the INICC ICUs: in the medical-surgical ICUs, the pooled central line-associated bloodstream infection rate was higher (5.05 vs 0.8 per 1,000 central line-days); the ventilator-associated pneumonia rate was also higher (14.1 vs 0.9 per 1,000 ventilator-days,), as well as the rate of catheter-associated urinary tract infection (5.1 vs 1.7 per 1,000 catheter-days). From blood cultures samples, frequencies of resistance, such as of Pseudomonas aeruginosa to piperacillin-tazobactam (33.0% vs 18.3%), were also higher. CONCLUSIONS: Despite a significant trend toward the reduction in INICC ICUs, DA-HAI rates are still much higher compared with CDC-NHSN's ICUs representing the developed world. It is INICC's main goal to provide basic and cost-effective resources, through the INICC Surveillance Online System to tackle the burden of DA-HAIs effectively.
