International Nosocomial Infection Control Consortium (INICC) national report on device-associated infection rates in 19 cities of Turkey, data summary for 2003-2012

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dc.authoridCiftci, Ergin/0000-0002-4955-160X
dc.authoridDilek, Ahmet/0000-0001-7111-2438
dc.authoridKENDIRLI, TANIL/0000-0001-9458-2803
dc.authoridOdek, Caglar/0000-0002-2521-3411
dc.authoridERBAY, AYSE/0000-0001-8882-4124
dc.authoridLeblebicioglu, Hakan/0000-0002-6033-8543
dc.authoridERDINC, Fatma Sebnem/0000-0003-3918-564X
dc.contributor.authorLeblebicioglu, Hakan
dc.contributor.authorErben, Nurettin
dc.contributor.authorRosenthal, Victor Daniel
dc.contributor.authorAtasay, Begum
dc.contributor.authorErbay, Ayse
dc.contributor.authorUnal, Serhat
dc.contributor.authorSenol, Gunes
dc.date.accessioned2025-01-27T20:39:11Z
dc.date.available2025-01-27T20:39:11Z
dc.date.issued2014
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractBackground: Device-associated healthcare-acquired infections (DA-HAI) pose a threat to patient safety, particularly in the intensive care unit (ICU). We report the results of the International Infection Control Consortium (INICC) study conducted in Turkey from August 2003 through October 2012. Methods: A DA-HAI surveillance study in 63 adult, paediatric ICUs and neonatal ICUs (NICUs) from 29 hospitals, in 19 cities using the methods and definitions of the U.S. NHSN and INICC methods. Results: We collected prospective data from 94,498 ICU patients for 647,316 bed days. Pooled DA-HAI rates for adult and paediatric ICUs were 11.1 central line-associated bloodstream infections (CLABSIs) per 1000 central line (CL)-days, 21.4 ventilator-associated pneumonias (VAPs) per 1000 mechanical ventilator (MV)-days and 7.5 catheter-associated urinary tract infections (CAUTIs) per 1000 urinary catheter-days. Pooled DA-HAI rates for NICUs were 30 CLABSIs per 1000 CL-days, and 15.8 VAPs per 1000 MV-days. Extra length of stay (LOS) in adult and paediatric ICUs was 19.4 for CLABSI, 8.7 for VAP and 10.1 for CAUTI. Extra LOS in NICUs was 13.1 for patients with CLABSI and 16.2 for patients with VAP. Extra crude mortality was 12% for CLABSI, 19.4% for VAP and 10.5% for CAUTI in ICUs, and 15.4% for CLABSI and 10.5% for VAP in NICUs. Pooled device use (DU) ratios for adult and paediatric ICUs were 0.54 for MV, 0.65 for CL and 0.88 for UC, and 0.12 for MV, and 0.09 for CL in NICUs. The CLABSI rate was 8.5 per 1,000 CL days in the Medical Surgical ICUs included in this study, which is higher than the INICC report rate of 4.9, and more than eight times higher than the NHSN rate of 0.9. Similarly, the VAP and CAUTI rates were higher compared with U. S. NHSN (22.3 vs. 1.1 for VAP; 7.9 vs. 1.2 for CAUTI) and with the INICC report (22.3 vs. 16.5 in VAP; 7.9 vs. 5.3 in CAUTI). Conclusions: DA-HAI rates and DU ratios in our ICUs were higher than those reported in the INICC global report and in the US NHSN report.
dc.description.sponsorshipFoundation to Fight against Nosocomial Infections
dc.description.sponsorshipThe funding for the activities carried out at INICC head quarters were provided by the corresponding author, Victor D. Rosenthal, and Foundation to Fight against Nosocomial Infections.
dc.identifier.doi10.1186/s12941-014-0051-3
dc.identifier.issn1476-0711
dc.identifier.pmid25403704
dc.identifier.scopus2-s2.0-84924404357
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org/10.1186/s12941-014-0051-3
dc.identifier.urihttps://hdl.handle.net/20.500.12428/23886
dc.identifier.volume13
dc.identifier.wosWOS:000346433300001
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherBMC
dc.relation.ispartofAnnals of Clinical Microbiology and Antimicrobials
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WoS_20250125
dc.subjectHospital infection
dc.subjectNosocomial infection
dc.subjectHealthcare-associated infection
dc.subjectINICC
dc.subjectInternational Nosocomial Infection Consortium
dc.subjectTurkey
dc.subjectDevice-associated infection
dc.subjectAntibiotic resistance
dc.subjectVentilator-associated pneumonia
dc.subjectCatheter-associated urinary tract infection
dc.subjectCentral line-associated bloodstream infections
dc.subjectBloodstream infection
dc.subjectUrinary tract infection
dc.subjectNetwork
dc.titleInternational Nosocomial Infection Control Consortium (INICC) national report on device-associated infection rates in 19 cities of Turkey, data summary for 2003-2012
dc.typeArticle

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