Skip to main content
×
Home
    • Aa
    • Aa

Device-Associated Nosocomial Infection Rates in Intensive Care Units of Argentina

  • Victor Daniel Rosenthal (a1), Sandra Guzmán (a1) and Christopher Crnich (a2)
Abstract
AbstractBackground:

Nosocomial infections are an important public health problem in many developing countries, particularly in the intensive care unit (ICU) setting. No previous data are available on the incidence of device-associated nosocomial infections in different types of ICUs in Argentina.

Methods:

We performed a prospective nosocomial infection surveillance study during the first year of an infection control program in six Argentinean ICUs. Nosocomial infections were identified using the Centers for Disease Control and Prevention National Nosocomial Infections Surveillance System definitions, and site-specific nosocomial infection rates were calculated.

Results:

The rate of catheter-associated bloodstream infections in medical-surgical ICUs was 30.3 per 1,000 device days; it was 14.2 per 1,000 device-days in coronary care units (CCUs). The rate of ventilator-associated pneumonia in medical-surgical ICUs was 46.3 per 1,000 device-days; it was 45.5 per 1,000 device-days in CCUs. The rate of symptomatic catheter-associated urinary tract infections in medical-surgical ICUs was 18.5 per 1,000 device-days; it was 12.1 per 1,000 device-days in CCUs.

Conclusion:

The high rate of nosocomial infections in Argentinean ICUs found during our surveillance suggests that ongoing targeted surveillance and implementation of proven infection control strategies is needed in developing countries such as Argentina.

Copyright
Corresponding author
Arengreen 1366, Buenos Aires, 1405, Argentina
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

4. EM Rezende , BR Couto , CE Starling , CM Modena . Prevalence of nosocomial infections in general hospitals in Belo Horizonte. Infect Control Hosp Epidemiol 1998;19:872876.

6. M de Lourdes Garcia-Garcia , A Jimenez-Corona , ME Jimenez-Corona , M Solis-Bazaldua , CO Villamizar-Arciniegas , JL Valdespino-Gomez . Nosocomial infections in a community hospital in Mexico. Infect Control Hosp Epidemiol 2001;22:386388.

7. AE Macias , JM Munoz , DA Bruckner , et al. Parenteral infusions bacterial contamination in a multi-institutional survey in Mexico: considerations for nosocomial mortality. Am J Infect Control 1999;27:285290.

9. VD Rosenthal , S Guzman , SM Pezzotto , CJ Crnich . Effect of an infection control program using education and performance feedback on rates of intravascular device-associated bloodstream infections in intensive care units in Argentina. Am J Infect Control 2003;31:405409.

10. VD Rosenthal , S Guzman , PW Orellano . Nosocomial infections in medical-surgical intensive care units in Argentina: attributable mortality and length of stay. Am J Infect Control 2003;31:291295.

11. VD Rosenthal , RD McCormick , S Guzman , C Villamayor , PO Orellano . Effect of education and performance feedback on handwashing: the benefit of administrative support in Argentinean hospitals. Am J Infect Control 2003;31:8592.

12. JS Garner , WR Jarvis , TG Emori , TC Horan , JM Hughes . CDC definitions for nosocomial infections, 1988. Am J Infect Control 1988;16:128140.

13. TG Emori , DH Culver , TC Horan , et al. National Nosocomial Infections Surveillance System (NNIS): description of surveillance methods. Am J Infect Control 1991;19:1935.

14. DG Maki , CE Weise , HW Sarafin . A semiquantitative culture method for identifying intravenous-catheter-related infection. N Engl J Med 1977;296:13051309.

17. A Bueno-Cavanillas , M Delgado-Rodriguez , A Lopez-Luque , S Schaffino-Cano , R Galvez-Vargas . Influence of nosocomial infection on mortality rate in an intensive care unit. Crit Care Med 1994;22:5560.

18. RH Dinkel , U Lebok . A survey of nosocomial infections and their influence on hospital mortality rates. J Hosp Infect 1994;28:297304.

19. JY Fagon , A Novara , F Stephan , E Girou , M Safar . Mortality attributable to nosocomial infections in the ICU. Infect Control Hosp Epidemiol 1994;15:428434.

20. WR Jarvis . Selected aspects of the socioeconomic impact of nosocomial infections: morbidity, mortality, cost, and prevention. Infect Control Hosp Epidemiol 1996;17:552557.

21. RW Haley . Measuring the costs of nosocomial infections: methods for estimating economic burden on the hospital. Am J Med 1991;91:32S38S.

22. F Daschner . Unnecessary and ecological cost of hospital infection. J Hosp Infect 1991;18:7378.

23.National Nosocomial Infections Surveillance (NNIS) System. National Nosocomial Infections Surveillance (NNIS) System report: data summary from January 1992-June 2001, issued August 2001. Am J Infect Control 2001;29:404421.

24. SK Fridkin , SM Pear , TH Williamson , JN Galgiani , WR Jarvis . The role of understaffing in central venous catheter-associated bloodstream infections. Infect Control Hosp Epidemiol 1996;17:150158.

27. DG Maki , CA Hassemer . Endemic rate of fluid contamination and related septicemia in arterial pressure monitoring. Am j Med 1981;70:733738.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Infection Control & Hospital Epidemiology
  • ISSN: 0899-823X
  • EISSN: 1559-6834
  • URL: /core/journals/infection-control-and-hospital-epidemiology
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Abstract views

Total abstract views: 149 *
Loading metrics...

* Views captured on Cambridge Core between September 2016 - 21st September 2017. This data will be updated every 24 hours.