Health-care associated infections rates, length of stay, and bacterial resistance in an intensive care unit of Morocco: Findings of the International Nosocomial Infection Control Consortium (INICC)

Madani, N.; Rosenthal, Víctor D.; Dendane, Tarek; Abidi, Khalid; Zeggwagh, Ali Amine; Abouqal, Rédouane

doi:10.1186/1755-7682-2-29

Cited by 69 publications

(63 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…These obstacles can be solved by focusing on increasing infection control budget, intense training for health care providers and adapting standard infection control guidelines will solve 80% of the problem of CRBSI. This was in agreement with the finding of other workers (22) . From this study it was found that, majority of healthcare providers in both ICUs had adequate knowledge about nosocomial infection which increased to 96.15% and 96.9% in surgical and emergency ICUs respectively after intervention without significant difference.…”

Section: (13 19 -21)supporting

confidence: 83%

An Interventional Study to Decrease Central Venous Catheter Related Blood Stream Infection in Intensive Care Units at Zagazig University Hospital

Nemr

Fahmy

Razek

et al. 2013

Zagazig University Medical Journal

View full text Add to dashboard Cite

Background: Catheter related blood stream infection (CRBSI) is a complication of central venous catheter (CVC) use. This Infection particularly in the ICU population results in higher levels of morbidity and mortality coupled with greater costs in terms of care and increased duration of hospital stay. Aim & Objectives: The aim of this study is to improve the safety of patients with CVC via decreasing the incidence of CRBSI in ICUs patients at Zagazig University Hospital through the following objectives: 1-Calculation the incidences of CRBSI in ICUs patients over six months before and after intervention through active surveillance. 2-Assessment the level of the knowledge and adherence of health care providers in ICUs to evidence based guidelines recommended by CDC to decrease the incidences of CRBSI in ICUs patients before and after intervention. 3-Implementation of health education program on ICUs health care providers i.e. providing them by information about evidence based guidelines recommended by CDC to decrease the incidence of CRBSI in ICUs patients.

show abstract

Section: (13 19 -21)supporting

confidence: 83%

An Interventional Study to Decrease Central Venous Catheter Related Blood Stream Infection in Intensive Care Units at Zagazig University Hospital

Nemr

Fahmy

Razek

et al. 2013

Zagazig University Medical Journal

View full text Add to dashboard Cite

show abstract

“…This report is a summary of data on device-associated infections (DAI) within intensive care units (ICUs) collected by hospitals participating in the International Nosocomial Infection Control Consortium (INICC) [1][2][3][4][5][6][7][8][9][10][11][12][13] between January 2003 and December 2008.…”

mentioning

confidence: 99%

International Nosocomial Infection Control Consortium (INICC) report, data summary for 2003-2008, issued June 2009

Rosenthal¹,

Maki

Jamulitrat

et al. 2010

American Journal of Infection Control

377

149

View full text Add to dashboard Cite

Surveillance system [NNIS]) definitions for device-associated health care-associated infection, we collected prospective data from 155,358 patients hospitalized in the consortium's hospital ICUs for an aggregate of 923,624 days. Although device utilization in the developing countries' ICUs was remarkably similar to that reported from US ICUs in the CDC's NHSN, rates of device-associated nosocomial infection were markedly higher in the ICUs of the INICC hospitals: the pooled rate of central venous catheter (CVC)-associated bloodstream infections (BSI) in the INICC ICUs, 7.6 per 1000 CVC-days, is nearly 3-fold higher than the 2.0 per 1000 CVC-days reported from comparable US ICUs, and the overall rate of ventilator-associated pneumonia (VAP) was also far higher, 13.6 versus 3.3 per 1000 ventilator-days, respectively, as was the rate of catheter-associated urinary tract infection (CAUTI), 6.3 versus 3.3 per 1000 catheter-days, respectively. Most strikingly, the frequencies of resistance of Staphylococcus aureus isolates to methicillin (MRSA) (84.1% vs 56.8%, respectively), Klebsiella pneumoniae to ceftazidime or ceftriaxone (76.1% vs 27.1%, respectively), Acinetobacter baumannii to imipenem (46.3% vs 29.2%, respectively), and Pseudomonas aeruginosa to piperacillin (78.0% vs 20.2%, respectively) were also far higher in the consortium's ICUs, and the crude unadjusted excess mortalities of device-related infections ranged from 23.6% (CVC-associated bloodstream infections) to 29.3% (VAP).

show abstract

“…Isolation precautions are designed to prevent transmission of microorganisms by common routes in hospitals. However, because agents and host factors are more difficult to control, interruption of transfer of microorganisms is directed primarily at transmission (Madani et al, 2009;Mielke, 2010;Rosenthal et al, 2010). …”

Section: Resultsmentioning

confidence: 99%

Study of the antibiotic resistance pattern among the bacterial isolated from the hospital environment of Azzahra Hospital, Isfahan, Iran

Jalalpoor¹

2011

Afr. J. Microbiol. Res.

View full text Add to dashboard Cite

Hospital surfaces play an important role in nosocomial infection (NI), in that the health-care environment contains a diverse population of microorganisms. Antibiotic resistance is the ability of a micro-organism to withstand the effects of an antibiotic, which is a specific type of drug resistance. Antibiotic resistance evolves naturally from a natural selection through random mutation, but could also be engineered by other selections. The research was performed with laboratory method in Esfahan City and the study as a whole comprised 194 strains obtained from hospital surfaces' samples. These strains were randomly selected from different wards of the hospital with sterile swab and NB medium. According to the results, Staphylococcus spp. (54.7%), Bacillus spp. (25%) and Enterobacteriaceae (10.7%) consist of isolated bacteria. The results of this study show high frequency of antibiotic resistant strain on hospital surfaces. Establishing systems for monitoring antimicrobial resistance in hospitals and the community, and linking these findings to resistance and disease surveillance data is fundamental to developing treatment guidelines accurately and to assessing the effectiveness of interventions appropriately.

show abstract

Health-care associated infections rates, length of stay, and bacterial resistance in an intensive care unit of Morocco: Findings of the International Nosocomial Infection Control Consortium (INICC)

Cited by 69 publications

References 34 publications

An Interventional Study to Decrease Central Venous Catheter Related Blood Stream Infection in Intensive Care Units at Zagazig University Hospital

An Interventional Study to Decrease Central Venous Catheter Related Blood Stream Infection in Intensive Care Units at Zagazig University Hospital

International Nosocomial Infection Control Consortium (INICC) report, data summary for 2003-2008, issued June 2009

Study of the antibiotic resistance pattern among the bacterial isolated from the hospital environment of Azzahra Hospital, Isfahan, Iran

Contact Info

Product

Resources

About