Nosocomial Infection Surveillance in a Surgical Intensive Care Unit in Spain, 1996-2000: A Time-Trend Analysis

Lizán-García, Máxima; Peyró, R.; Cortina, Manuel Suárez; Crespo, María Dolores; Tobías, Aurelio

doi:10.1086/499167

Cited by 21 publications

(11 citation statements)

References 18 publications

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“…CR-BSIs are the main cause of nosocomially acquired sepsis in all populations, but they are particularly prevalent among patients admitted to the intensive care unit. Incidence density ranges from 3.9 to 30 episodes of CR-BSI per 1000 days of central venous catheter use, and mortality associated with CR-BSI is estimated to be 9%-43% [21][22][23][24][25].…”

Section: Discussionmentioning

confidence: 99%

A Randomized and Prospective Study of 3 Procedures for the Diagnosis of Catheter-Related Bloodstream Infection without Catheter Withdrawal

Bouza

Alvarado

Alcalá

et al. 2007

Clinical Infectious Diseases

166

105

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CR-BSI can be assessed without catheter withdrawal in patients without neutropenia or blood disorders who have catheters inserted for a short time and are hospitalized in the intensive care unit. Convenience, use of resources, and expertise should determine the technique of choice in different medical contexts. Because of ease of performance, low cost, and wide availability, we recommend combining semiquantitative superficial cultures and peripheral vein blood cultures to screen for CR-BSI, leaving differential quantitative blood cultures as a confirmatory and more specific technique.

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Section: Discussionmentioning

confidence: 99%

A Randomized and Prospective Study of 3 Procedures for the Diagnosis of Catheter-Related Bloodstream Infection without Catheter Withdrawal

Bouza

Alvarado

Alcalá

et al. 2007

Clinical Infectious Diseases

166

105

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“…Such differences reflect the existence of differences among the units in relation to epidemiological parameters and in the required control measures. Table 1 provides epidemiological information from different countries and vigilance systems, including cardiovascular Intensive Care, 6 Intensive Care in Italy, 7 surgical ICUs in Spain, 8 and data from the EPINE nosocomial infections network 9 and the Spanish National Study of Control of Nosocomial Infection in Intensive Care Units (ENVIN-UCI). 10 Information is also presented from developing countries that generally show the incidence of nosocomial urinary infections to be greater than that in industrialized countries.…”

Section: Epidemiologymentioning

confidence: 99%

Urinary tract colonization and infection in critically ill patients

López

Cortés

2012

Medicina Intensiva (English Edition)

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“…The epidemiological surveillance of healthcare-associated infections (HAIs) in intensive care units (ICUs) provides clinicians and caregivers with trend descriptions and contributes to HAI prevention [1-4]. When studies from such epidemiological surveillance programs are carried out, standardized definitions of risk factors for HAI must be used.…”

Section: Introductionmentioning

confidence: 99%

Early-onset ventilator-associated pneumonia incidence in intensive care units: a surveillance-based study

et al. 2011

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BackgroundThe incidence of ventilator-associated pneumonia (VAP) within the first 48 hours of intensive care unit (ICU) stay has been poorly investigated. The objective was to estimate early-onset VAP occurrence in ICUs within 48 hours after admission.MethodsWe analyzed data from prospective surveillance between 01/01/2001 and 31/12/2009 in 11 ICUs of Lyon hospitals (France). The inclusion criteria were: first ICU admission, not hospitalized before admission, invasive mechanical ventilation during first ICU day, free of antibiotics at admission, and ICU stay ≥ 48 hours. VAP was defined according to a national protocol. Its incidence was the number of events per 1,000 invasive mechanical ventilation-days. The Poisson regression model was fitted from day 2 (D2) to D8 to incident VAP to estimate the expected VAP incidence from D0 to D1 of ICU stay.ResultsTotally, 367 (10.8%) of 3,387 patients in 45,760 patient-days developed VAP within the first 9 days. The predicted cumulative VAP incidence at D0 and D1 was 5.3 (2.6-9.8) and 8.3 (6.1-11.1), respectively. The predicted cumulative VAP incidence was 23.0 (20.8-25.3) at D8. The proportion of missed VAP within 48 hours from admission was 11% (9%-17%).ConclusionsOur study indicates underestimation of early-onset VAP incidence in ICUs, if only VAP occurring ≥ 48 hours are considered to be hospital-acquired. Clinicians should be encouraged to develop a strategy for early detection after ICU admission.

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Nosocomial Infection Surveillance in a Surgical Intensive Care Unit in Spain, 1996-2000: A Time-Trend Analysis

Abstract: An NI surveillance and control program contributed to a progressive decrease in NI rates.

Cited by 21 publications

References 18 publications

A Randomized and Prospective Study of 3 Procedures for the Diagnosis of Catheter-Related Bloodstream Infection without Catheter Withdrawal

A Randomized and Prospective Study of 3 Procedures for the Diagnosis of Catheter-Related Bloodstream Infection without Catheter Withdrawal

Urinary tract colonization and infection in critically ill patients

Early-onset ventilator-associated pneumonia incidence in intensive care units: a surveillance-based study

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