Impact before and after introduction of a multifaceted quality improvement intervention on device-related infections in a pediatric ICU in India: a single-centre experience (2024)

Related Papers

The Professional Medical Journal

Device associated healthcare associated infections in a pediatric intensive care unit of a Tertiary Care Hospital, Pakistan

Bushra Afroze

Objective: To determine the frequency of Ventilator associated Pneumonia (VAP), Central Line Associated Blood Stream Infection (CLABSI) and Catheter Associated Urinary Tract infection (CAUTI) by using standardized criteria established by Center of disease control and prevention. Study Design: Cross-sectional study. Setting: PICU of Aga Khan University Hospital (AKUH). Period: (August 2015 to January 2016). Material & Methods: Data was collected on a pre-coded proforma. Data was entered and analyzed through SPSS. Results: 156 patients were enrolled. 102 (65.4%) were male. Mean age was 57.59 months. Mean length of stay was 5.6 days. Patient and Device days were 546 and 958 respectively. Device utilization ratio was 0.56. Four Device associated infections (DAI) were identified during study period with a DAI Rate of 4.17 per 1000 device days. All DAI were CLABSIs. Enterococcus was the most frequent bacterial isolate. Conclusion: DAI are highly prevalent in low resource countries, especi...

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Journal of Critical Care

Device-associated infection rates and extra length of stay in an intensive care unit of a university hospital in Wroclaw, Poland: International Nosocomial Infection Control Consortium's (INICC) findings

2012 •

Ewa Szewczyk

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American journal of infection control

Prospective surveillance of device-associated health care-associated infection in an intensive care unit of a tertiary care hospital in New Delhi, India

2017 •

Pardeep Kumar Verma

Surveillance of health care-associated infections (HAIs) plays a key role in the hospital infection control program and reduction of HAIs. In India, most of the surveillance of HAIs is reported from private sector hospitals that do not depict the situation of government sector hospitals. Other studies do not confirm with the Centers for Disease Control and Prevention's (CDC) National Healthcare Safety Network (NHSN) surveillance criterion, or deal with ventilator-associated pneumonia (VAP) instead of ventilator-associated event (VAE). The aim of this study was to identify the incidences of 3 device-associated HAIs (DA-HAIs) (VAE, central line-associated bloodstream infection [CLABSI], and catheter-associated urinary tract infection [CAUTI]) by active surveillance using CDC's NHSN surveillance criteria and to identify the pathogens associated with these DA-HAIs. This was a prospective surveillance study (January 2015-December 2016) conducted in an intensive care unit (ICU) of...

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Quality indicators for prevention of device- associated infections in a limited resource setting

2020 •

Marwa Zalat, عصام الدين نجم, R. El-Sokkary

Background: In resource-limited countries, device-associated infections (DAIs) pose a real threat to patient safety as one of the most significant causes of morbidity and mortality. Nevertheless, inadequate data from ICUs in the developing world is available. The study aimed to assess the compliance with the device care bundle and evaluate the impact of device care bundle implementation on the incidences rate of device-associated infections and the mortality rates. Health care workers’ compliance with care bundles was observed. DAIs and mortality rates were calculated. Results: The compliance rate was (44/84; 52.4%) to each of ventilator care and central catheter care bundles and (45/84; 53.6%) to urinary catheter insertion care bundle. The incidence rate of total DAI was 35.3/1000 device-days. The overall crude excess mortality rates is 39.2% (relative risk, 5.7; 95% CI, 3.0410.68; P <0.001) & 15.9% (relative risk, 2.91; 95% CI, 1.555.40; P <0.001), for DAIs and for non-infec...

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American Journal of Infection Control

Device-associated nosocomial infection rates in intensive care units in four Mexican public hospitals

2006 •

Javier Ruiz

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American Journal of Infection Control

Factors associated with a significant reduction in hospital-wide infection rates

1996 •

Elaine Larson

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Interdisciplinary Perspectives on Infectious Diseases

Medical Device-AssociatedCandidaInfections in a Rural Tertiary Care Teaching Hospital of India

2016 •

Sachin Deorukhkar

Health care associated infections (HCAIs) add incrementally to the morbidity, mortality, and cost expected of the patient’s underlying diseases alone. Approximately, about half all cases of HCAIs are associated with medical devices. AsCandidamedical device-associated infection is highly drug resistant and can lead to serious life-threatening complications, there is a need of continuous surveillance of these infections to initiate preventive and corrective measures. The present study was conducted at a rural tertiary care hospital of India with an aim to evaluate the rate of medical device-associatedCandidainfections. Three commonly encountered medical device-associated infections (MDAI), catheter-associated urinary tract infection (CA-UTI), intravascular catheter-related blood stream infections (CR-BSI), and ventilator-associated pneumonia (VAP), were targeted. The overall rate of MDAI in our hospital was 2.1 per 1000 device days. The rate ofCandidarelated CA-UTI and CR-BSI was note...

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The Journal of Infection in Developing Countries

Device-associated infections in the pediatric intensive care unit at the American University of Beirut Medical Center

2016 •

Karim Sleiman

Introduction: Device-associated healthcare-associated infections (DA-HAIs) are the principal threat to patient safety in intensive care units (ICUs). The primary objective of this study was to identify the most common DA-HAIs in the pediatric intensive care unit (PICU) at the American University of Beirut Medical Center (AUBMC). Length of stay (LOS) and mortality, antimicrobial resistance patterns, and suitability of empiric antibiotic choices for DA-HAIs according to the local resistance patterns were also studied. Methodology: This was a retrospective study that included all patients admitted to the PICU at AUBMC between January 2007 and December 2011. All patients admitted to the PICU having a placed central line, an endotracheal tube, and/or a Foley catheter were included. Data was extracted from the patients’ medical records through chart review. A total of 22 patients were identified with 25 central line-associated bloodstream infections (CLABSI), 25 ventilator-associated pne...

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BMJ (Clinical research ed.)

Strengthening infection prevention and control and systematic surveillance of healthcare associated infections in India

2017 •

ANOOP VELAYUDHAN

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Device-Associated Healthcare-Associated Infections ( DA-HAIs ) in Kuwait adult ICUs : A Multi-Center Study

2017 •

Wafaa Hamza

Background: Device-associated (DA) health care– associated infection (HAI) surveillance in the intensive care unit (ICU) has an important role in hospital infection control and quality assurance. Methods: A retrospective study for analysis of ICU surveillance data collected from the monthly surveillance records of the year 2012 from three adult medical surgical ICUs in 3 general hospitals affiliated with Kuwait Ministry of Health. DA-HAIs were identified using the Centers for Disease Control and Prevention National Health surveillance definitions (CDC NHS). Results: Overall incidence rate of DA-HAIs was 19.8 per 1,000 ICU-days. The rates of ventilator associated pneumonia (VAP), central line associated blood stream infection (CLABSI), and catheter associated urinary tract infection (CAUTI) were 12.2, 4.3 and 3.9 per 1,000 device-days, respectively. The device utilization ratio (DURs) for mechanical ventilation, central line catheter, and urinary catheter was 0.61, 0.76, and 0.92, re...

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Impact before and after introduction of a multifaceted quality improvement intervention on device-related infections in a pediatric ICU in India: a single-centre experience (2024)

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