Details:

Alternative Title:
Infect Control Hosp Epidemiol
Personal Author:
See, Isaac ; Lessa, Fernanda C. ; ElAta, Omar Abo ; Hafez, Soad ; Samy, Karim ; ... More +
See, Isaac ; Lessa, Fernanda C. ; ElAta, Omar Abo ; Hafez, Soad ; Samy, Karim ; El-Kholy, Amani ; El Anani, Mervat Gaber ; Ismail, Ghada ; Kandeel, Amr ; Galal, Ramy ; Ellingson, Katherine ; Talaat, Maha Less -
Description:
Objective

To report type and rates of healthcare-associated infections (HAI) as well as pathogen distribution and antimicrobial resistance patterns from a pilot HAI surveillance system in Egypt.

Methods

Prospective surveillance was conducted from April 2011–March 2012 in 46 intensive care units (ICUs) in Egypt. Definitions were adapted from the CDC’s National Healthcare Safety Network. Trained healthcare workers identified HAIs and recorded data on clinical symptoms and up to four pathogens. A convenience sample of clinical isolates was tested for antimicrobial resistance at a central reference laboratory. Multidrug resistance was defined by international consensus criteria.

Results

ICUs from 11 hospitals collected 90,515 patient-days of surveillance data. Of 472 HAIs identified, 47% were pneumonia, 22% were bloodstream infections, and 15% were urinary tract infections; case fatality among HAI case-patients was 43%. The highest rate of device-associated infections was reported for ventilator-associated pneumonia (pooled mean rate: 7.47 VAP/1,000 ventilator-days). The most common pathogens reported were Acinetobacter spp. (21.8%) and Klebsiella spp. (18.4%). All Acinetobacter spp. isolates tested (31/31) were multidrug-resistant, and 71% (17/24) of Klebsiella pneumoniae isolates were extended spectrum beta-lactamase producers.

Conclusions

Infection control priorities in Egypt should include preventing pneumonia and preventing infections due to antimicrobial-resistant pathogens.


Subjects:
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Adolescent Adult Aged Article Catheter-Related Infections Central Venous Catheters Child Child, Preschool Cross Infection Female Hospitals Humans Incidence Infant Intensive Care Units Male Middle Aged Pilot Projects Pneumonia, Ventilator-Associated Population Surveillance Prospective Studies Sepsis Urinary Catheters Urinary Tract Infections Young Adult
Source:
Infect Control Hosp Epidemiol. 34(12):1281-1288
Pubmed ID:
24225613
Pubmed Central ID:
PMC4697449
Document Type:
Journal Article
Funding:
CC999999/Intramural CDC HHS/United States
Place as Subject:
Egypt
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:2f8e93d24e1fb4b2fe074cc7796dc5ba73ca721c368fafdab0ce9cb9dbe1dfb7
Download URL:
https://stacks.cdc.gov/view/cdc/37155/cdc_37155_DS1.pdf
File Type:

Supporting Files

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