Major ArticleInternational Nosocomial Infection Control Consortium report, data summary of 50 countries for 2010-2015: Device-associated module
Section snippets
Methods
The INICC Surveillance Online System has 15 modules. One of them is for surveillance of DA-HAI in adult and pediatric ICUs and neonatal ICUs (NICUs).5, 6
The data are collected using standardized INICC online forms, following CDC-NHSN methods for calculation of HAI rates and DU ratios, and HAI definitions of the CDC-NSHN that include laboratory and clinical criteria.3, 4 Definitions of HAI used during surveillance were those published by CDC in 2008,3 and their subsequent updates published in
Results
From January 1, 2010-December 31, 2015 we conducted a cohort prospective multicenter surveillance study of DA-HAI in 703 ICUs in 50 countries from Latin America, Europe, Eastern Mediterranean, Southeast Asia, and Western Pacific World Health Organization regions currently participating in INICC. Out of all hospitals, 62% were public or academic, and the remaining 38% were private. The identity of all INICC patients, hospitals, cities, and countries is confidential, in accordance with the INICC
Discussion
From 1975-2004 the CDC's former National Nosocomial Infections Surveillance system,1 and thereafter, the NHSN,2 have provided benchmarking US ICU data on DA-HAIs, which are invaluable for researchers and served as an inspiration and foundation to the INICC program, which started its prospective standardized surveillance in 1998.5, 6
Our findings show that although the DU ratio in INICC ICUs is analogous or even lower to the DU ratio reported of US ICUs by the CDC-NHSN system, DA-HAI rates
Acknowledgments
The authors thank the many health care professionals who assisted with the conduct of surveillance in their hospital; Débora López Burgardt, who works at INICC headquarters in Buenos Aires; and the INICC Advisory Board, country directors, and secretaries (Hail M. Alabdaley, Yassir Khidir Mohamed, Safaa Abdul Aziz AlKhawaja, Amani Ali El-Kholy, Vineya Rai, María Isabel Villegas-Mota, Souha S. Kanj, Hakan Leblebicioglu, Yatin Mehta, Bijie Hu, Lul Raka, Najiba M Abdulrazzaq, Sergio Cimerman,
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For a list of all members of the International Nosocomial Infection Control Consortium and all coauthors of this study, see the Appendix.
The funding for design, development, maintenance, technical support, data validation, and report generation of the Surveillance Online System, and the activities carried out at International Nosocomial Infection Control Consortium headquarters, were provided by VDR and the Foundation to Fight against Nosocomial Infections.
All authors were involved in provision of study patients, critical revision of the manuscript for important intellectual content, and final approval of the manuscript. VDR was responsible for study conception and design, drafting of the manuscript, software development, technical support, report generation, data validation, data assembly, data interpretation, and epidemiologic and statistical analysis.
Conflicts of interest: None to report.