Major articleInternational Nosocomial Infection Control Consortiu (INICC) report, data summary of 43 countries for 2007-2012. Device-associated module
Section snippets
Study setting and design
From January 2007-December 2012, we conducted a cohort prospective multicenter surveillance study of device-associated health care–acquired infections (DA-HAIs) in 503 intensive care units (ICUs) in 43 countries from Latin America, Asia, Africa, and Europe currently participating in the INICC. The mean length of participation of hospitals in the INICC program ± SD is 19.5 ± 17.7 months (range, 1-72 months).
The identity of all INICC patients, hospitals, cities, and countries is confidential, in
Results
Characteristics of 503 ICUs that contributed data for this report are shown in Table 1. For the outcome surveillance component, DA-HAI rates, device utilization (DU) ratios, crude excess mortality by specific type of DA-HAI, and bacterial resistance for January 2007-December 2012 are summarized in Table 2, Table 3, Table 4, Table 5, Table 6, Table 7, Table 8, Table 9, Table 10, Table 11, Table 12, Table 13, Table 14, Table 15. Table 2, Table 3, Table 4, Table 5, Table 6, Table 7 show DA-HAI
Discussion
The effectiveness of implementing an integrated infection control program focused on HAI surveillance was demonstrated around 30 years ago as shown in the many studies conducted in the U.S., whose results reported not only that the incidence of HAI can be reduced by as much as 30% but that a related reduction in health care costs was also feasible.35 For >30 years, the CDC's National Nosocomial Infections Surveillance System and NHSN network has provided benchmarking U.S. ICU data on DA-HAIs
Acknowledgments
We thank the many health care professionals at each member hospital who assisted with the conduct of surveillance in their hospital, including the surveillance nurses, clinical microbiology laboratory personnel, and physicians and nurses providing care for the patients during the study; without their cooperation and generous assistance, this International Nosocomial Infection Control Consortium (INICC) would not be possible. We thank Mariano Vilar and Débora López Burgardt, who work at INICC
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For a list of all the members of the International Nosocomial Infection Control Consortium and all the coauthors of this study, see the Appendix.
Conflict of interest: None to report.