The impact of COVID-19 on health care–associated infections in intensive care units in low- and middle-income countries: International Nosocomial Infection Control Consortium (INICC) findings
ABSTRACT: Background: This study examines the impact of the COVID-19 pandemic on health care–associated infection (HAI) incidence in low- and middle-income countries (LMICs). Methods: Patients from 7 LMICs were followed up during hospital intensive care unit (ICU) stays from January 2019 to May 202...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-05-01
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| Series: | International Journal of Infectious Diseases |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1201971222001205 |
| _version_ | 1818047271119355904 |
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| author | Victor D. Rosenthal Sheila Nainan Myatra Jigeeshu Vasishtha Divatia Sanjay Biswas Anjana Shrivastava Majeda A. Al-Ruzzieh Omar Ayaad Ariungerel Bat-Erdene Ider Bat-Erdene Batsaikhan Narankhuu Debkishore Gupta Subhranshu Mandal Sankar Sengupta Hala Joudi Ibrahim Omeis Hala Mounir Agha Amr Fathallala El Hossein Mohahmed Irem Yesiler Mehmet Oral Menekse Ozcelik Yatin Mehta Smita Sarma Souranshu Chatterjee Souad Belkebir Alaa Kanaa Rawan Jeetawi Samantha A. Mclaughlin James M. Shultz Gonzalo Bearman Zhilin Jin Ruijie Yin |
| author_facet | Victor D. Rosenthal Sheila Nainan Myatra Jigeeshu Vasishtha Divatia Sanjay Biswas Anjana Shrivastava Majeda A. Al-Ruzzieh Omar Ayaad Ariungerel Bat-Erdene Ider Bat-Erdene Batsaikhan Narankhuu Debkishore Gupta Subhranshu Mandal Sankar Sengupta Hala Joudi Ibrahim Omeis Hala Mounir Agha Amr Fathallala El Hossein Mohahmed Irem Yesiler Mehmet Oral Menekse Ozcelik Yatin Mehta Smita Sarma Souranshu Chatterjee Souad Belkebir Alaa Kanaa Rawan Jeetawi Samantha A. Mclaughlin James M. Shultz Gonzalo Bearman Zhilin Jin Ruijie Yin |
| author_sort | Victor D. Rosenthal |
| collection | DOAJ |
| description | ABSTRACT: Background: This study examines the impact of the COVID-19 pandemic on health care–associated infection (HAI) incidence in low- and middle-income countries (LMICs). Methods: Patients from 7 LMICs were followed up during hospital intensive care unit (ICU) stays from January 2019 to May 2020. HAI rates were calculated using the International Nosocomial Infection Control Consortium (INICC) Surveillance Online System applying the Centers for Disease Control and Prevention's National Healthcare Safety Network (CDC-NHSN) criteria. Pre–COVID-19 rates for 2019 were compared with COVID-19 era rates for 2020 for central line–associated bloodstream infections (CLABSIs), catheter-associated urinary tract infections (CAUTIs), ventilator-associated events (VAEs), mortality, and length of stay (LOS). Results: A total of 7,775 patients were followed up for 49,506 bed days. The 2019 to 2020 rate comparisons were 2.54 and 4.73 CLABSIs per 1,000 central line days (risk ratio [RR] = 1.85, p = .0006), 9.71 and 12.58 VAEs per 1,000 mechanical ventilator days (RR = 1.29, p = .10), and 1.64 and 1.43 CAUTIs per 1,000 urinary catheter days (RR = 1.14; p = .69). Mortality rates were 15.2% and 23.2% for 2019 and 2020 (RR = 1.42; p < .0001), respectively. Mean LOS for 2019 and 2020 were 6.02 and 7.54 days (RR = 1.21, p < .0001), respectively. Discussion: This study documents an increase in HAI rates in 7 LMICs during the first 5 months of the COVID-19 pandemic and highlights the need to reprioritize and return to conventional infection prevention practices. |
| first_indexed | 2024-12-10T10:03:08Z |
| format | Article |
| id | doaj.art-0f0c90241e0941c491a2907d706bc52e |
| institution | Directory Open Access Journal |
| issn | 1201-9712 |
| language | English |
| last_indexed | 2024-12-10T10:03:08Z |
| publishDate | 2022-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Infectious Diseases |
| spelling | doaj.art-0f0c90241e0941c491a2907d706bc52e2022-12-22T01:53:19ZengElsevierInternational Journal of Infectious Diseases1201-97122022-05-011188388The impact of COVID-19 on health care–associated infections in intensive care units in low- and middle-income countries: International Nosocomial Infection Control Consortium (INICC) findingsVictor D. Rosenthal0Sheila Nainan Myatra1Jigeeshu Vasishtha Divatia2Sanjay Biswas3Anjana Shrivastava4Majeda A. Al-Ruzzieh5Omar Ayaad6Ariungerel Bat-Erdene7Ider Bat-Erdene8Batsaikhan Narankhuu9Debkishore Gupta10Subhranshu Mandal11Sankar Sengupta12Hala Joudi13Ibrahim Omeis14Hala Mounir Agha15Amr Fathallala16El Hossein Mohahmed17Irem Yesiler18Mehmet Oral19Menekse Ozcelik20Yatin Mehta21Smita Sarma22Souranshu Chatterjee23Souad Belkebir24Alaa Kanaa25Rawan Jeetawi26Samantha A. Mclaughlin27James M. Shultz28Gonzalo Bearman29Zhilin Jin30Ruijie Yin31Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, USA; International Nosocomial Infection Control Consortium, Miami, FL, USA; Corresponding author: Victor D. RosenthalTata Memorial Hospital, Homi Bhabha National Institute, Mumbai, IndiaTata Memorial Hospital, Homi Bhabha National Institute, Mumbai, IndiaTata Memorial Hospital, Homi Bhabha National Institute, Mumbai, IndiaTata Memorial Hospital, Homi Bhabha National Institute, Mumbai, IndiaKing Hussein Cancer Center, Amman, JordanKing Hussein Cancer Center, Amman, JordanIntermed Hospital, Ulaanbaatar, MongoliaIntermed Hospital, Ulaanbaatar, MongoliaIntermed Hospital, Ulaanbaatar, MongoliaBM Birla Heart Research Centre, Kolkata, IndiaBM Birla Heart Research Centre, Kolkata, IndiaBM Birla Heart Research Centre, Kolkata, IndiaHammoud Hospital University Medical Center, Saida, LebanonHammoud Hospital University Medical Center, Saida, LebanonCairo University Specialized Pediatric Hospital, Cairo, EgyptCairo University Specialized Pediatric Hospital, Cairo, EgyptCairo University Specialized Pediatric Hospital, Cairo, EgyptAnkara University Faculty of Medicine, Ankara, TurkeyAnkara University Faculty of Medicine, Ankara, TurkeyAnkara University Faculty of Medicine, Ankara, TurkeyMedanta The Medicity, Gurgaon, IndiaMedanta The Medicity, Gurgaon, IndiaMedanta The Medicity, Gurgaon, IndiaAn Najah National University, Nablus, PalestineAn Najah National University Hospital, Nablus, PalestineAn Najah National University Hospital, Nablus, PalestineDepartment of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, USADepartment of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, USAVirginia Commonwealth University School of Medicine, Richmond, VA, USADepartment of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, USADepartment of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, USAABSTRACT: Background: This study examines the impact of the COVID-19 pandemic on health care–associated infection (HAI) incidence in low- and middle-income countries (LMICs). Methods: Patients from 7 LMICs were followed up during hospital intensive care unit (ICU) stays from January 2019 to May 2020. HAI rates were calculated using the International Nosocomial Infection Control Consortium (INICC) Surveillance Online System applying the Centers for Disease Control and Prevention's National Healthcare Safety Network (CDC-NHSN) criteria. Pre–COVID-19 rates for 2019 were compared with COVID-19 era rates for 2020 for central line–associated bloodstream infections (CLABSIs), catheter-associated urinary tract infections (CAUTIs), ventilator-associated events (VAEs), mortality, and length of stay (LOS). Results: A total of 7,775 patients were followed up for 49,506 bed days. The 2019 to 2020 rate comparisons were 2.54 and 4.73 CLABSIs per 1,000 central line days (risk ratio [RR] = 1.85, p = .0006), 9.71 and 12.58 VAEs per 1,000 mechanical ventilator days (RR = 1.29, p = .10), and 1.64 and 1.43 CAUTIs per 1,000 urinary catheter days (RR = 1.14; p = .69). Mortality rates were 15.2% and 23.2% for 2019 and 2020 (RR = 1.42; p < .0001), respectively. Mean LOS for 2019 and 2020 were 6.02 and 7.54 days (RR = 1.21, p < .0001), respectively. Discussion: This study documents an increase in HAI rates in 7 LMICs during the first 5 months of the COVID-19 pandemic and highlights the need to reprioritize and return to conventional infection prevention practices.http://www.sciencedirect.com/science/article/pii/S1201971222001205SurveillanceInfection controlInfection preventionHealth care–associated infectionNosocomial infectionHospital infection |
| spellingShingle | Victor D. Rosenthal Sheila Nainan Myatra Jigeeshu Vasishtha Divatia Sanjay Biswas Anjana Shrivastava Majeda A. Al-Ruzzieh Omar Ayaad Ariungerel Bat-Erdene Ider Bat-Erdene Batsaikhan Narankhuu Debkishore Gupta Subhranshu Mandal Sankar Sengupta Hala Joudi Ibrahim Omeis Hala Mounir Agha Amr Fathallala El Hossein Mohahmed Irem Yesiler Mehmet Oral Menekse Ozcelik Yatin Mehta Smita Sarma Souranshu Chatterjee Souad Belkebir Alaa Kanaa Rawan Jeetawi Samantha A. Mclaughlin James M. Shultz Gonzalo Bearman Zhilin Jin Ruijie Yin The impact of COVID-19 on health care–associated infections in intensive care units in low- and middle-income countries: International Nosocomial Infection Control Consortium (INICC) findings International Journal of Infectious Diseases Surveillance Infection control Infection prevention Health care–associated infection Nosocomial infection Hospital infection |
| title | The impact of COVID-19 on health care–associated infections in intensive care units in low- and middle-income countries: International Nosocomial Infection Control Consortium (INICC) findings |
| title_full | The impact of COVID-19 on health care–associated infections in intensive care units in low- and middle-income countries: International Nosocomial Infection Control Consortium (INICC) findings |
| title_fullStr | The impact of COVID-19 on health care–associated infections in intensive care units in low- and middle-income countries: International Nosocomial Infection Control Consortium (INICC) findings |
| title_full_unstemmed | The impact of COVID-19 on health care–associated infections in intensive care units in low- and middle-income countries: International Nosocomial Infection Control Consortium (INICC) findings |
| title_short | The impact of COVID-19 on health care–associated infections in intensive care units in low- and middle-income countries: International Nosocomial Infection Control Consortium (INICC) findings |
| title_sort | impact of covid 19 on health care associated infections in intensive care units in low and middle income countries international nosocomial infection control consortium inicc findings |
| topic | Surveillance Infection control Infection prevention Health care–associated infection Nosocomial infection Hospital infection |
| url | http://www.sciencedirect.com/science/article/pii/S1201971222001205 |
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