medigraphic.com
ISSN 1995-9427 (Print)

2021, Number 3

<< Back Next >>

Invest Medicoquir 2021; 13 (3)

Point prevalence survey of health-care-associated infections in intensive care units in Cuba (2019-2020)

Language: Spanish
References: 20
Page:
PDF size: 281.98 Kb.


ABSTRACT

Introduction. Health-care-associated infections (HCAI) in intensive care units (icus) continue to be a global health problem. Methods. A multi-center, observational, descriptive, point prevalence survey was carried out in ten icus (seven adult and three pediatric) on October 15, 2019 and ten icus (six adult and four pediatric) on October 29, 2020 (eight months after the SARS CoV-2 pandemic was declared). Demographic variables, risk factors, presence of HCAI and locations were obtained. Results. The prevalence of HCAI in adult icus increased from 23.1% in 2019 to 37.8% in 2020; and in pediatric icus it decreased from 29.2% in 2019 to 12.5% in 2020. The most prevalent infections were respiratory infections associated with mechanical ventilation. The most frequent causative organisms were Pseudomonas aeuriginosa, Klebsiella pneumoniae and Acinetobacter spp. The most frequent risk factors were use of antibiotics, a central venous catheter, and previous hospitalization. Conclusions. Risk factors for HCAI have a high prevalence in the population admitted to the icus. The behavior during the first year of the SARS CoV-2 pandemic was characterized by an increase in prevalence in adult icus and a decrease in pediatric icus. There was no variation in the main locations and causal microorganisms of the HCAI, in relation to the previous year.


REFERENCES

  1. Norrick B, Lewis N, Allen-Bridson K, Hebden JN, Wright MO. Health Care-associated infections studies project: An American Journal of Infection Control and National Healthcare Safety Network data quality collaboration case study. Am J Infect Control. 2021 Feb;49(2):224-225. doi: 10.1016/j.ajic.2020.10.005.

  2. Watkins J, Gross C, Godfrey-Johnson D, Allen-Bridson K, Hebden JN, Wright MO. Health Care-Associated Infections Studies Project: An American Journal of Infection Control and National Healthcare Safety Network Data Quality Collaboration. Am J Infect Control. 2021 Feb 17:S0196-6553(21)00087-0. doi: 10.1016/j.ajic.2021.02.010.

  3. Tartari E, Tomczyk S, Pires D, Zayed B, Coutinho Rehse AP, Kariyo P, et al. Implementation of the infection prevention and control core components at the national level: a global situational analysis. J Hosp Infect. 2021 Feb;108:94-103. doi: 10.1016/j.jhin.2020.11.025.

  4. Saleem Z, Godman B, Hassali MA, Hashmi FK, Azhar F, Rehman IU. Point prevalence surveys of health-care-associated infections: a systematic review. Pathog Glob Health. 2019 Jun;113(4):191-205. doi: 10.1080/20477724.2019.1632070.

  5. Grupo de Investigadores del Proyecto Disminución de la Infección Nosocomial en Unidades de Cuidados Intensivos (Proyecto DINUCI). Incidencia de infección relacionada con el cuidado sanitario en unidades de cuidados intensivos en Cuba (año 2014). Resultados de la implementación de un paquete de medidas profilácticas. Invest Medicoquir [revista en la Internet]. 2015 (julio - diciembre) [citado 2021 Marzo 10]; 7(2): 182 – 202. Disponible en: http://www.revcimeq.sld.cu/index.php/imq/article/view/319.

  6. Estudio Nacional de Vigilancia de Infección Nosocomial en Servicios de Medicina Intensiva. Informe 2013. Disponible en: http://hws.vhebron.net/envin-helics/Help/Informe%20ENVIN-UCI%202013.pdf. Acceso el 10 de marzo de 2021.

  7. Horan TC, Andrus M, Dudeck MA. CDC/NHSN surveillance definition of health care–associated infection and criteria for specific types of infections in the acute care setting. Am J Infect Control. 2008; 36:309-32.

  8. Liu YC, Kuo RL, Shih SR. COVID-19: The first documented coronavirus pandemic in history. Biomed J. 2020 Aug;43(4):328-333. doi: 10.1016/j.bj.2020.04.007.

  9. Dehkordi LM, Babashahi M, Irajpour A. Nonprofessional Care in Chronic Critically Ill Patient: A Qualitative Study. Int J Prev Med. 2016 Dec 5;7:125. doi: 10.4103/2008-7802.195209.

  10. Los resultados del registro 'Envin' lo confirman: las nosocomiales se multiplicaron durante la primera ola [Diario Médico Internet]. 2021 [citado 2021 Marzo 10]; Disponible en: https://www.diariomedico.com/medicina/medicina-intensiva/profesion/los-resultados-del-registro-envin-lo-confirman-las-nosocomiales-se-multiplicaron-durante-la-primera-ola.html.

  11. Nejad SB, Allegranzi B, Syed SB, et al. Health-care associated infection in Africa: a systematic review. Bull World Health Organ. 2011;89:757–765.

  12. Rothe C, Schlaich C, Thompson S. Health care associated infections in sub-Saharan Africa. J Hosp Infect. 2013;85(4):257–267.

  13. Vincent JL, Bihari DJ, Suter PM, Bruining HA, White J, Nicolas-Chanoin MH, et al. The prevalence of nosocomial infection in intensive care units in Europe. Results of the European Prevalence of Infection in Intensive Care (EPIC) Study. EPIC International Advisory Committee. JAMA. 1995 Aug 23-30;274(8):639-44.

  14. Huerta-Gutiérrez R, Braga L, Camacho-Ortiz A, Díaz-Ponce H, García-Mollinedo L, Guzmán-Blanco M, et al. One-day point prevalence of healthcare-associated infections and antimicrobial use in four countries in Latin America. Int J Infect Dis. 2019 Sep;86:157-166. doi: 10.1016/j.ijid.2019.06.016.

  15. Braga IA, Campos PA, Gontijo-Filho PP, Ribas RM. Multi-hospital point prevalence study of healthcare-associated infections in 28 adult intensive care units in Brazil. J Hosp Infect. 2018 Jul;99(3):318-324. doi: 10.1016/j.jhin.2018.03.003.

  16. Zingg W, Hopkins S, Gayet-Ageron A, Holmes A, Sharland M, Suetens C; ECDC PPS study group. Health-care-associated infections in neonates, children, and adolescents: an analysis of paediatric data from the European Centre for Disease Prevention and Control point-prevalence survey. Lancet Infect Dis. 2017 Apr;17(4):381-389. doi: 10.1016/S1473-3099(16)30517-5.

  17. Papazian L, Klompas M, Luyt CE. Ventilator-associated pneumonia in adults: a narrative review. Intensive Care Med. 2020;46(5):888–906. doi: 10.1007/s00134-020-05980-0.

  18. Pillonetto M, Jordão RTS, Andraus GS, Bergamo R, Rocha FB, Onishi MC, et al. The Experience of Implementing a National Antimicrobial Resistance Surveillance System in Brazil. Front Public Health. 2021 Jan 14;8:575536. doi: 10.3389/fpubh.2020.575536.

  19. WHO report on surveillance of antibiotic consumption: 2016-2018 early implementation. Who.int. [Citado 10 Marzo 2021]. Available from: https://www.who.int/medicines/areas/rational_use/who-amr-amc-report-20181109.pdf?ua=1

  20. Valdés García Luis Eugenio, Leyva Miranda Tania. Prevalencia de infecciones asociadas a la asistencia sanitaria en hospitales provinciales de Santiago de Cuba. MEDISAN [Internet]. 2013 Dic [citado 2021 Mar 10] ; 17( 12 ): 9131-9143. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192013001200014&lng=es.




2020     |     www.medigraphic.com