Six-year multicenter study on short-term peripheral venous catheters-related bloodstream infection rates in 246 intensive units of 83 hospitals in 52 cities of 14 countries of Middle East: Bahrain, Egypt, Iran, Jordan, Kingdom of Saudi Arabia, Kuwait, Lebanon, Morocco, Pakistan, Palestine, Sudan, Tunisia, Turkey, and United Arab Emirates—International Nosocomial Infection Control Consortium (INICC) findings

Víctor D. Rosenthal, Souad Belkebir, Farid Zand, Majeda Afeef, Vito L. Tanzi, Hail M. Al-Abdely, Amani El-Kholy, Safa A. Aziz AlKhawaja, Ali P. Demiroz, Amani F. Sayed, Naheed Elahi, May O. Gamar-Elanbya, Khalid Abidi, Najla Ben-Jaballah, Mona F. Salama, Najla J. Helali, Mona M. Abdel-Halim, Nadia L. Demaisip, Hala Ahmed, Hanan H. DiabApsia M. Molano, Fahad A. Sawan, Ashraf Kelany, Rami Altowerqi, Hala Rushdi, Modhi A. Alkamaly, Eatedal Bohlega, Hajer A. Aldossary, Kareem M. Abdelhady, Aamer Ikram, Marjory Madco, Yvonne Caminade, Muneefah Alazmi, Tahsine Mahfouz, Reham H. Abdelaziz-Yousef, Ahmed Ibrahim, Basma Elawady, Tasmiya Asad, Leide Shyrine, Hakan Leblebicioglu, N. K. Saeed, S. Abdul-Aziz, S. ALSayegh, M. Z. Humood, K. Mohamed-Ali, S. Swar, T. A.S. Magray, V. Bayani, S. A. Ahmed, A. M. Alansary, A. R. Hassan, I. Abdullorziz-Ghazi, M. A. El-Fattah, A. Hala, H. Ahmed-Fouad, H. Mounir-Agha, H. S. Hamza, Z. Salah, D. M. Abdel-Aziz, S. B. Ibrahim, A. M. Helal, A. F. Abdel-Massih, A. Reham-Mahmoud, B. Elawady, R. H. El-Sherif, Y. A. Fattah-Radwan, T. S. Abdel-Mawla, N. M. Kamal-Elden, Y. Abdelhamid, R. Fouda, D. Mohammed-Hassan, M. Mansour, M. Masjedi, B. Maghsudi, G. Sabetian, A. Sanaei, A. Yousefipour, R. Nikandish, A. Sanaei, E. Shafiee, S. Paydar, H. A. Khalili, A. Moradi, P. Sadeghi, S. Bolandparvaz, S. Mubarak, M. Makhlouf, M. Awwad, O. Ayyad, A. A. Shaweesh, M. M. Khader, A. Alghazawi, N. Hussien, M. Alruzzieh, Y. K. Mohamed, M. ALazhary, O. A. Abdul Aziz, M. Alazmi, J. Mendoza, P. A. de Vera, A. S. Rillorta, Mildred-De-Guzman, M. Girvan, M. Torres, N. Alzahrani, S. Alfaraj, U. Gopal, M. G. Manuel, R. Alshehri, L. Lessing, H. Alzoman, J. Abdrahiem, H. Adballah, J. Thankachan, H. Gomaa, T. Asad, M. AL-Alawi, N. A. Al-Abdullah, N. L. Demaisip, E. Laungayan-Cortez, A. F. Cabato, J. M. Gonzales, M. A. Al Raey, S. A. Al-Darani, M. R. Aziz, B. Al-Manea, E. Samy, M. AlDalaton, M. J. Alaliany, H. M. Alabdely, N. J. Helali, G. Sindayen, A. A. Malificio, H. B. Al-Dossari, A. Kelany, A. G. Algethami, D. Mohamed, L. Yanne, A. Tan, S. Babu, S. M. Abduljabbar, M. A. Al-Zaydani, A. Al Jarie, A. S.M. Al-Qathani, H. Y. Al-Alkami, M. AlDalaton, S. J.B. Alih, M. J. Alaliany, R. Gasmin-Aromin, E. Balon-Ubalde, H. H. Diab, N. A. Kader, I. Y. Hassan-Assiry, A. Kelany, E. Albeladi, S. Aboushoushah, N. Qushmaq, J. Fernandez, W. M. Hussain, R. D. Rajavel, S. Z. Bukhari, H. Rushdi, A. A. Turkistani, J. J. Mushtaq, E. Bohlega, S. Simon, E. Damlig, S. G. Elsherbini, S. Abraham, E. Kaid, A. Al-Attas, G. Hawsawi, B. Hussein, B. Esam, Y. Caminade, A. J. Santos, M. H. Abdulwahab, A. H. Aldossary, S. Al-Suliman, A. A. AlTalib, N. Albaghly, M. E. HaqlreMia, E. Kaid, R. Altowerqi, K. M. Ghalilah, M. Alradady, A. Al-Qatri, M. Chaouali, E. L. Shyrine, J. Philipose, M. Raees, N. S. AbdulKhalik, M. Madco, C. Acostan, R. Safwat, M. Halwani, N. A.H. Abdul-Aal, A. Thomas, S. M. Abdulatif, M. A. Ali-Karrar, N. Al-Gosn, A. A. Al-Hindi, R. N. Jaha, S. N. AlQahtani, E. P. Ayugat, M. I. Al-Hussain, A. Aldossary, S. Al-Suliman, A. A. Al-Talib, N. Albaghly, M. E. Haqlre-Mia, S. Briones, R. Krishnan, K. Tabassum, L. Alharbi, A. Madani, A. A. Al-Hindi, M. A. Al-Gethamy, D. M. Alamri, A. Mahmoud, A. Kurian, S. M. George, A. M. Mohamed, R. J. Ramapurath, S. T. Varghese, N. M. Abdo, M. Foda-Salama, H. H. Al-Mousa, A. A. Omar, M. Toleb, S. Khamis, S. S. Kanj, N. K. Zahreddine, Z. Kanafani, T. Kardas, R. Ahmadieh, Z. Hammoud, I. Zeid, A. Al-Souheil, H. Ayash, N. Madani, R. Abouqal, A. A. Zeggwagh, K. Berechid, T. P. Dendane, A. Koirala, R. Giri, S. Sainju, S. P. Acharya, N. Paul, A. Parveen, A. Raza, S. Nizamuddin, F. Sultan, Imran, R. Sajjad, M. Khan, F. Sana, N. Tayyab, A. Ahmed, G. Zaman, I. Khan, F. Khurram, A. Hussain, F. T. Zahra, A. Imtiaz, N. Daud, M. Sarwar, Z. Roop, S. Yusuf, F. Hanif, Shumaila, J. Zeb, S. R. Ali, S. Demas, S. Ariff, A. Riaz, A. S. Hussain, A. Kanaan, R. Jeetawi, A. Borgi, A. Bouziri, G. E. Tuncer, C. Bulut, C. A. Hatipoglu, F. E. Sebnem, A. Kaya, G. Ersoz, N. Kuyucu, S. Karacorlu, L. Gorenek, H. Erdem, D. Yildizdas, O. O. Horoz, E. Guclu, G. Kaya, O. Karabay, M. Altindis, N. Oztoprak, Y. Sahip, C. Uzun, N. Erben, G. Usluer, I. Ozgunes, M. Ozcelik, B. M. Ceyda, M. Oral, N. Unal, Y. G. Cigdem, M. K. Bayar, O. Bermede, S. Saygili, I. Yesiler, O. Memikoglu, A. Oncul, D. Ozdemir, M. F. Geyik, S. Y. Erdogan, A. Dilek, S. Esen, H. Turgut, H. Sungurtekin, D. Ugurcan, V. Yarar, Y. Bilir, N. Bayram, I. Devrim, H. Agin, G. Ceylan, N. Yasar, Y. Oruc, A. Ramazanoglu, O. Turhan, M. Cengiz, A. N. Yalcin, O. Dursun, P. Gunasan, S. Kaya, G. Senol, A. Gululu, D. Arman, Y. Gelebek, H. Zengin, H. Al-Rahma, P. Annamma, A. El-Houfi

Research output: Contribution to journalArticlepeer-review

19 Citations (Scopus)

Abstract

Background: Short-term peripheral venous catheters-related bloodstream infections (PVCR-BSIs) rates have not been systematically studied, and data on their incidence by number of device-days is not available. Methods: Prospective, surveillance study on PVCR-BSI conducted from September 1st, 2013 to 31st Mays, 2019 in 246 intensive care units (ICUs), members of the International Nosocomial Infection Control Consortium (INICC), from 83 hospitals in 52 cities of 14 countries in the Middle East (Bahrain, Egypt, Iran, Jordan, Kingdom of Saudi Arabia, Kuwait, Lebanon, Morocco, Pakistan, Palestine, Sudan, Tunisia, Turkey, and United Arab Emirates). We applied U.S. Results: We followed 31,083 ICU patients for 189,834 bed-days and 202,375 short term peripheral venous catheter (PVC)-days. We identified 470 PVCR-BSIs, amounting to a rate of 2.32/1000 PVC-days. Mortality in patients with PVC but without PVCR-BSI was 10.38%, and 29.36% in patients with PVC and PVCR-BSI. The mean length of stay in patients with PVC but without PVCR-BSI was 5.94 days, and 16.84 days in patients with PVC and PVCR-BSI. The microorganism profile showed 55.2 % of gram-positive bacteria, with Coagulase-negative Staphylococci (31%) and Staphylococcus aureus (14%) being the predominant ones. Gram-negative bacteria accounted for 39% of cases, and included: Escherichia coli (7%), Klebsiella pneumoniae (8%), Pseudomonas aeruginosa (5%), Enterobacter spp. (3%), and others (29.9%), such as Serratia marcescens. Conclusions: PVCR-BSI rates found in our ICUs were much higher than rates published from USA, Australia, and Italy. Infection prevention programs must be implemented to reduce the incidence of PVCR-BSIs.

Original languageEnglish
Pages (from-to)1134-1141
Number of pages8
JournalJournal of Infection and Public Health
Volume13
Issue number8
DOIs
Publication statusPublished - Aug 2020

Keywords

  • Antibiotic resistance
  • Device-associated infections
  • Hospital infection
  • Intensive care unit
  • Mortality
  • Peripheral line-associated bloodstream infections
  • Surveillance

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