Incidence of device-associated infections reported in adult and pediatric intensive care units

Authors

  • Lina Patricia Camacho Nuñez Universidad CES
  • Gino Montenegro Martínez Universidad CES
  • Erika Giraldo Gallo Universidad CES
  • Santiago Henao Villegas Universidad CES

DOI:

https://doi.org/10.21615/cesmedicina.6950

Keywords:

infections, incidence, devices, trends, critical care

Abstract

Objective: to analyze the trend of incidence rates of Device-Associated Infections in adult and pediatric Intensive Care Units in Colombia for the period 2012-2021. Methods: descriptive observational study based on trend analysis. Data on Device-Associated Infections were taken from event reports published annually by the National Public Health Surveillance System (SIVIGILA). Descriptive statistics and trend graphs were performed, and joint-point regression analysis was used to analyze the behavior of incidence rates. the behavior of incidence rates. Results: the incidence rates of reported DAIs show a fluctuating trend in the period 2012-2021 in both adult ICU and pediatric ICU. The rate of STI AC in adult ICU presents a statistically significant decrease from 2012 to 2019, however it increases significantly between 2019 and 2021. In pediatric ICU the rate of VAP decreases significantly in the period 2014 to 2021, as do the AC STIs. The rate of STI AC, shows an increasing trend throughout the period. Conclusions: there is a fluctuating trend in the incidence rates of reported DAIs that is maintained throughout the period observed in adult and pediatric ICUs. It is important to reinforce strategies for the prevention, control and notification of these events of public health interest.

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Author Biographies

Lina Patricia Camacho Nuñez, Universidad CES

Magíster en Gerencia de Proyectos de Investigación y desarrollo, Grupo de investigación: Observatorio de la Salud Pública, Escuela de Graduados, Universidad CES, Medellín, Colombia. 

Gino Montenegro Martínez, Universidad CES

Doctor en Salud Pública, Universidad CES, Grupo de investigación: Observatorio de la Salud Pública, Escuela de Graduados, Medellín, Colombia. 

Erika Giraldo Gallo, Universidad CES

Doctora en Epidemiología. Grupo de Investigación: Epidemiología y Bioestadística, Universidad CES, Medellín, Colombia.

Santiago Henao Villegas, Universidad CES

Doctor en Bioética. Grupo de Investigación: Observatorio de la Salud Pública, Universidad CES, Medellín, Colombia. 

References

Allegranzi B, Nejad S, Castillejos G, Kilpatrick C, Kelley E. WHO Guidelines on Hand Hygiene in Health Care: First Global Patient Safety Challenge Celan Care is Safer Care. [citado el 2 de febrero de 2022];22(1). Ginebra Disponible en: https://www.ncbi.nlm.nih.gov/books/NBK144030/

Mathur P, Khurana S, Kumar S, Gupta D, Aggrawal R, Soni KD, et al. Device associated infections at a trauma surgical center of India: Trend over eight years. Indian Journal of Medical Microbiology. 2021 Jan;39(1):15–8. Disponible en: https://doi.org/10.1016/j.ijmmb.2020.10.015

World Health Organization. Global guidelines for the prevention of surgical site infection [Internet]. 2nd ed. Ginebra: World Health Organization; 2018 [citado el 21 de julio de 2022]. 184 p. Disponible en: https://apps.who.int/iris/handle/10665/277399

World Health Organization. Global report on infection prevention and control [Internet]. Ginebra: World Health Organization; 2022 [citado el 13 de julio de 2022]. Disponible en: https://apps.who.int/iris/handle/10665/354489

Menon G, Subramanian A, Baby P, Daniel N, Radhika R, George M, et al. Incidence of device associated-healthcare associated infections from a neurosurgical intensive care unit of a tertiary care center: A retrospective analysis. Anesth Essays Res. 2020;14(3):454. Disponible en: https://doi.org/10.4103/aer.AER_112_20

Khan ID, Basu A, Kiran S, Trivedi S, Pandit P, Chattoraj A. Device-Associated Healthcare-Associated Infections (DA-HAI) and the caveat of multiresistance in a multidisciplinary intensive care unit. Medical Journal Armed Forces India. 2017 Jul;73(3):222–31. Disponible en: https://doi.org/10.1016/j.mjafi.2016.10.008

Organización Panamericana de la Salud. Prevencion y control de Infecciones Asociadas a la Atencion de la Salud [Internet]. Washington, D.C; 2017. 154 p. Disponible en: https://www3.paho.org/hq/index.php?option=com_docman&view=download&category_slug=publicaciones-tecnicas-investigacion-5602&alias=40356-prevencion-control-infecciones-asociadas-a-atencion-salud-recomendaciones-basicas-2018-356&Itemid=270&lang=es

Ministerio de Salud y Protección Social. Programa de Prevencion, Vigilancia y Control De Infecciones Asociadas a la Atencion en Salud -IAAS y la Ressitencia Antimicrobiana. Bogota; 2018. 64 p.

Organización Panamericana de la Salud. Vigilancia epidemiológica de las Infecciones Asociadas a la Atención en Salud [Internet]. Washington, D.C.; 2010. Disponible en: https://iris.paho.org/bitstream/handle/10665.2/33851/9789275331477-spa.pdf?sequence=1&isAllowed=y

Organizacion Panamericana de la Salud. Modulos de principios de epidemiología para el control de enfermedades: control de enfermedades en la poblacion. Washington, D.C: Organizacion Panamericana de la Salud; 2002.

Instituto Nacional de Salud. Informes de evento [Internet]. Disponible en: https://www.ins.gov.co/buscador-eventos/Paginas/Info-Evento.aspx

Ministerio de la Proteccion Social. Decreto Numero 3518 DE 2006 [Internet]. 2006 p. 17. Disponible en: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/DIJ/Decreto-3518-de-2006.pdf

Rivera S, Barrero L, Villalobos A. Protocolo de Vigilancia de Infecciones Asociadas a Dispositivos (IAD) [Internet]. Instituto Nacional de Salud; 2022 Jan [citado el 25 de julio de 2022]. Disponible en: https://www.ins.gov.co/buscador-eventos/SitePages/Evento.aspx?Event=24

Instituto Nacional de Salud. Protocolo de Vigilancia en Salud Pública: Infecciones Asociadas a Dispositivos [Internet]. 2016. Disponible en: http://bvs.minsa.gob.pe/local/MINSA/3450.pdf

Cayuela A, Cayuela L, Escudero-Martínez I, Rodríguez-Domínguez S, González A, Moniche F, et al. Análisis de las tendencias en la mortalidad por enfermedades cerebrovasculares en España 1980-2011. Neurología. 2016 Jul;31(6):370–8. Disponible en: https://doi.org/10.1016/j.nrl.2014.09.002

Márquez S, Pérez L, Viciana F, Fernández J. Tendencia de la mortalidad por edad y sexo en España (1981-2016). Cambios asociados a la crisis económica. Gaceta Sanitaria. 2020 May;34(3):230–7. Disponible en: https://dx.doi.org/10.1016/j.gaceta.2019.03.007

Joinpoint Regression Program, Version 4.9.1.0. Statistical Methodology and Applications Branch, Surveillance Research Program, National Cancer Institute. 2022.

Rodríguez-Acelas AL, de Abreu Almeida M, Engelman B, Cañon-Montañez W. Risk factors for health care–associated infection in hospitalized adults: Systematic review and meta-analysis. American Journal of Infection Control. 2017 Dec;45(12):e149–56. Disponible en: https://doi.org/10.1016/j.nrl.2014.09.00210.1016/j.ajic.2017.08.016

Siegel J, Rhinehart E, Jackson M, Chiarello L. Guideline for isolation precautions: preventing transmission of infectious agents in healthcare settings [Internet]. 2022. Disponible en: https://www.cdc.gov/infectioncontrol/pdf/guidelines/isolation-guidelines-H.pdf

Organización Panamericana de la Salud. Manual de control de infecciones y epidemiología hospitalaria [Internet]. Washington; 2011. Disponible en: https://iris.paho.org/bitstream/handle/10665.2/51545/ControlInfecHospitalarias_spa.pdf

Organizacion Mundial de la Salud. COVID-19: cronología de la actuación de la OMS [Internet]. Declaracion presented at; 2020. Disponible en: https://www.who.int/es/news/item/27-04-2020-who-timeline---covid-19

Organizacion Panamericana de la Salud. Reunión regional sobre prevencion y control de infecciones: Más allá de la Covid-19 [Internet]. Washington; 2021. Disponible en: https://iris.paho.org/bitstream/handle/10665.2/54541/OPSPHEIMSCOVID-19210014_spa.pdf?sequence=1&isAllowed=y

Zand F, Vakili H, Asmarian N, Masjedi M, Sabetian G, Nikandish R, et al. Unintended impact of COVID-19 pandemic on the rate of catheter related nosocomial infections and incidence of multiple drug resistance pathogens in three intensive care units not allocated to COVID-19 patients in a large teaching hospital. BMC Infect Dis. 2023 Jan 6;23(1):11. Disponible en: https://doi.org/10.1016/j.nrl.2014.09.00210.1186/s12879-022-07962-7

Kaminski M, Episcopia B, Malik S, Fornek M, Landman D, Xavier G, et al. Trends in central-line-associated bloodstream infections and catheter-associated urinary tract infections in a large acute-care hospital system in New York City, 2016-2019. Infect Control Hosp Epidemiol. 2021 Jul;42(7):842–6. Disponible en: https://doi.org/10.1017/ice.2020.1293

Verberk J, van der Kooi T, Kampstra N, Reimes N, van Rooden S, Hopmans T, et al. Healthcare-associated infections in Dutch hospitals during the COVID-19 pandemic. Antimicrob Resist Infect Control. 2023 Jan 5;12(1):2. Disponible en: https://doi.org/10.1186/s13756-022-01201-z

Baccolini V, Migliara G, Isonne C, Dorelli B, Barone LC, Giannini D, et al. The impact of the COVID-19 pandemic on healthcare-associated infections in intensive care unit patients: a retrospective cohort study. Antimicrob Resist Infect Control. 2021 Dec;10(1):87. Disponible en: https://doi.org/10.1186/s13756-021-00959-y

Möhlenkamp S, Thiele H. Ventilation of COVID-19 patients in intensive care units. Herz. 2020 Jun;45(4):329–31. Disponible en: https://doi.org/10.1007/s00059-020-04923-1

Zhang H, Zhang Y, Wu J, Li Y, Zhou X, Li X, et al. Risks and features of secondary infections in severe and critical ill COVID-19 patients. Emerging Microbes & Infections. 2020 Jan 1;9(1):1958–64. Disponible en: https://doi.org/10.1080/22221751.2020.1812437

Marin J, Pascual S, Muñoz R, Salazar A, Climent C, Vilà-Vilardell C, et al. Health care-associated infections in patients with COVID-19 pneumonia in COVID critical care areas. Medicina Intensiva (English Edition). 2022 Apr;46(4):221–3. Disponible en: https://doi.org/10.1016/j.medin.2021.04.003

Organizacion Panamericana de salud. Reporte de Situacion COVID-19 Colombia No. 201 - 27 de Diciembre 2020 [Internet]. Disponible en: https://www.paho.org/es/documentos/reporte-situacion-covid-19-colombia-no-201-27-diciembre-2020

González A, Escudero P, Peñasco Y, Leizaola O, Martínez de Pinillos V, García A. Cuidados intensivos durante la epidemia de coronavirus 2019. Medicina Intensiva. 2020 Aug;44(6):351–62. Disponible en: https://doi.org/10.1016/j.medin.2020.03.001

Richards M, Edwards J, Culver D, Gaynes R. The National Nosocomial Infections Surveillance System. Nosocomial Infections in Pediatric Intensive Care Units in the United States. Pediatrics. 1999;103(4):e39–e39. Disponible en: https://doi.org/10.1542/peds.103.4.e39.

Ygberg S, Nilsson A. The developing immune system - from foetus to toddler. 2012; Disponible en: https://doi.org/10.1111/j.1651-2227.2011.02494.x

Matarrese A, Ivulich D, Cesar G, Alaniz F, Ruiz J, Osatnik J. Epidemiological analysis of catheter-related bloodstream infections in medical-surgical intensive care units. Medicina (B Aires). 2021;81(2):159–65. Disponible en: https://www.medicinabuenosaires.com/PMID/33906133.pdf

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. Journal of Hospital Infection. 2021 Feb;108:94–103. Disponible en: https://doi.org/10.1016/j.jhin.2020.11.025

Donaldson SLJ, Fletcher MG. The WHO World Alliance for Patient Safety: towards the years of living less dangerously. Medical Journal of Australia [Internet]. 2006 [citado el 22 de abril de 2022];184(S10). Disponible en: https://onlinelibrary.wiley.com/doi/abs/10.5694/j.1326-5377.2006.tb00367.x

Munier E, Bénet T, Dananché C, Soing S, Maugat S, Vaux S, et al. Outbreaks of health care–associated influenza-like illness in France: Impact of electronic notification. American Journal of Infection Control. 2017 Nov;45(11):1249–53. Disponible en: https://doi.org/10.1016/j.ajic.2017.05.012

Organizacion Panamericana de la Salud. Boeltin CONAMED [Internet]. 2018. Disponible en: http://www.conamed.gob.mx/gobmx/boletin/pdf/boletin17/frecuencia_infecciones.pdf

Bárcena A. La Agenda 2030 y los Objetivos de Desarrollo Sostenible: una oportunidad para América Latina y el Caribe. Santiago de Chile: Comisión Económica para América Latina y el Caribe (CEPAL); 2018.

Published

2023-04-10

How to Cite

Camacho Nuñez, L. P., Montenegro Martínez, G., Giraldo Gallo, E., & Henao Villegas, S. (2023). Incidence of device-associated infections reported in adult and pediatric intensive care units. CES Medicina, 37(1), 58–74. https://doi.org/10.21615/cesmedicina.6950

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Artículo original de investigación científica o tecnológica
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