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artículo

Prospective cohort study of incidence and risk factors for catheter-associated urinary tract infections in 145 intensive care units of 9 Latin American countries: INICC findings

Publicado por
Yin, Ruijie, Jin, Zhilin, Lee, Brandon Hochahn, Alvarez, Gustavo Andres, Stagnaro, Juan Pablo, Valderrama-Beltran, Sandra Liliana, Gualtero, Sandra Milena, Jiménez-Alvarez, Luisa Fernanda, Reyes, Lidia Patricia, Henao Rodas, Claudia Milena, Gomez, Katherine, Alarcon, Johana, Aguilar Moreno, Lina Alejandra, Bravo Ojeda, Juan Sebastian, Cano Medina, Yuliana Andrea, Chapeta Parada, Edwin Giovannny, Zuniga Chavarria, Maria Adelia, Quesada Mora, Ana Marcela, Aguirre-Avalos, Guadalupe, Mijangos-Méndez, Julio Cesar, Sassoe-Gonzalez, Alejandro, Millán-Castillo, Claudia Marisol, Aleman-Bocanegra, Mary Cruz, Echazarreta-Martínez, Clara Veronica, Hernandez-Chena, Blanca Estela, Jarad, Rajab Mohamed Abu, Villegas-Mota, Maria Isabel, Montoya-Malváez, Mildred, Aguilar-de-Moros, Daisy, Castaño-Guerra, Elizabeth, Córdoba, Judith, Castañeda-Sabogal, Alex, Medeiros, Eduardo Alexandrino, Fram, Dayana, Dueñas, Lourdes, Carreazo, Nilton Yhuri, Salgado, Estuardo, Rosenthal, Victor Daniel

Publicado 2023

Enlace

Purpose: Identify urinary catheter (UC)-associated urinary tract infections (CAUTI) incidence and risk factors (RF) in Latin American Countries. Methods: From 01/01/2014 to 02/10/2022, we conducted a prospective cohort study in 145 ICUs of 67 hospitals in 35 cities in nine Latin American countries: Argentina, Brazil, Colombia, Costa Rica, Dominican Republic, Ecuador, Mexico, Panama, and Peru. To estimate CAUTI incidence, we used the number of UC-days as the denominator, and the number of CAUTIs as numerator. To estimate CAUTI RFs, we analyzed the following 10 variables using multiple logistic regression: gender, age, length of stay (LOS) before CAUTI acquisition, UC-days before CAUTI acquisition, UC-device utilization (DU) ratio, UC-type, hospitalizationtype, ICU type, facility ownership, and time period. Results: 31,631 patients, hospitalized for 214,669 patient-days, acquired 305 CAUTI...

artículo

Multinational prospective cohort study of incidence and risk factors for central line-associated bloodstream infections in ICUs of 8 Latin American countries

Publicado por
Rosenthal, Victor Daniel, Jin, Zhilin, Valderrama-Beltran, Sandra Liliana, Gualtero, Sandra Milena, Linares, Claudia Yaneth, Aguirre-Avalos, Guadalupe, Mijangos-Méndez, Julio Cesar, Ibarra-Estrada, Miguel Ángel, Jiménez-Alvarez, Luisa Fernanda, Reyes, Lidia Patricia, Alvarez-Moreno, Carlos Arturo, Zuniga-Chavarria, Maria Adelia, Quesada-Mora, Ana Marcela, Gomez, Katherine, Alarcon, Johana, Millan-Oñate, Jose, Aguilar-de-Moros, Daisy, Castaño-Guerrero, Elizabeth, Córdoba, Judith, Sassoe-Gonzalez, Alejandro, Millán-Castillo, Claudia Marisol, Leyva-Xotlanihua, Lissette, Aguilar-Moreno, Lina Alejandra, Bravo-Ojeda, Juan Sebastian, Gutierrez-Tobar, Ivan Felipe, Aleman-Bocanegra, Mary Cruz, Echazarreta-Martínez, Clara Veronica, Flores-Sánchez, Belinda Mireya, Cano-Medina, Yuliana Andrea, Chapeta-Parada, Edwin Giovannny, Gonzalez-Niño, Rafael Antonio, Villegas-Mota, Maria Isabel, Montoya-Malváez, Mildred, Cortés-Vázquez, Miguel Ángel, Medeiros, Eduardo Alexandrino, Fram, Dayana, Vieira-Escudero, Daniela, Dueñas, Lourdes, Carreazo, Nilton Yhuri, Salgado, Estuardo, Yin, Ruijie

Publicado 2023

Enlace

Background: Our objective was to identify central line (CL)-associated bloodstream infections (CLABSI) rates and risk factors in Latin-America. Methods: From January 1, 2014 to February 10, 2022, we conducted a multinational multicenter prospective cohort study in 58 ICUs of 34 hospitals in 21 cities in 8 Latin American countries (Argentina, Brazil, Colombia, Costa Rica, Dominican Republic, Ecuador, Mexico, Panama). We applied multiple-logistic regression. Outcomes are shown as adjusted-odds ratios (aOR). Results: About 29,385 patients were hospitalized during 92,956 days, acquired 400 CLABSIs, and pooled CLABSI rate was 4.30 CLABSIs per 1,000 CL-days. We analyzed following 10 variables: Gender, age, length of stay (LOS) before CLABSI acquisition, CL-days before CLABSI acquisition, CL-device utilization (DU) ratio, CL-type, tracheostomy use, hospitalization type, intensive care unit (ICU...