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artículo

Examining the impact of a 9-component bundle and the INICC multidimensional approach on catheter-associated urinary tract infection rates in 32 countries across Asia, Eastern Europ...

Publicado por
Rosenthal, Victor D., Yin, Ruijie, Jin, Zhilin, Perez, Valentina, Kis, Matthew A., Abdulaziz-Alkhawaja, Safaa, Valderrama-Beltran, Sandra L., Gomez, Katherine, Rodas, Claudia M.H., El-Sisi, Amal, Sahu, Suneeta, Kharbanda, Mohit, Rodrigues, Camilla, Myatra, Sheila N., Chawla, Rajesh, Sandhu, Kavita, Mehta, Yatin, Rajhans, Prasad, Arjun, Rajalakshmi, Tai, Chian Wern, Bhakta, Arpita, Mat Nor, Mohd Basri, Aguirre-Avalos, Guadalupe, Sassoe-Gonzalez, Alejandro, Bat-Erdene, Ider, Acharya, Subhash P., Aguilar-de-Moros, Daisy, Carreazo, Nilton Yhuri, Duszynska, Wieslawa, Hlinkova, Sona, Yildizdas, Dincer, Kılıc, Esra K., Dursun, Oguz, Odek, Caglar, Deniz, Suna S.O., Guclu, Ertugrul, Koksal, Iftihar, Medeiros, Eduardo A., Petrov, Michael M., Tao, Lili, Salgado, Estuardo, Dueñas, Lourdes, Daboor, Mohammad A., Raka, Lul, Omar, Abeer A., Ikram, Aamer, Horhat-Florin, George, Memish, Ziad A., Brown, Eric C.

Publicado 2024

Enlace

Background: Catheter-Associated Urinary Tract Infections (CAUTIs) frequently occur in the intensive care unit (ICU) and are correlated with a significant burden. Methods: We implemented a strategy involving a 9-element bundle, education, surveillance of CAUTI rates and clinical outcomes, monitoring compliance with bundle components, feedback of CAUTI rates and performance feedback. This was executed in 299 ICUs across 32 low- and middle-income countries. The dependent variable was CAUTI per 1,000 UC days, assessed at baseline and throughout the intervention, in the second month, third month, 4 to 15 months, 16 to 27 months, and 28 to 39 months. Comparisons were made using a 2-sample t test, and the exposure-outcome relationship was explored using a generalized linear mixed model with a Poisson distribution. Results: Over the course of 978,364 patient days, 150,258 patients utilized 652,0...

artículo

Multinational prospective cohort study of rates and risk factors for ventilator-associated pneumonia over 24 years in 42 countries of Asia, Africa, Eastern Europe, Latin America, a...

Publicado por
Rosenthal, Victor Daniel, Jin, Zhilin, Memish, Ziad A., Rodrigues, Camilla, Myatra, Sheila Nainan, Kharbanda, Mohit, Valderrama-Beltran, Sandra Liliana, Mehta, Yatin, Daboor, Mohammad Abdellatif, Todi, Subhash Kumar, Aguirre-Avalos, Guadalupe, Guclu, Ertugrul, Gan, Chin Seng, Jiménez Alvarez, Luisa Fernanda, Chawla, Rajesh, Hlinkova, Sona, Arjun, Rajalakshmi, Agha, Hala Mounir, Zuniga Chavarria, Maria Adelia, Davaadagva, Narangarav, Mohd Basri, Mat Nor, Gomez, Katherine, Aguilar De Moros, Daisy, Tai, Chian Wern, Sassoe Gonzalez, Alejandro, Aguilar Moreno, Lina Alejandra, Sandhu, Kavita, Janc, Jarosław, Aleman Bocanegra, Mary Cruz, Yildizdas, Dincer, Cano Medina, Yuliana Andrea, Villegas Mota, Maria Isabel, Omar, Abeer Aly, Duszynska, Wieslawa, Belkebir, Souad, El-Kholy, Amani Ali, Abdulaziz Alkhawaja, Safaa, Horhat Florin, George, Medeiros, Eduardo Alexandrino, Tao, Lili, Tumu, Nellie, Elanbya, May Gamar, Dongol, Reshma, Mioljević, Vesna, Raka, Lul, Dueñas, Lourdes, Carreazo, Nilton Yhuri, Dendane, Tarek, Ikram, Aamer, Kanj, Souha S., Petrov, Michael M., Bouziri, Asma, Hung, Nguyen Viet, Belskiy, Vladislav, Elahi, Naheed, Bovera, María Marcela, Yin, Ruijie

Publicado 2023

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Objective: Rates of ventilator-associated pneumonia (VAP) in low- and middle-income countries (LMIC) are several times above those of high-income countries. The objective of this study was to identify risk factors (RFs) for VAP cases in ICUs of LMICs. Design: Prospective cohort study. Setting: This study was conducted across 743 ICUs of 282 hospitals in 144 cities in 42 Asian, African, European, Latin American, and Middle Eastern countries. Participants: The study included patients admitted to ICUs across 24 years. Results: In total, 289,643 patients were followed during 1,951,405 patient days and acquired 8,236 VAPs. We analyzed 10 independent variables. Multiple logistic regression identified the following independent VAP RFs: male sex (adjusted odds ratio [aOR], 1.22; 95% confidence interval [CI], 1.16-1.28; P <.0001); longer length of stay (LOS), which increased the risk 7% per day (...