• East. Mediterr. Health J. · Mar 2019

    Assessment of device-associated infection rates in teaching hospitals in Islamic Republic of Iran.

    • Shirin Afhami, Arash Seifi, Mahboubeh Hajiabdolbaghi, Negin Esmailpour Bazaz, Azar Hadadi, Mehrdad Hasibi, Parvin Rezaie, Esmail Mohamadnejad, Azam Ghahan, Mitra Hajinoori, Fatemeh Veyceh, Shahnaz Adinehkharrat, Zahraparvin Hojjati, and Zohre Azimbeik.
    • Department of Infectious Diseases, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran.
    • East. Mediterr. Health J. 2019 Mar 19; 25 (2): 90-97.

    BackgroundSurveillance of health care-associated infections (HCAIs) is an integral part of infection control programmes, especially in intensive care units (ICUs). Device-associated infections (DAIs) are a major threat to patient safety.AimTo measure DAI rates in ICUs.MethodsCentral line-associated bloodstream infection (CLABSI), ventilator-associated pneumonia (VAP), and catheter- associated urinary tract infection (CAUTI) were assessed in the ICUs of 4 tertiary-care teaching hospitals in Tehran, Islamic Republic of Iran.ResultsThe incidence rate of CLABSI, VAP and CAUTI was 10.20, 21.08 and 7.42 per 1000 device-days, respectively. The utilization ratio for central lines, ventilators and urinary catheters was 0.62, 0.47, and 0.84, respectively. The most common organisms were Acinetobacter (33.5 %) and Klebsiella (19.0 %). Sixty to eighty percent of Enterobacteriaceae were extended- spectrum beta-lactamase producing. About half of Pseudomonas aeruginosa isolates were resistant to piperacillin/ tazobactam and carbapenem. Acinetobacter resistance rate to ampicillin/sulbactam and carbapenem was 70-80 %. The prevalence of methicillin-resistant Staphylococcus aureus and vancomycin-resistant Enterococcus was 84.6 % and 83.3 %, respectively.ConclusionsThis study showed high incidence rates of DAIs and resistant organisms, and appropriate interventions are necessary to reduce these rates.Copyright © World Health Organization (WHO) 2019. Some rights reserved. This work is available under the CC BY-NC-SA 3.0 IGO license (https://creativecommons.org/licenses/by-nc-sa/3.0/igo).

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