Journal of Infection and Public Health (Aug 2020)
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. Diab,
- Apsia 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
Affiliations
- Víctor D. Rosenthal
- International Nosocomial Infection Control Consortium, Buenos Aires, Argentina; Corresponding author at: International Nosocomial Infection Control Consortium (INICC), 11 de Septiembre 4567, Floor 12, Apt 1201, Buenos Aires 1429, Argentina.
- Souad Belkebir
- Assistant professor, An Najah National University, An Najah University Hospital, Nablus, Palestine
- Farid Zand
- Anesthesiology and Critical Care Research Center, Nemazee Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
- Majeda Afeef
- King Hussein Cancer Center, Amman, Jordan
- Vito L. Tanzi
- Hammoud Hospital University Medical Center, Saida, Lebanon
- Hail M. Al-Abdely
- General Directorate of Infection Prevention and Control, Ministry of Health, Saudi Arabia
- Amani El-Kholy
- Dar Al Fouad Hospital, 6th of October City, and Cairo University Hospital, Cairo, Egypt
- Safa A. Aziz AlKhawaja
- General Directorate of Infection Prevention and Control, Ministry of Health, Bahrain
- Ali P. Demiroz
- Ankara Training and Research Hospital, Ankara, Turkey
- Amani F. Sayed
- Farwaniya Hospital, Kuwait City, Kuwait
- Naheed Elahi
- Dubai Hospital, Dubai, United Arab Emirates
- May O. Gamar-Elanbya
- Royal Care International Hospital, Khartoum, Sudan
- Khalid Abidi
- Ibn Sina Hospital of Morocco, Rabat, Morocco
- Najla Ben-Jaballah
- Children Hospital Bechir Hamza of Tunis, Tunis, Tunisia
- Mona F. Salama
- Mubarak Al Kabir, Kuwait City, Kuwait
- Najla J. Helali
- King Abdulaziz Specialist Hospital, Taif, Saudi Arabia
- Mona M. Abdel-Halim
- Children Hospital Cairo University Abu El Reesh, Cairo, Egypt
- Nadia L. Demaisip
- Assir Central Hospital, Assir, Saudi Arabia
- Hala Ahmed
- Abha Maternity And Children Hospital, Assir, Saudi Arabia
- Hanan H. Diab
- King Khalid Hospital, Najran, Saudi Arabia
- Apsia M. Molano
- King Khalid Hospital, Tabuk, Saudi Arabia
- Fahad A. Sawan
- King Fahad Central Hospital, Jizan, Saudi Arabia
- Ashraf Kelany
- King Abdulaziz Hospital and Oncology Center, Makkah, Saudi Arabia
- Rami Altowerqi
- King Abdullah Medical Complex, Jeddah, Saudi Arabia
- Hala Rushdi
- Hera General Hospital, Makkah, Saudi Arabia
- Modhi A. Alkamaly
- King Khalid Hospital, Hail, Saudi Arabia
- Eatedal Bohlega
- King Salman Hospital, Riyadh, Saudi Arabia
- Hajer A. Aldossary
- Dammam Maternity and Children Hospital, Damman, Saudi Arabia
- Kareem M. Abdelhady
- Cairo University Specialized Pediatric Hospital, Cairo, Egypt
- Aamer Ikram
- Armed Forces Institute of Pathology, Rawalpindi, Pakistan
- Marjory Madco
- King Fahad Hospital, Jeddah, Saudi Arabia
- Yvonne Caminade
- King Feisal Hospital, Taif, Saudi Arabia
- Muneefah Alazmi
- Prince Momhamed Bin Abdul Aziz Hospital, Riyadh, Saudi Arabia
- Tahsine Mahfouz
- Sheikh Ragheb Harb Hospital, Nabatieh, Lebanon
- Reham H. Abdelaziz-Yousef
- Internal Medicine Hospital, Cairo, Egypt
- Ahmed Ibrahim
- King Fahad Hospital, Al Hasa, Saudi Arabia
- Basma Elawady
- New Obgyn Kasr Alainy Hospital, Riyadh, Saudi Arabia
- Tasmiya Asad
- King Saud Medical City of Riyadh, Riyadh, Saudi Arabia
- Leide Shyrine
- King Saud Hospital, Qassim, Saudi Arabia
- Hakan Leblebicioglu
- Ondokuz Mayis University Medical School, Samsun, Turkey
- Journal volume & issue
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Vol. 13,
no. 8
pp. 1134 – 1141
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.
