Device-associated infection in an Intensive Care Unit. Western Qatar

Abstract

Introduction: Device-associated infection (DAI) in intensive care units have a major impact on morbidity, mortality, and costs.Objective: To describe the incidence and adherence of a DAI and the bundle compliance in an intensive care unit at a community hospital in Western Qatar.Material and Methods: A prospective surveillance was conducted in a 6-beds medical-surgical intensive care unit from Jan 2013 to December 2016. Data about clinical, laboratory, and other diagnostic information were collected to satisfy the criteria for infection. DAI rates, device utilization ratio (UR) and bundle compliance were analyzed, and comparison with 2013 US data was performed.Results: The pooled mean of ventilator-associated pneumonia rates was 2.61 per 1000 ventilator days, and zero for catheter-associated urinary tract and central line bloodstream infections. The ventilator UR was superior (0.32) (p =0.000) than the National Health System Network (NHSN) data (0.24); the use of the central line bundle and the urinary catheter were similar (0.33, 0.54) (p=0.000), respectively. The compliance with bundle elements for ventilator was 99% and 98.2% for 2013 and 2014 respectively, and 100% compliance afterward. The compliance with central line bundle was 100% during the study period, whereas the compliance with urinary catheter bundle had the lowest figure in 2013 (97.9%), 98.3 % in 2015, and 99.6% in 2016, related to bag contact with the floor. Conclusions: The study has shown the low incidence of device-associated infections related to a comprehensive infection control program in the Intensive Care Unit.Keywords: Device-associated infections, bundle, compliance, Intensive Care Unit

Keywords

• infecciones asociadas al uso de dispositivos, adherencia, intervenciones preventivas, unidades de cuidados intensivos.