Epidemiology and Microbiological Profile of Common Healthcare Associated Infections among Patients in the Intensive Care Unit of a General Hospital in Kuwait: A Retrospective Observational Study

Background Patients admitted to the Intensive Care Unit (ICU) are prone to develop nosocomial infections due to Multidrug-Resistant (MDR) organisms. Inappropriate and overuse of antibiotics play an important role in the emergence of MDR organisms, which cause life-threatening infections resulting in significant morbidity and mortality. Methods Retrospective surveillance-based study on healthcare-associated infections. The study conducted over two consecutive years 2018 and 2019, looking at ICU related infections of a regional secondary care general hospital and the data were recorded using the methods and definitions of the Kuwait National Healthcare-associated infections Surveillance System (KNHSS). Results A total of 1408 patients, admitted to ICU for 7922 days during the 2 years period. Eighty-nine patients were included in this study, where 48 developed one Hospital-acquired Infections (HAI) in the ICU while 25 and two patients presented with two and three HAIs, respectively. The HAIs included Bloodstream Infections (BSI) — 42.3%, pneumonia — 28.8%, Urinary Tract Infections (UTI) — 15.3%, skin and soft tissue infections — 9.6% and Clostridium difficile infection — 3.4%. The overall infection rate was 13.14 per 1000 patient-days. The rates for Device-associated (DA)-HAIs were 6.27 for Central Line-associated BSI (CLABSI) per 1000 Central Line (CL)-days, 4.21 for Ventilator-associated Pneumonia (VAP) per 1000 Mechanical Ventilator (MV)-days, and 1.91 Catheter-associated UTI (CAUTI) per 1000 Urinary Catheter (UC)-days. Data showed that device use ratios for CL, MV, and UC were 0.81, 0.74, and 0.98, respectively. Acinetobacter baumannii and Klebsiella pneumoniae were the most common organisms isolated from the ICU infections with highest rates of antibiotic resistance. Conclusion Among DA-HAIs CLABSI was found to be most common in our ICU, followed by VAP and CAUTI. Gram-negative organisms with A. baumannii and K. pneumoniae being the leading causative agents with high antimicrobial resistance profiles. Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Alfouzan, Wadha [verfasserIn] Dhar, Rita Abdo, Naglaa M. Alali, Walid Q. Rabaan, Ali A.

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2021

Schlagwörter:	Healthcare-associated infection device-associated infection antibiotic resistance ventilator-associated pneumonia catheter-associated urinary tract infection central line-associated bloodstream infections

Anmerkung:	© The Authors. Published by Atlantis Press International B.V. 2021

Übergeordnetes Werk:	Enthalten in: Journal of epidemiology and global health - Amsterdam [u.a.] : Elsevier, 2011, 11(2021), 3 vom: 05. Juni, Seite 302-309
Übergeordnetes Werk:	volume:11 ; year:2021 ; number:3 ; day:05 ; month:06 ; pages:302-309

Links:	Volltext

DOI / URN:	10.2991/jegh.k.210524.001

Katalog-ID:	SPR054330548

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520			\|a Background Patients admitted to the Intensive Care Unit (ICU) are prone to develop nosocomial infections due to Multidrug-Resistant (MDR) organisms. Inappropriate and overuse of antibiotics play an important role in the emergence of MDR organisms, which cause life-threatening infections resulting in significant morbidity and mortality. Methods Retrospective surveillance-based study on healthcare-associated infections. The study conducted over two consecutive years 2018 and 2019, looking at ICU related infections of a regional secondary care general hospital and the data were recorded using the methods and definitions of the Kuwait National Healthcare-associated infections Surveillance System (KNHSS). Results A total of 1408 patients, admitted to ICU for 7922 days during the 2 years period. Eighty-nine patients were included in this study, where 48 developed one Hospital-acquired Infections (HAI) in the ICU while 25 and two patients presented with two and three HAIs, respectively. The HAIs included Bloodstream Infections (BSI) — 42.3%, pneumonia — 28.8%, Urinary Tract Infections (UTI) — 15.3%, skin and soft tissue infections — 9.6% and Clostridium difficile infection — 3.4%. The overall infection rate was 13.14 per 1000 patient-days. The rates for Device-associated (DA)-HAIs were 6.27 for Central Line-associated BSI (CLABSI) per 1000 Central Line (CL)-days, 4.21 for Ventilator-associated Pneumonia (VAP) per 1000 Mechanical Ventilator (MV)-days, and 1.91 Catheter-associated UTI (CAUTI) per 1000 Urinary Catheter (UC)-days. Data showed that device use ratios for CL, MV, and UC were 0.81, 0.74, and 0.98, respectively. Acinetobacter baumannii and Klebsiella pneumoniae were the most common organisms isolated from the ICU infections with highest rates of antibiotic resistance. Conclusion Among DA-HAIs CLABSI was found to be most common in our ICU, followed by VAP and CAUTI. Gram-negative organisms with A. baumannii and K. pneumoniae being the leading causative agents with high antimicrobial resistance profiles.
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allfields	10.2991/jegh.k.210524.001 doi (DE-627)SPR054330548 (SPR)jegh.k.210524.001-e DE-627 ger DE-627 rakwb eng Alfouzan, Wadha verfasserin aut Epidemiology and Microbiological Profile of Common Healthcare Associated Infections among Patients in the Intensive Care Unit of a General Hospital in Kuwait: A Retrospective Observational Study 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Authors. Published by Atlantis Press International B.V. 2021 Background Patients admitted to the Intensive Care Unit (ICU) are prone to develop nosocomial infections due to Multidrug-Resistant (MDR) organisms. Inappropriate and overuse of antibiotics play an important role in the emergence of MDR organisms, which cause life-threatening infections resulting in significant morbidity and mortality. Methods Retrospective surveillance-based study on healthcare-associated infections. The study conducted over two consecutive years 2018 and 2019, looking at ICU related infections of a regional secondary care general hospital and the data were recorded using the methods and definitions of the Kuwait National Healthcare-associated infections Surveillance System (KNHSS). Results A total of 1408 patients, admitted to ICU for 7922 days during the 2 years period. Eighty-nine patients were included in this study, where 48 developed one Hospital-acquired Infections (HAI) in the ICU while 25 and two patients presented with two and three HAIs, respectively. The HAIs included Bloodstream Infections (BSI) — 42.3%, pneumonia — 28.8%, Urinary Tract Infections (UTI) — 15.3%, skin and soft tissue infections — 9.6% and Clostridium difficile infection — 3.4%. The overall infection rate was 13.14 per 1000 patient-days. The rates for Device-associated (DA)-HAIs were 6.27 for Central Line-associated BSI (CLABSI) per 1000 Central Line (CL)-days, 4.21 for Ventilator-associated Pneumonia (VAP) per 1000 Mechanical Ventilator (MV)-days, and 1.91 Catheter-associated UTI (CAUTI) per 1000 Urinary Catheter (UC)-days. Data showed that device use ratios for CL, MV, and UC were 0.81, 0.74, and 0.98, respectively. Acinetobacter baumannii and Klebsiella pneumoniae were the most common organisms isolated from the ICU infections with highest rates of antibiotic resistance. Conclusion Among DA-HAIs CLABSI was found to be most common in our ICU, followed by VAP and CAUTI. Gram-negative organisms with A. baumannii and K. pneumoniae being the leading causative agents with high antimicrobial resistance profiles. Healthcare-associated infection (dpeaa)DE-He213 device-associated infection (dpeaa)DE-He213 antibiotic resistance (dpeaa)DE-He213 ventilator-associated pneumonia (dpeaa)DE-He213 catheter-associated urinary tract infection (dpeaa)DE-He213 central line-associated bloodstream infections (dpeaa)DE-He213 Dhar, Rita aut Abdo, Naglaa M. aut Alali, Walid Q. aut Rabaan, Ali A. aut Enthalten in Journal of epidemiology and global health Amsterdam [u.a.] : Elsevier, 2011 11(2021), 3 vom: 05. Juni, Seite 302-309 (DE-627)683365576 (DE-600)2645324-1 2210-6014 nnns volume:11 year:2021 number:3 day:05 month:06 pages:302-309 https://dx.doi.org/10.2991/jegh.k.210524.001 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2004 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2021 3 05 06 302-309
spelling	10.2991/jegh.k.210524.001 doi (DE-627)SPR054330548 (SPR)jegh.k.210524.001-e DE-627 ger DE-627 rakwb eng Alfouzan, Wadha verfasserin aut Epidemiology and Microbiological Profile of Common Healthcare Associated Infections among Patients in the Intensive Care Unit of a General Hospital in Kuwait: A Retrospective Observational Study 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Authors. Published by Atlantis Press International B.V. 2021 Background Patients admitted to the Intensive Care Unit (ICU) are prone to develop nosocomial infections due to Multidrug-Resistant (MDR) organisms. Inappropriate and overuse of antibiotics play an important role in the emergence of MDR organisms, which cause life-threatening infections resulting in significant morbidity and mortality. Methods Retrospective surveillance-based study on healthcare-associated infections. The study conducted over two consecutive years 2018 and 2019, looking at ICU related infections of a regional secondary care general hospital and the data were recorded using the methods and definitions of the Kuwait National Healthcare-associated infections Surveillance System (KNHSS). Results A total of 1408 patients, admitted to ICU for 7922 days during the 2 years period. Eighty-nine patients were included in this study, where 48 developed one Hospital-acquired Infections (HAI) in the ICU while 25 and two patients presented with two and three HAIs, respectively. The HAIs included Bloodstream Infections (BSI) — 42.3%, pneumonia — 28.8%, Urinary Tract Infections (UTI) — 15.3%, skin and soft tissue infections — 9.6% and Clostridium difficile infection — 3.4%. The overall infection rate was 13.14 per 1000 patient-days. The rates for Device-associated (DA)-HAIs were 6.27 for Central Line-associated BSI (CLABSI) per 1000 Central Line (CL)-days, 4.21 for Ventilator-associated Pneumonia (VAP) per 1000 Mechanical Ventilator (MV)-days, and 1.91 Catheter-associated UTI (CAUTI) per 1000 Urinary Catheter (UC)-days. Data showed that device use ratios for CL, MV, and UC were 0.81, 0.74, and 0.98, respectively. Acinetobacter baumannii and Klebsiella pneumoniae were the most common organisms isolated from the ICU infections with highest rates of antibiotic resistance. Conclusion Among DA-HAIs CLABSI was found to be most common in our ICU, followed by VAP and CAUTI. Gram-negative organisms with A. baumannii and K. pneumoniae being the leading causative agents with high antimicrobial resistance profiles. Healthcare-associated infection (dpeaa)DE-He213 device-associated infection (dpeaa)DE-He213 antibiotic resistance (dpeaa)DE-He213 ventilator-associated pneumonia (dpeaa)DE-He213 catheter-associated urinary tract infection (dpeaa)DE-He213 central line-associated bloodstream infections (dpeaa)DE-He213 Dhar, Rita aut Abdo, Naglaa M. aut Alali, Walid Q. aut Rabaan, Ali A. aut Enthalten in Journal of epidemiology and global health Amsterdam [u.a.] : Elsevier, 2011 11(2021), 3 vom: 05. Juni, Seite 302-309 (DE-627)683365576 (DE-600)2645324-1 2210-6014 nnns volume:11 year:2021 number:3 day:05 month:06 pages:302-309 https://dx.doi.org/10.2991/jegh.k.210524.001 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2004 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2021 3 05 06 302-309
allfields_unstemmed	10.2991/jegh.k.210524.001 doi (DE-627)SPR054330548 (SPR)jegh.k.210524.001-e DE-627 ger DE-627 rakwb eng Alfouzan, Wadha verfasserin aut Epidemiology and Microbiological Profile of Common Healthcare Associated Infections among Patients in the Intensive Care Unit of a General Hospital in Kuwait: A Retrospective Observational Study 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Authors. Published by Atlantis Press International B.V. 2021 Background Patients admitted to the Intensive Care Unit (ICU) are prone to develop nosocomial infections due to Multidrug-Resistant (MDR) organisms. Inappropriate and overuse of antibiotics play an important role in the emergence of MDR organisms, which cause life-threatening infections resulting in significant morbidity and mortality. Methods Retrospective surveillance-based study on healthcare-associated infections. The study conducted over two consecutive years 2018 and 2019, looking at ICU related infections of a regional secondary care general hospital and the data were recorded using the methods and definitions of the Kuwait National Healthcare-associated infections Surveillance System (KNHSS). Results A total of 1408 patients, admitted to ICU for 7922 days during the 2 years period. Eighty-nine patients were included in this study, where 48 developed one Hospital-acquired Infections (HAI) in the ICU while 25 and two patients presented with two and three HAIs, respectively. The HAIs included Bloodstream Infections (BSI) — 42.3%, pneumonia — 28.8%, Urinary Tract Infections (UTI) — 15.3%, skin and soft tissue infections — 9.6% and Clostridium difficile infection — 3.4%. The overall infection rate was 13.14 per 1000 patient-days. The rates for Device-associated (DA)-HAIs were 6.27 for Central Line-associated BSI (CLABSI) per 1000 Central Line (CL)-days, 4.21 for Ventilator-associated Pneumonia (VAP) per 1000 Mechanical Ventilator (MV)-days, and 1.91 Catheter-associated UTI (CAUTI) per 1000 Urinary Catheter (UC)-days. Data showed that device use ratios for CL, MV, and UC were 0.81, 0.74, and 0.98, respectively. Acinetobacter baumannii and Klebsiella pneumoniae were the most common organisms isolated from the ICU infections with highest rates of antibiotic resistance. Conclusion Among DA-HAIs CLABSI was found to be most common in our ICU, followed by VAP and CAUTI. Gram-negative organisms with A. baumannii and K. pneumoniae being the leading causative agents with high antimicrobial resistance profiles. Healthcare-associated infection (dpeaa)DE-He213 device-associated infection (dpeaa)DE-He213 antibiotic resistance (dpeaa)DE-He213 ventilator-associated pneumonia (dpeaa)DE-He213 catheter-associated urinary tract infection (dpeaa)DE-He213 central line-associated bloodstream infections (dpeaa)DE-He213 Dhar, Rita aut Abdo, Naglaa M. aut Alali, Walid Q. aut Rabaan, Ali A. aut Enthalten in Journal of epidemiology and global health Amsterdam [u.a.] : Elsevier, 2011 11(2021), 3 vom: 05. Juni, Seite 302-309 (DE-627)683365576 (DE-600)2645324-1 2210-6014 nnns volume:11 year:2021 number:3 day:05 month:06 pages:302-309 https://dx.doi.org/10.2991/jegh.k.210524.001 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2004 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2021 3 05 06 302-309
allfieldsGer	10.2991/jegh.k.210524.001 doi (DE-627)SPR054330548 (SPR)jegh.k.210524.001-e DE-627 ger DE-627 rakwb eng Alfouzan, Wadha verfasserin aut Epidemiology and Microbiological Profile of Common Healthcare Associated Infections among Patients in the Intensive Care Unit of a General Hospital in Kuwait: A Retrospective Observational Study 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Authors. Published by Atlantis Press International B.V. 2021 Background Patients admitted to the Intensive Care Unit (ICU) are prone to develop nosocomial infections due to Multidrug-Resistant (MDR) organisms. Inappropriate and overuse of antibiotics play an important role in the emergence of MDR organisms, which cause life-threatening infections resulting in significant morbidity and mortality. Methods Retrospective surveillance-based study on healthcare-associated infections. The study conducted over two consecutive years 2018 and 2019, looking at ICU related infections of a regional secondary care general hospital and the data were recorded using the methods and definitions of the Kuwait National Healthcare-associated infections Surveillance System (KNHSS). Results A total of 1408 patients, admitted to ICU for 7922 days during the 2 years period. Eighty-nine patients were included in this study, where 48 developed one Hospital-acquired Infections (HAI) in the ICU while 25 and two patients presented with two and three HAIs, respectively. The HAIs included Bloodstream Infections (BSI) — 42.3%, pneumonia — 28.8%, Urinary Tract Infections (UTI) — 15.3%, skin and soft tissue infections — 9.6% and Clostridium difficile infection — 3.4%. The overall infection rate was 13.14 per 1000 patient-days. The rates for Device-associated (DA)-HAIs were 6.27 for Central Line-associated BSI (CLABSI) per 1000 Central Line (CL)-days, 4.21 for Ventilator-associated Pneumonia (VAP) per 1000 Mechanical Ventilator (MV)-days, and 1.91 Catheter-associated UTI (CAUTI) per 1000 Urinary Catheter (UC)-days. Data showed that device use ratios for CL, MV, and UC were 0.81, 0.74, and 0.98, respectively. Acinetobacter baumannii and Klebsiella pneumoniae were the most common organisms isolated from the ICU infections with highest rates of antibiotic resistance. Conclusion Among DA-HAIs CLABSI was found to be most common in our ICU, followed by VAP and CAUTI. Gram-negative organisms with A. baumannii and K. pneumoniae being the leading causative agents with high antimicrobial resistance profiles. Healthcare-associated infection (dpeaa)DE-He213 device-associated infection (dpeaa)DE-He213 antibiotic resistance (dpeaa)DE-He213 ventilator-associated pneumonia (dpeaa)DE-He213 catheter-associated urinary tract infection (dpeaa)DE-He213 central line-associated bloodstream infections (dpeaa)DE-He213 Dhar, Rita aut Abdo, Naglaa M. aut Alali, Walid Q. aut Rabaan, Ali A. aut Enthalten in Journal of epidemiology and global health Amsterdam [u.a.] : Elsevier, 2011 11(2021), 3 vom: 05. Juni, Seite 302-309 (DE-627)683365576 (DE-600)2645324-1 2210-6014 nnns volume:11 year:2021 number:3 day:05 month:06 pages:302-309 https://dx.doi.org/10.2991/jegh.k.210524.001 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2004 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2021 3 05 06 302-309
allfieldsSound	10.2991/jegh.k.210524.001 doi (DE-627)SPR054330548 (SPR)jegh.k.210524.001-e DE-627 ger DE-627 rakwb eng Alfouzan, Wadha verfasserin aut Epidemiology and Microbiological Profile of Common Healthcare Associated Infections among Patients in the Intensive Care Unit of a General Hospital in Kuwait: A Retrospective Observational Study 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Authors. Published by Atlantis Press International B.V. 2021 Background Patients admitted to the Intensive Care Unit (ICU) are prone to develop nosocomial infections due to Multidrug-Resistant (MDR) organisms. Inappropriate and overuse of antibiotics play an important role in the emergence of MDR organisms, which cause life-threatening infections resulting in significant morbidity and mortality. Methods Retrospective surveillance-based study on healthcare-associated infections. The study conducted over two consecutive years 2018 and 2019, looking at ICU related infections of a regional secondary care general hospital and the data were recorded using the methods and definitions of the Kuwait National Healthcare-associated infections Surveillance System (KNHSS). Results A total of 1408 patients, admitted to ICU for 7922 days during the 2 years period. Eighty-nine patients were included in this study, where 48 developed one Hospital-acquired Infections (HAI) in the ICU while 25 and two patients presented with two and three HAIs, respectively. The HAIs included Bloodstream Infections (BSI) — 42.3%, pneumonia — 28.8%, Urinary Tract Infections (UTI) — 15.3%, skin and soft tissue infections — 9.6% and Clostridium difficile infection — 3.4%. The overall infection rate was 13.14 per 1000 patient-days. The rates for Device-associated (DA)-HAIs were 6.27 for Central Line-associated BSI (CLABSI) per 1000 Central Line (CL)-days, 4.21 for Ventilator-associated Pneumonia (VAP) per 1000 Mechanical Ventilator (MV)-days, and 1.91 Catheter-associated UTI (CAUTI) per 1000 Urinary Catheter (UC)-days. Data showed that device use ratios for CL, MV, and UC were 0.81, 0.74, and 0.98, respectively. Acinetobacter baumannii and Klebsiella pneumoniae were the most common organisms isolated from the ICU infections with highest rates of antibiotic resistance. Conclusion Among DA-HAIs CLABSI was found to be most common in our ICU, followed by VAP and CAUTI. Gram-negative organisms with A. baumannii and K. pneumoniae being the leading causative agents with high antimicrobial resistance profiles. Healthcare-associated infection (dpeaa)DE-He213 device-associated infection (dpeaa)DE-He213 antibiotic resistance (dpeaa)DE-He213 ventilator-associated pneumonia (dpeaa)DE-He213 catheter-associated urinary tract infection (dpeaa)DE-He213 central line-associated bloodstream infections (dpeaa)DE-He213 Dhar, Rita aut Abdo, Naglaa M. aut Alali, Walid Q. aut Rabaan, Ali A. aut Enthalten in Journal of epidemiology and global health Amsterdam [u.a.] : Elsevier, 2011 11(2021), 3 vom: 05. Juni, Seite 302-309 (DE-627)683365576 (DE-600)2645324-1 2210-6014 nnns volume:11 year:2021 number:3 day:05 month:06 pages:302-309 https://dx.doi.org/10.2991/jegh.k.210524.001 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2004 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2021 3 05 06 302-309
language	English
source	Enthalten in Journal of epidemiology and global health 11(2021), 3 vom: 05. Juni, Seite 302-309 volume:11 year:2021 number:3 day:05 month:06 pages:302-309
sourceStr	Enthalten in Journal of epidemiology and global health 11(2021), 3 vom: 05. Juni, Seite 302-309 volume:11 year:2021 number:3 day:05 month:06 pages:302-309
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Healthcare-associated infection device-associated infection antibiotic resistance ventilator-associated pneumonia catheter-associated urinary tract infection central line-associated bloodstream infections
isfreeaccess_bool	true
container_title	Journal of epidemiology and global health
authorswithroles_txt_mv	Alfouzan, Wadha @@aut@@ Dhar, Rita @@aut@@ Abdo, Naglaa M. @@aut@@ Alali, Walid Q. @@aut@@ Rabaan, Ali A. @@aut@@
publishDateDaySort_date	2021-06-05T00:00:00Z
hierarchy_top_id	683365576
id	SPR054330548
language_de	englisch
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Published by Atlantis Press International B.V. 2021</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Background Patients admitted to the Intensive Care Unit (ICU) are prone to develop nosocomial infections due to Multidrug-Resistant (MDR) organisms. Inappropriate and overuse of antibiotics play an important role in the emergence of MDR organisms, which cause life-threatening infections resulting in significant morbidity and mortality. Methods Retrospective surveillance-based study on healthcare-associated infections. The study conducted over two consecutive years 2018 and 2019, looking at ICU related infections of a regional secondary care general hospital and the data were recorded using the methods and definitions of the Kuwait National Healthcare-associated infections Surveillance System (KNHSS). Results A total of 1408 patients, admitted to ICU for 7922 days during the 2 years period. Eighty-nine patients were included in this study, where 48 developed one Hospital-acquired Infections (HAI) in the ICU while 25 and two patients presented with two and three HAIs, respectively. The HAIs included Bloodstream Infections (BSI) — 42.3%, pneumonia — 28.8%, Urinary Tract Infections (UTI) — 15.3%, skin and soft tissue infections — 9.6% and Clostridium difficile infection — 3.4%. The overall infection rate was 13.14 per 1000 patient-days. The rates for Device-associated (DA)-HAIs were 6.27 for Central Line-associated BSI (CLABSI) per 1000 Central Line (CL)-days, 4.21 for Ventilator-associated Pneumonia (VAP) per 1000 Mechanical Ventilator (MV)-days, and 1.91 Catheter-associated UTI (CAUTI) per 1000 Urinary Catheter (UC)-days. Data showed that device use ratios for CL, MV, and UC were 0.81, 0.74, and 0.98, respectively. Acinetobacter baumannii and Klebsiella pneumoniae were the most common organisms isolated from the ICU infections with highest rates of antibiotic resistance. 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author	Alfouzan, Wadha
spellingShingle	Alfouzan, Wadha misc Healthcare-associated infection misc device-associated infection misc antibiotic resistance misc ventilator-associated pneumonia misc catheter-associated urinary tract infection misc central line-associated bloodstream infections Epidemiology and Microbiological Profile of Common Healthcare Associated Infections among Patients in the Intensive Care Unit of a General Hospital in Kuwait: A Retrospective Observational Study
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topic_title	Epidemiology and Microbiological Profile of Common Healthcare Associated Infections among Patients in the Intensive Care Unit of a General Hospital in Kuwait: A Retrospective Observational Study Healthcare-associated infection (dpeaa)DE-He213 device-associated infection (dpeaa)DE-He213 antibiotic resistance (dpeaa)DE-He213 ventilator-associated pneumonia (dpeaa)DE-He213 catheter-associated urinary tract infection (dpeaa)DE-He213 central line-associated bloodstream infections (dpeaa)DE-He213
topic	misc Healthcare-associated infection misc device-associated infection misc antibiotic resistance misc ventilator-associated pneumonia misc catheter-associated urinary tract infection misc central line-associated bloodstream infections
topic_unstemmed	misc Healthcare-associated infection misc device-associated infection misc antibiotic resistance misc ventilator-associated pneumonia misc catheter-associated urinary tract infection misc central line-associated bloodstream infections
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title	Epidemiology and Microbiological Profile of Common Healthcare Associated Infections among Patients in the Intensive Care Unit of a General Hospital in Kuwait: A Retrospective Observational Study
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title_full	Epidemiology and Microbiological Profile of Common Healthcare Associated Infections among Patients in the Intensive Care Unit of a General Hospital in Kuwait: A Retrospective Observational Study
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author_browse	Alfouzan, Wadha Dhar, Rita Abdo, Naglaa M. Alali, Walid Q. Rabaan, Ali A.
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doi_str_mv	10.2991/jegh.k.210524.001
title_sort	epidemiology and microbiological profile of common healthcare associated infections among patients in the intensive care unit of a general hospital in kuwait: a retrospective observational study
title_auth	Epidemiology and Microbiological Profile of Common Healthcare Associated Infections among Patients in the Intensive Care Unit of a General Hospital in Kuwait: A Retrospective Observational Study
abstract	Background Patients admitted to the Intensive Care Unit (ICU) are prone to develop nosocomial infections due to Multidrug-Resistant (MDR) organisms. Inappropriate and overuse of antibiotics play an important role in the emergence of MDR organisms, which cause life-threatening infections resulting in significant morbidity and mortality. Methods Retrospective surveillance-based study on healthcare-associated infections. The study conducted over two consecutive years 2018 and 2019, looking at ICU related infections of a regional secondary care general hospital and the data were recorded using the methods and definitions of the Kuwait National Healthcare-associated infections Surveillance System (KNHSS). Results A total of 1408 patients, admitted to ICU for 7922 days during the 2 years period. Eighty-nine patients were included in this study, where 48 developed one Hospital-acquired Infections (HAI) in the ICU while 25 and two patients presented with two and three HAIs, respectively. The HAIs included Bloodstream Infections (BSI) — 42.3%, pneumonia — 28.8%, Urinary Tract Infections (UTI) — 15.3%, skin and soft tissue infections — 9.6% and Clostridium difficile infection — 3.4%. The overall infection rate was 13.14 per 1000 patient-days. The rates for Device-associated (DA)-HAIs were 6.27 for Central Line-associated BSI (CLABSI) per 1000 Central Line (CL)-days, 4.21 for Ventilator-associated Pneumonia (VAP) per 1000 Mechanical Ventilator (MV)-days, and 1.91 Catheter-associated UTI (CAUTI) per 1000 Urinary Catheter (UC)-days. Data showed that device use ratios for CL, MV, and UC were 0.81, 0.74, and 0.98, respectively. Acinetobacter baumannii and Klebsiella pneumoniae were the most common organisms isolated from the ICU infections with highest rates of antibiotic resistance. Conclusion Among DA-HAIs CLABSI was found to be most common in our ICU, followed by VAP and CAUTI. Gram-negative organisms with A. baumannii and K. pneumoniae being the leading causative agents with high antimicrobial resistance profiles. © The Authors. Published by Atlantis Press International B.V. 2021
abstractGer	Background Patients admitted to the Intensive Care Unit (ICU) are prone to develop nosocomial infections due to Multidrug-Resistant (MDR) organisms. Inappropriate and overuse of antibiotics play an important role in the emergence of MDR organisms, which cause life-threatening infections resulting in significant morbidity and mortality. Methods Retrospective surveillance-based study on healthcare-associated infections. The study conducted over two consecutive years 2018 and 2019, looking at ICU related infections of a regional secondary care general hospital and the data were recorded using the methods and definitions of the Kuwait National Healthcare-associated infections Surveillance System (KNHSS). Results A total of 1408 patients, admitted to ICU for 7922 days during the 2 years period. Eighty-nine patients were included in this study, where 48 developed one Hospital-acquired Infections (HAI) in the ICU while 25 and two patients presented with two and three HAIs, respectively. The HAIs included Bloodstream Infections (BSI) — 42.3%, pneumonia — 28.8%, Urinary Tract Infections (UTI) — 15.3%, skin and soft tissue infections — 9.6% and Clostridium difficile infection — 3.4%. The overall infection rate was 13.14 per 1000 patient-days. The rates for Device-associated (DA)-HAIs were 6.27 for Central Line-associated BSI (CLABSI) per 1000 Central Line (CL)-days, 4.21 for Ventilator-associated Pneumonia (VAP) per 1000 Mechanical Ventilator (MV)-days, and 1.91 Catheter-associated UTI (CAUTI) per 1000 Urinary Catheter (UC)-days. Data showed that device use ratios for CL, MV, and UC were 0.81, 0.74, and 0.98, respectively. Acinetobacter baumannii and Klebsiella pneumoniae were the most common organisms isolated from the ICU infections with highest rates of antibiotic resistance. Conclusion Among DA-HAIs CLABSI was found to be most common in our ICU, followed by VAP and CAUTI. Gram-negative organisms with A. baumannii and K. pneumoniae being the leading causative agents with high antimicrobial resistance profiles. © The Authors. Published by Atlantis Press International B.V. 2021
abstract_unstemmed	Background Patients admitted to the Intensive Care Unit (ICU) are prone to develop nosocomial infections due to Multidrug-Resistant (MDR) organisms. Inappropriate and overuse of antibiotics play an important role in the emergence of MDR organisms, which cause life-threatening infections resulting in significant morbidity and mortality. Methods Retrospective surveillance-based study on healthcare-associated infections. The study conducted over two consecutive years 2018 and 2019, looking at ICU related infections of a regional secondary care general hospital and the data were recorded using the methods and definitions of the Kuwait National Healthcare-associated infections Surveillance System (KNHSS). Results A total of 1408 patients, admitted to ICU for 7922 days during the 2 years period. Eighty-nine patients were included in this study, where 48 developed one Hospital-acquired Infections (HAI) in the ICU while 25 and two patients presented with two and three HAIs, respectively. The HAIs included Bloodstream Infections (BSI) — 42.3%, pneumonia — 28.8%, Urinary Tract Infections (UTI) — 15.3%, skin and soft tissue infections — 9.6% and Clostridium difficile infection — 3.4%. The overall infection rate was 13.14 per 1000 patient-days. The rates for Device-associated (DA)-HAIs were 6.27 for Central Line-associated BSI (CLABSI) per 1000 Central Line (CL)-days, 4.21 for Ventilator-associated Pneumonia (VAP) per 1000 Mechanical Ventilator (MV)-days, and 1.91 Catheter-associated UTI (CAUTI) per 1000 Urinary Catheter (UC)-days. Data showed that device use ratios for CL, MV, and UC were 0.81, 0.74, and 0.98, respectively. Acinetobacter baumannii and Klebsiella pneumoniae were the most common organisms isolated from the ICU infections with highest rates of antibiotic resistance. Conclusion Among DA-HAIs CLABSI was found to be most common in our ICU, followed by VAP and CAUTI. Gram-negative organisms with A. baumannii and K. pneumoniae being the leading causative agents with high antimicrobial resistance profiles. © The Authors. Published by Atlantis Press International B.V. 2021
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title_short	Epidemiology and Microbiological Profile of Common Healthcare Associated Infections among Patients in the Intensive Care Unit of a General Hospital in Kuwait: A Retrospective Observational Study
url	https://dx.doi.org/10.2991/jegh.k.210524.001
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author2	Dhar, Rita Abdo, Naglaa M. Alali, Walid Q. Rabaan, Ali A.
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Epidemiology and Microbiological Profile of Common Healthcare Associated Infections among Patients in the Intensive Care Unit of a General Hospital in Kuwait: A Retrospective Observational Study

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