Epidemiology of device-associated infections in an intensive care unit of a teaching hospital in Nepal: A prospective surveillance study from a developing country

Highlights • Prospective epidemiological surveillance of device-associated infections in an ICU of a major teaching hospital in Nepal. • Higher incidences of DAIs-VAP, CLABSI and CAUTI than that of developed countries. • Major pathogens in DA-HAIs were multidrug resistant Acinetobacter and Klebsiell...

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Veröffentlicht in:	American journal of infection control 2017-09, Vol.45 (9), p.1024-1029
Hauptverfasser:	Parajuli, Narayan Prasad, MSc, Acharya, Subhash Prasad, MD, FACC, FCCP, Dahal, Santosh, MD, Singh, Jaya Prasad, MSc, Mishra, Shyam Kumar, MSc, Kattel, Hari Prasad, MSc, Rijal, Basista Prasad, PhD, MPhil, Pokhrel, Bharat Mani, PhD, MSc
Format:	Artikel
Sprache:	eng
Schlagworte:	Acinetobacter - isolation & purification Acinetobacter - pathogenicity Adult Bacterial Infections - epidemiology Bacterial Infections - etiology Bacterial Infections - microbiology Burkholderia cepacia complex - isolation & purification Burkholderia cepacia complex - pathogenicity Catheter-associated urinary tract infection Catheter-Related Infections - epidemiology Catheter-Related Infections - etiology Catheter-Related Infections - microbiology Catheterization, Central Venous - adverse effects Catheterization, Peripheral - adverse effects Central line-associated bloodstream infection Cross Infection - epidemiology Cross Infection - etiology Cross Infection - microbiology Developing Countries Escherichia coli - isolation & purification Escherichia coli - pathogenicity Female Hospitals, Teaching Humans Infection Control Infectious Disease Intensive Care Units Klebsiella - isolation & purification Klebsiella - pathogenicity Male Middle Aged Nepal - epidemiology Pneumonia, Ventilator-Associated - epidemiology Pneumonia, Ventilator-Associated - microbiology Prospective Studies Urinary Catheters - adverse effects Urinary Catheters - microbiology Urinary Tract Infections - epidemiology Urinary Tract Infections - etiology Urinary Tract Infections - microbiology Ventilator-associated pneumonia
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Zusammenfassung:	Highlights • Prospective epidemiological surveillance of device-associated infections in an ICU of a major teaching hospital in Nepal. • Higher incidences of DAIs-VAP, CLABSI and CAUTI than that of developed countries. • Major pathogens in DA-HAIs were multidrug resistant Acinetobacter and Klebsiella spp. • DA-HAIs found associated with longer duration stay and higher crude mortality.
ISSN:	0196-6553 1527-3296
DOI:	10.1016/j.ajic.2017.02.040