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Comparative Study
. 2006 May;34(4):244-7.
doi: 10.1016/j.ajic.2005.05.024.

Device-associated nosocomial infection rates in intensive care units in four Mexican public hospitals

Ector Jaime Ramirez Barba  1 , Victor Daniel Rosenthal, Francisco Higuera, Martha Sobreyra Oropeza, Hector Torres Hernández, Martha Sánchez López, Elia Lara Lona, Pablo Duarte, Javier Ruiz, Raul Rojas Hernandez, Amalia Chavez, Irma Perez Cerrato, Gloria Elena Ramirez, Nasia Safdar
Affiliations
Comparative Study

Device-associated nosocomial infection rates in intensive care units in four Mexican public hospitals

Ector Jaime Ramirez Barba et al. Am J Infect Control. 2006 May.

Abstract

Background: Routine surveillance of nosocomial infections has become an integral part of infection control and quality assurance in US hospitals.

Methods: As part of the International Nosocomial Infection Control Consortium, we performed a prospective nosocomial infection surveillance cohort study in 5 adult intensive care units of 4 Mexican public hospitals using the Centers for Disease Control and Prevention National Nosocomial Infections Surveillance system definitions. Site-specific nosocomial infection rates were calculated.

Results: The overall nosocomial infection rate was 24.4% (257/1055) and 39.0 (257/6590) per 1000 patient days. The most common infection was catheter-associated bloodstream infection, 57.98% (149/257), followed by ventilator-associated pneumonia, 20.23% (52/257), and catheter-associated urinary tract infection, 21.79% (56/257). The overall rate of catheter-associated bloodstream infections was 23.1 per 1000 device-days (149/6450); ventilator-associated pneumonia rate was 21.8 per 1000 device-days (52/2390); and catheter-associated urinary tract infection rate was 13.4 per 1000 device-days (56/4184).

Conclusion: Our rates are similar to other hospitals of Latin America and higher than US hospitals.

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