title: Device-associated nosocomial infection rates in intensive care units in four Mexican public hospitals.
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).
  
  
  CONCLUSIONS
  Our rates are similar to other hospitals of Latin America and higher than US hospitals.
authors: Public Health Institute, Secretary of Health, Guanajuato, México.
authors: Ector Jaime
authors: EJ
authors: Ramirez Barba
authors: Victor Daniel
authors: VD
authors: Rosenthal
authors: Francisco
authors: F
authors: Higuera
authors: Martha Sobreyra
authors: MS
authors: Oropeza
authors: Hector Torres
authors: HT
authors: Hernández
authors: Martha Sánchez
authors: MS
authors: López
authors: Elia Lara
authors: EL
authors: Lona
authors: Pablo
authors: P
authors: Duarte
authors: Javier
authors: J
authors: Ruiz
authors: Raul Rojas
authors: RR
authors: Hernandez
authors: Amalia
authors: A
authors: Chavez
authors: Irma Perez
authors: IP
authors: Cerrato
authors: Gloria Elena
authors: GE
authors: Ramirez
authors: Nasia
authors: N
authors: Safdar