title: Device-associated infection rates in adult and pediatric intensive care units of hospitals in Egypt. International Nosocomial Infection Control Consortium (INICC) findings.
abstract: OBJECTIVE
  To determine the rate of device-associated healthcare-associated infections (DA-HAIs) at a respiratory intensive care unit (RICU) and in the pediatric intensive care units (PICUs) of member hospitals of the International Nosocomial Infection Control Consortium (INICC) in Egypt.
  
  
  METHODS
  A prospective cohort DA-HAI surveillance study was conducted from December 2008 to July 2010 by applying the methodology of the INICC and the definitions of the NHSN-CDC.
  
  
  RESULTS
  In the RICU, 473 patients were hospitalized for 2930d and acquired 155 DA-HAIs, with an overall rate of 32.8%. There were 52.9 DA-HAIs per 1000 ICU-days. In the PICUs, 143 patients were hospitalized for 1535d and acquired 35 DA-HAIs, with an overall rate of 24.5%. There were 22.8 DA-HAIs per 1000 ICU-days. The central line-associated blood stream infection (CLABSI) rate was 22.5 per 1000 line-days in the RICU and 18.8 in the PICUs; the ventilator-associated pneumonia (VAP) rate was 73.4 per 1000 ventilator-days in the RICU and 31.8 in the PICUs; and the catheter-associated urinary tract infection (CAUTI) rate was 34.2 per 1000 catheter-days in the RICU.
  
  
  CONCLUSIONS
  DA-HAIs in the ICUs in Egypt pose greater threats to patient safety than in industrialized countries, and infection control programs, including surveillance and guidelines, must become a priority.
authors.affiliation: Ain Shams Faculty of Medicine, Cairo, Egypt.
authors.forename: Ossama
authors.initials: O
authors.lastname: Rasslan
authors.forename: Zeinab Salah
authors.initials: ZS
authors.lastname: Seliem
authors.forename: Islam Abdullorziz
authors.initials: IA
authors.lastname: Ghazi
authors.forename: Muhamed Abd
authors.initials: MA
authors.lastname: El Sabour
authors.forename: Amani Ali
authors.initials: AA
authors.lastname: El Kholy
authors.forename: Fatma Mohamed
authors.initials: FM
authors.lastname: Sadeq
authors.forename: Mahmoud
authors.initials: M
authors.lastname: Kalil
authors.forename: Doaa
authors.initials: D
authors.lastname: Abdel-Aziz
authors.forename: Hosnia Yousif
authors.initials: HY
authors.lastname: Sharaf
authors.forename: Adel
authors.initials: A
authors.lastname: Saeed
authors.forename: Hala
authors.initials: H
authors.lastname: Agha
authors.forename: Sally Abd El-Wadood Zein
authors.initials: SA
authors.lastname: El-Abdeen
authors.forename: Maha
authors.initials: M
authors.lastname: El Gafarey
authors.forename: Amira
authors.initials: A
authors.lastname: El Tantawy
authors.forename: Lamia
authors.initials: L
authors.lastname: Fouad
authors.forename: Mona M
authors.initials: MM
authors.lastname: Abel-Haleim
authors.forename: Tamer
authors.initials: T
authors.lastname: Muhamed
authors.forename: Hedya
authors.initials: H
authors.lastname: Saeed
authors.forename: Victor D
authors.initials: VD
authors.lastname: Rosenthal
mesh_terms: D000328:Adult; D055499:Catheter-Related Infections / Q000453:epidemiology*; D002648:Child; D015331:Cohort Studies; D003428:Cross Infection / Q000453:epidemiology* / Q000517:prevention & control; D004534:Egypt / Q000453:epidemiology; D006235:Hand Disinfection / Q000592:standards; D006801:Humans; D017053:Infection Control / Q000592:standards / Q000706:statistics & numerical data; D015278:Intensive Care Units, Pediatric / Q000706:statistics & numerical data*; D053717:Pneumonia, Ventilator-Associated / Q000453:epidemiology*; D011446:Prospective Studies; D012124:Respiratory Care Units / Q000706:statistics & numerical data*