title: Device-Associated Infection Rates in 20 Cities of India, Data Summary for 2004-2013: Findings of the International Nosocomial Infection Control Consortium.
abstract: OBJECTIVE
  To report the International Nosocomial Infection Control Consortium surveillance data from 40 hospitals (20 cities) in India 2004-2013.
  
  
  METHODS
  Surveillance using US National Healthcare Safety Network's criteria and definitions, and International Nosocomial Infection Control Consortium methodology.
  
  
  RESULTS
  We collected data from 236,700 ICU patients for 970,713 bed-days Pooled device-associated healthcare-associated infection rates for adult and pediatric ICUs were 5.1 central line-associated bloodstream infections (CLABSIs)/1,000 central line-days, 9.4 cases of ventilator-associated pneumonia (VAPs)/1,000 mechanical ventilator-days, and 2.1 catheter-associated urinary tract infections/1,000 urinary catheter-days In neonatal ICUs (NICUs) pooled rates were 36.2 CLABSIs/1,000 central line-days and 1.9 VAPs/1,000 mechanical ventilator-days Extra length of stay in adult and pediatric ICUs was 9.5 for CLABSI, 9.1 for VAP, and 10.0 for catheter-associated urinary tract infections. Extra length of stay in NICUs was 14.7 for CLABSI and 38.7 for VAP Crude extra mortality was 16.3% for CLABSI, 22.7% for VAP, and 6.6% for catheter-associated urinary tract infections in adult and pediatric ICUs, and 1.2% for CLABSI and 8.3% for VAP in NICUs Pooled device use ratios were 0.21 for mechanical ventilator, 0.39 for central line, and 0.53 for urinary catheter in adult and pediatric ICUs; and 0.07 for mechanical ventilator and 0.06 for central line in NICUs.
  
  
  CONCLUSIONS
  Despite a lower device use ratio in our ICUs, our device-associated healthcare-associated infection rates are higher than National Healthcare Safety Network, but lower than International Nosocomial Infection Control Consortium Report.
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authors.affiliation: 2Artemis Health Institute,New Delhi,India.
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authors.affiliation: 3International Nosocomial Infection Control Consortium,Buenos Aires,Argentina.
authors.forename: Victor Daniel
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authors.lastname: Rosenthal
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authors.forename: Maithili
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authors.affiliation: 11Malabar Institute of Medical Sciences,Calicut,India.
authors.forename: Karthikeya
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authors.forename: Anil Kumar
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authors.affiliation: 40Sanjay Gandhi Postgraduate Institute of Medical Sciences,Lucknow,India.
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mesh_terms: D000328:Adult; D026683:Advisory Committees; D000368:Aged; D055499:Catheter-Related Infections / Q000453:epidemiology*; D057785:Catheters / Q000009:adverse effects; D002648:Child; D003428:Cross Infection / Q000453:epidemiology* / Q000209:etiology; D003906:Developing Countries; D004866:Equipment Contamination; D004864:Equipment and Supplies; D005260:Female; D006801:Humans; D007194:India / Q000453:epidemiology; D007231:Infant, Newborn; D017053:Infection Control; D007362:Intensive Care Units; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D053717:Pneumonia, Ventilator-Associated / Q000453:epidemiology; D011446:Prospective Studies; D018571:Sentinel Surveillance; D012122:Ventilators, Mechanical / Q000009:adverse effects