Device associated infections at a trauma surgical center of India: Trend over eight years

Purva Mathur, Surbhi Khurana, Subodh Kumar, Deepak Gupta, Richa Aggrawal, Kapil Dev Soni, Keshav Goyal, Navdeep Sokhal, Gyanendra Pal Singh, Ashish Bindra, Sushma Sagar, Kamran Farooque, Vijay Sharma, Vivek Trikha, Amit Gupta, Anjan Trikha, Rajesh Malhotra

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Background: Device-associated infections (DAIs) are an important cause of excessive stay and mortality in ICUs. Trauma patients are predisposed to acquire such infections due to various factors. The prevalence of HAIs is underreported from developing nations due to a lack of systematic surveillance. This study reports the rates and outcomes of DAIs at a dedicated Trauma Center in trauma patients and compares the rates with a previous pilot observation. Methods: The study reports the finding of ongoing surveillance and the use of an indigenous software at a level-1 trauma center in India. Surveillance for ventilator-associated pneumonia, central line-associated bloodstream infections, and catheter-associated urinary tract infections was done based on standard definitions. The rates of HAIs and the profile of pathogens isolated from June 2010 to December 2018 were analyzed. Results: A total of 7485 patients were included in the analysis, amounting to 68,715 patient days. The rates of VAP, CLABSI, and CA-UTI were respectively 12, 9.8 1st 8.5/1000 device days. There was a significant correlation between device days and the propensity to develop infections. Of the 1449 isolates recovered from cases of DAIs, Acinetobacter sp (28.2%) was the most common isolate, followed by Candida sp. A high rate of multi-resistance was observed. Conclusion: Automated surveillance was easy and useful for data entry and analysis. Surveillance data should be used for implementing preventive programs.

Original languageEnglish (US)
Pages (from-to)15-18
Number of pages4
JournalIndian Journal of Medical Microbiology
Volume39
Issue number1
DOIs
StatePublished - Jan 2021

All Science Journal Classification (ASJC) codes

  • Immunology and Allergy
  • Microbiology
  • Immunology
  • Immunology and Microbiology (miscellaneous)
  • General Immunology and Microbiology
  • Microbiology (medical)
  • Infectious Diseases

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