Incidence Rate of Device-Associated, Hospital Acquired Infections in ICUs: A Systematic Review Developed Versus Developing Economies

Background: Device-associated hospital-acquired infections (DA-HAIs) are a major threat to patient safety; as well as a contributing factor for increased morbidity, mortality, increased cost and length of ICU stay. Rates of occurrence of DA-HAIs can be associated with the economic status of the coun...

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Bibliographic Details
Published in:International journal of caring sciences 2018-09, Vol.11 (3), p.1913-1941
Main Authors: Pettemerides, Yiorgos, Ghobrial, Savvoula, Vasilios, Raftopoulos, Stelios, Iordanou
Format: Article
Language:English
Subjects:
Catheters
Developing countries
Disease control
Economic development
Intensive care
LDCs
Mortality
Nosocomial infections
Patients
Pneumonia
Studies
Surveillance
Systematic review
Urinary tract diseases
Urinary tract infections
Urogenital system
Ventilators
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Summary:Background: Device-associated hospital-acquired infections (DA-HAIs) are a major threat to patient safety; as well as a contributing factor for increased morbidity, mortality, increased cost and length of ICU stay. Rates of occurrence of DA-HAIs can be associated with the economic status of the countries where they occur. Aims: To assess all available DA-HAI incidence rates from studies published between 2007 and 2017, and compare them according to the economic status of the country of origin. Methodology: Systematic review of the published literature between 2007 and 2017. Results: 40 articles were included in this study. Central line-associated blood stream infection (CLABSI), ventilator-associated pneumonia (VAP) and catheter-associated urinary tract infection (CAUTI) incidence rates from various countries, together with data on the countries economic status (developed vs developing), were included and correlated accordingly. The highest reported CLABSI, VAP and CAUTI rate was 72.56, 73.4 and 34.2 respectively per 1000 device days, and these all originated from developing economies. The highest incidence rates for VAP and CLABSI in developed economies are demonstrably lower than those in developing economies, demonstrating a statistical significant correlation. Lower economic statuses tend to predominate higher rates of Ventilator-Associated Pneumonia and Central Line-associated Blood-stream Infections in a statistically significant correlation, whilst for CAUTI there was no statistical difference. Conclusions: DA-HAI are affected directly in a positive or negative way according to the economic status of the originating country..
ISSN:1791-5201
1792-037X