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Burden of Hospital ...
Burden of Hospital Acquired Infections and Antimicrobial Use in Vietnamese Adult Intensive Care Units
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- Phu, Vu Dinh (författare)
- Natl Hosp Trop Dis, Intens Care Unit, Hanoi, Vietnam
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- Wertheim, Heiman FL (författare)
- Univ Oxford, Clin Res Unit, Wellcome Trust Major Overseas Programme, Hanoi, Vietnam; Univ Oxford, Nuffield Dept Clin Med, Ctr Trop Med, Oxford OX1 2JD, England
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- Larsson, Mattias (författare)
- Karolinska Institutet,Karolinska Institute, Sweden
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- Nadjm, Behzad (författare)
- University of Oxford, England
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- Dinh, Quynh-Dao (författare)
- Univ Oxford, Clin Res Unit, Wellcome Trust Major Overseas Programme, Hanoi, Vietnam
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- Nilsson, Lennart E (författare)
- Linköpings universitet,Avdelningen för mikrobiologi och molekylär medicin,Medicinska fakulteten
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- Rydell, Ulf (författare)
- Linköpings universitet,Avdelningen för mikrobiologi och molekylär medicin,Hälsouniversitetet
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- Le, Tuyet Thi Diem (författare)
- Bach Mai Hosp, Intens Care Unit, Hanoi, Vietnam
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- Trinh, Son Hong (författare)
- Viet Duc Hosp, Board Directors, Hanoi, Vietnam
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- Pham, Hung Minh (författare)
- St Paul Hosp, Pharm, Hanoi, Vietnam
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- Tran, Cang Thanh (författare)
- Viet Tiep Hosp, Intens Care, Hai Phong, Vietnam
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- Doan, Hanh Thi Hong (författare)
- Vietnam Sweden Uong Bi Hosp, Board Directors, Quang Ninh, Vietnam
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- Tran, Nguyen Thua (författare)
- Hue Cent Gen Hosp, Dept Gen Internal Med & Geriatr, Hue, Vietnam
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- Le, Nhan Duc (författare)
- Da Nang Hosp, Board Directors, Da Nang, Vietnam
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- Van Huynh, Nhuan (författare)
- Binh Dinh Hosp, Infect Dept, Binh Dinh, Vietnam
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- Tran, Thao Phuong (författare)
- Khanh Hoa Hosp, Intens Care Unit, Khanh Hoa, Vietnam
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- Tran, Bao Duc (författare)
- Dak Lak Hosp, Planning Dept, Dak Lak, Vietnam
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- Nguyen, Son Truong (författare)
- Cho Ray Hosp, Board Directors, Ho Chi Minh City, Vietnam
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- Pham, Thao Thi Ngoc (författare)
- Cho Ray Hosp, Board Directors, Ho Chi Minh City, Vietnam
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- Dang, Tam Quang (författare)
- Can Tho Cent Gen Hosptial, Board Directors, Can Tho, Vietnam
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- Nguyen, Chau Van Vinh (författare)
- Hosp Trop Dis, Board Directors, Ho Chi Minh City, Vietnam,Natl Hosp Trop Dis, Board Directors, Hanoi, Vietnam
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- Lam, Yen Minh (författare)
- Hosp Trop Dis, Board Directors, Ho Chi Minh City, Vietnam
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- Thwaites, Guy (författare)
- Univ Oxford, Nuffield Dept Clin Med, Ctr Trop Med, Oxford OX1 2JD, England; Univ Oxford, Clin Res Unit, Wellcome Trust Major Overseas Programme, Ho Chi Minh City, Vietnam
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- Van Nguyen, Kinh (författare)
- Natl Hosp Trop Dis, Board Directors, Hanoi, Vietnam
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- Hanberger, Håkan (författare)
- Linköpings universitet,Avdelningen för mikrobiologi och molekylär medicin,Medicinska fakulteten,Region Östergötland, Infektionskliniken i Östergötland
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(creator_code:org_t)
- 2016-01-29
- 2016
- Engelska.
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Ingår i: PLOS ONE. - : PUBLIC LIBRARY SCIENCE. - 1932-6203. ; 11:1
- Relaterad länk:
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https://liu.diva-por... (primary) (Raw object)
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https://journals.plo...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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http://kipublication...
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Abstract
Ämnesord
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- Background Vietnam is a lower middle-income country with no national surveillance system for hospital-acquired infections (HAIs). We assessed the prevalence of hospital-acquired infections and antimicrobial use in adult intensive care units (ICUs) across Vietnam. Methods Monthly repeated point prevalence surveys were systematically conducted to assess HAI prevalence and antimicrobial use in 15 adult ICUs across Vietnam. Adults admitted to participating ICUs before 08: 00 a.m. on the survey day were included. Results Among 3287 patients enrolled, the HAI prevalence was 29.5% (965/3266 patients, 21 missing). Pneumonia accounted for 79.4% (804/1012) of HAIs Most HAIs (84.5% [855/1012]) were acquired in the survey hospital with 42.5% (363/855) acquired prior to ICU admission and 57.5% (492/855) developed during ICU admission. In multivariate analysis, the strongest risk factors for HAI acquired in ICU were: intubation (OR 2.76), urinary catheter (OR 2.12), no involvement of a family member in patient care (OR 1.94), and surgery after admission (OR 1.66). 726 bacterial isolates were cultured from 622/1012 HAIs, most frequently Acinetobacter baumannii (177/726 [24.4%]), Pseudomonas aeruginosa (100/726 [13.8%]), and Klebsiella pneumoniae (84/726 [11.6%]), with carbapenem resistance rates of 89.2%, 55.7%, and 14.9% respectively. Antimicrobials were prescribed for 84.8% (2787/ 3287) patients, with 73.7% of patients receiving two or more. The most common antimicrobial groups were third generation cephalosporins, fluoroquinolones, and carbapenems (20.1%, 19.4%, and 14.1% of total antimicrobials, respectively). Conclusion A high prevalence of HAIs was observed, mainly caused by Gram-negative bacteria with high carbapenem resistance rates. This in combination with a high rate of antimicrobial use illustrates the urgent need to improve rational antimicrobial use and infection control efforts.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Infektionsmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Infectious Medicine (hsv//eng)
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- Av författaren/redakt...
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Phu, Vu Dinh
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Wertheim, Heiman ...
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Larsson, Mattias
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Nadjm, Behzad
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Dinh, Quynh-Dao
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Nilsson, Lennart ...
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visa fler...
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Rydell, Ulf
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Le, Tuyet Thi Di ...
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Trinh, Son Hong
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Pham, Hung Minh
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Tran, Cang Thanh
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Doan, Hanh Thi H ...
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Tran, Nguyen Thu ...
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Le, Nhan Duc
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Van Huynh, Nhuan
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Tran, Thao Phuon ...
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Tran, Bao Duc
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Nguyen, Son Truo ...
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Pham, Thao Thi N ...
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Dang, Tam Quang
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Nguyen, Chau Van ...
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Lam, Yen Minh
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Thwaites, Guy
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Van Nguyen, Kinh
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Hanberger, Håkan
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