2160. Benchmarking Healthcare Associated Infections for Prevention in Developing Countries
Session: Poster Abstract Session: Healthcare Epidemiology: HAI Surveillance
Saturday, October 6, 2018
Room: S Poster Hall
Posters
  • Benchmarking HAI for Protection in Developing Countries.pdf (839.2 kB)
  • Background:

    Applying benchmarks from high resource countries on low resource countries may result in misleading conclusions, thus improvements can be made in order to refine the precision of external benchmarks in developing countries.

    Methods:

    The NOIS Project uses SACIH software to retrieve data from different hospitals at Belo Horizonte, Brazil. The hospitals use prospective Healthcare-Associated Infections - HAI surveillance according to the NHSN/CDC protocols. The objective is to calculate benchmarks for HAI rates from Intensive Care Units – ICU and surgical procedures. Benchmarks were defined as the 10 percentile and 90 percentile, considering data from 11 hospitals and 13 ICUs, collected between 2013 and 2017.

    Results:

    Hospital-wide and ICUs benchmarks: HAI risk [1.5%; 4.7%]; HAI incidence per 1,000 patient-days [4.4; 12.6]; ICU infection risk [4.0%; 23.8%]; ICU incidence density rate of HAI per 1,000 patient-days [10.8; 35.7]; risk of urinary catheter-associated urinary tract infections[0.0%; 6.3%]; incidence density rate of urinary catheter-associated urinary tract infections per 1,000 urinary catheter-days [0.0; 9.4]; risk of central line-associated primary bloodstream infections [0.0%; 10.3%]; incidence density rate of central line-associated primary bloodstream infections per 1,000 central line-days [0; 16]; risk of ventilator associated pneumonia [0.0%; 13.5%]; incidence density rate of ventilator associated pneumonia per 1,000 ventilator-days [0.0; 20.6]. Surgical site infection benchmarks: Cesarean section [0,6%;0,9%]; Open reduction of fracture [3,3%;3,9%]; Gallbladder surgery [0,7%;1%]; Herniorrhaphy [1,1%;1,6%]; Peripheral vascular bypass surgery [0,6%;1%]; Gastric surgery [1,7%;2,4%]; Appendix surgery [1,1%;1,8%]; Colon surgery [3,0%;4,1%]; Exploratory abdominal surgery [4,1%;5,3%]; Craniotomy [5%;6,5%]; Abdominal hysterectomy [0,7%;1,4%]; Limb amputation [4,1%;6,1%]; Thoracic surgery [0,8%;1,5%]; Hip prosthesis [3%;4,3%]; Knee prosthesis [2,3%;3,5%]; Pacemaker surgery [1,9%;3,1,0%]; Breast surgery [0,3%;0,9%]; Bile duct, liver or pancreatic surgery [7%;11%]; Ventricular shunt [3,3%;6,5%].

    Conclusion:

    The benchmarks proposed can be used by infection preventionists that decide to monitor selected surgical procedures and/or ICUs, especially in developing countries.

    Gregory Lauar E Souza, Medical Student1, Handerson Dias Duarte De Carvalho, Medical Student2, Cristóvão De Deus Martins Oliveira, Medical Student1, Andressa Do Nascimento Silveira, Medical Student1, Bráulio Couto, PhD3, Edna Leite, MD4, Estevão Silva, MD5 and Carlos Starling, Md.6, (1)Faculdade de Medicina do Centro Universitário de Belo Horizonte, Belo Horizonte, Brazil, (2)Centro Universitario de Belo Horizonte, Belo Horizonte, Brazil, (3)Centro Universitário de Belo Horizonte - UniBH, Belo Horizonte, Brazil, (4)Hospital Risoleta Tolentino Neves, Belo Horizonte, Brazil, (5)Hospital Madre Teresa e Instituto Biocor, Belo Horizonte, Brazil, (6)Hospital Lifecenter, Belo Horizonte, Brazil

    Disclosures:

    G. Lauar E Souza, None

    H. Dias Duarte De Carvalho, None

    C. De Deus Martins Oliveira, None

    A. Do Nascimento Silveira, None

    B. Couto, None

    E. Leite, None

    E. Silva, None

    C. Starling, None

    Findings in the abstracts are embargoed until 12:01 a.m. PDT, Wednesday Oct. 3rd with the exception of research findings presented at the IDWeek press conferences.