About: Surveillance on secular trends of incidence and mortality for device–associated infection in the intensive care unit setting at a tertiary medical center in Taiwan, 2000–2008: A retrospective observational study

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About: Surveillance on secular trends of incidence and mortality for device–associated infection in the intensive care unit setting at a tertiary medical center in Taiwan, 2000–2008: A retrospective observational study Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Surveillance on secular trends of incidence and mortality for device–associated infection in the intensive care unit setting at a tertiary medical center in Taiwan, 2000–2008: A retrospective observational study
Creator	Wang, Fu-Der Chou, Pesus Chen, Liang-Yu Chen, Yin-Yin Liao, Shu-Yuan Lin, Seng-Yi
Source	Medline; PMC
abstract	BACKGROUND: Device–associated infection (DAI) plays an important part in nosocomial infection. Active surveillance and infection control are needed to disclose the specific situation in each hospital and to cope with this problem effectively. We examined the rates of DAI by antimicrobial-resistant pathogens, and 30–day and in–hospital mortality in the intensive care unit (ICU). METHODS: Prospective surveillance was conducted in a mixed medical and surgical ICU at a major teaching hospital from 2000 through 2008. Trend analysis was performed and logistic regression was used to assess prognostic factors of mortality. RESULTS: The overall rate of DAIs was 3.03 episodes per 1000 device–days. The most common DAI type was catheter–associated urinary tract infection (3.76 per 1000 urinary catheter–days). There was a decrease in DAI rates in 2005 and rates of ventilator–associated pneumonia (VAP, 3.18 per 1000 ventilator–days) have remained low since then (p < 0.001). The crude rates of 30–day (33.6%) and in–hospital (52.3%) mortality, as well as infection by antibiotic-resistant VAP pathogens also decreased. The most common antimicrobial-resistant pathogens were methicillin–resistant Staphylococcus aureus (94.9%) and imipenem–resistant Acinetobacter baumannii (p < 0.001), which also increased at the most rapid rate. The rate of antimicrobial resistance among Enterobacteriaceae also increased significantly (p < 0.05). After controlling for potentially confounding factors, the DAI was an independent prognostic factor for both 30–day mortality (OR 2.51, 95% confidence interval [CI] 1.99–3.17, p = 0.001) and in–hospital mortality (OR 3.61, 95% CI 2.10–3.25, p < 0.001). CONCLUSIONS: The decrease in the rate of DAI and infection by resistant bacteria on the impact of severe acute respiratory syndrome can be attributed to active infection control and improved adherence after 2003.
has issue date	2012-09-10(xsd:dateTime)
bibo:doi	10.1186/1471-2334-12-209
bibo:pmid	22963041
has license	cc-by
sha1sum (hex)	3ebbe01c6f991fcc45a9b12f9421acd50d756503
schema:url	https://doi.org/10.1186/1471-2334-12-209
resource representing a document's title	Surveillance on secular trends of incidence and mortality for device–associated infection in the intensive care unit setting at a tertiary medical center in Taiwan, 2000–2008: A retrospective observational study
has PubMed Central identifier	PMC3458996
has PubMed identifier	22963041
schema:publication	BMC Infect Dis
resource representing a document's body	covid:3ebbe01c6f991fcc45a9b12f9421acd50d756503#body_text
is schema:about of	named entity 'INFECTION' named entity 'ANTIMICROBIAL' named entity 'ASSOCIATED' named entity 'COPE' named entity 'NEEDED' named entity 'INCIDENCE' named entity 'medical center' named entity 'OBSERVATIONAL STUDY' named entity 'TAIWAN' covid:arg/3ebbe01c6f991fcc45a9b12f9421acd50d756503 named entity 'PLAYS' named entity 'DAI' named entity 'RESISTANT' named entity 'DEVICE' named entity 'SPECIFIC' named entity 'INTENSIVE CARE UNIT' named entity 'SITUATION' named entity 'ASSOCIATED' named entity 'MORTALITY' named entity 'SETTING' named entity 'SURVEILLANCE' named entity '2000' named entity 'INFECTION' named entity 'DEVICE' named entity 'RETROSPECTIVE' named entity 'MEDICAL CENTER' named entity 'SECULAR TRENDS' named entity 'INTENSIVE CARE UNIT' named entity 'PATHOGENS' named entity 'HOSPITAL' named entity 'NOSOCOMIAL INFECTION' named entity 'BACKGROUND' named entity 'RATES' named entity 'IN-HOSPITAL MORTALITY' named entity 'PROBLEM' named entity 'TERTIARY' named entity 'ACTIVE SURVEILLANCE' named entity 'DAY' named entity 'IMPORTANT' named entity 'EXAMINED' named entity 'INFECTION CONTROL' named entity 'needed' named entity 'infection control' named entity 'incidence' named entity 'nosocomial infection' named entity 'Active surveillance' named entity 'infection' named entity 'secular trends' named entity 'intensive care unit' named entity 'cope' named entity 'CLABSI' named entity 'microorganisms' named entity 'MRSA' named entity 'microbial culture' named entity 'CDC' named entity 'MRSA' named entity 'DAIs' named entity 'disk diffusion' named entity 'NIs' named entity 'Asia-Pacific' named entity 'San Jose' named entity 'Candida' named entity 'infection control' named entity 'developing countries' named entity 'infectious disease' named entity 'ICU' named entity 'pneumonia' named entity 'statistically significant' named entity 'Sepsis' named entity 'SARS outbreak' named entity 'advanced life support' named entity 'contaminant' named entity 'hand-washing' named entity 'pathogens' named entity 'tracheostomy tube' named entity 'coagulase-negative staphylococcus'

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