Surveillance of Device-Associated Infections in Critical Patient Care Areas

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Professor, Consultant Pathologist, American Board Certified Pathologist, Fellow College of American Pathologists. Areas of interest Fine Needle Aspiration Cytology, Cytology, Cancer, Ethics, Islam, Humanity

Surveillance of Device-Associated Infections in Critical Patient Care Areas

Mumtaz Ahmad Khan
Pathology Department, Azad Jammu and Kashmir Medical College, Azad Jammu and Kashmir University,


Objectives: To determine Device-associated infections (DA-HAIs) rates, microbiological profiles and resistance patterns of infecting organisms in intensive care units and step down unit of a tertiary care hospital in Saudi Arabia.
Study Design: Prospective descriptive study.
Place and duration of study: The study was carried out at King Abdullah Hospital Bisha, Kingdom of Saudi Arabia over a period of 12 months from January to December 2011.
Materials and Methods: A prospective, active DA-HAI surveillance study was conducted in criticalcare patient areas from Jan 2011 to Dec 2011. The rates of ventilator-associated pneumonia (VAP), central catheter-associated bloodstream infection (CLABSI), and catheter-associated urinary tract infection (CAUTI) were calculated along with microbiological profile, and antimicrobial resistance.
Results: Surveillance data was obtained by trained infection control professionals using standard CDC criteria for HAIs.
From January through December 2011, a total of 129 DA-HAIs were reported: 74 (57.36%) were cases of VAP, 34 (26.35%) were cases of CAUTI, and 21 (16.29%) were cases of CLABSI.
Conclusion: Increase rates of DAIs emphasize the need to improve infection control practices and management of invasive device in hospital. In critical patient areas, ongoing surveillance programs and implementation of quality improvement projects could contribute to reducing HAIs.
Key words: Healthcare associated infections, nosocomial infection, ventilator-associated pneumonia, and healthcare-associated.


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