An observational case study of hospital associated infections in a critical care unit in Astana, Kazakhstan
Abstract Background Hospital Associated infections (HAI) are very common in Intensive Care Units (ICU) and are usually associated with use of invasive devices in the patients. This study was conducted to determine the prevalence and etiological agents of HAI in a Surgical ICU in Kazakhstan, and to a...
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doaj-8019142593e348d2a3feef7e45e66db52020-11-24T22:00:02ZengBMCAntimicrobial Resistance and Infection Control2047-29942018-04-01711910.1186/s13756-018-0350-0An observational case study of hospital associated infections in a critical care unit in Astana, KazakhstanDmitriy Viderman0Yekaterina Khamzina1Zhannur Kaligozhin2Makhira Khudaibergenova3Agzam Zhumadilov4Byron Crape5Azliyati Azizan6Nazarbayev University School of Medicine (NUSOM)Nazarbayev University School of Medicine (NUSOM)National Research Center for Oncology and TransplantationNational Research Center for Oncology and TransplantationNational Research Center for Oncology and TransplantationNazarbayev University School of Medicine (NUSOM)Nazarbayev University School of Medicine (NUSOM)Abstract Background Hospital Associated infections (HAI) are very common in Intensive Care Units (ICU) and are usually associated with use of invasive devices in the patients. This study was conducted to determine the prevalence and etiological agents of HAI in a Surgical ICU in Kazakhstan, and to assess the impact of these infections on ICU stay and mortality. Objective To assess the rate of device-associated infections and causative HAI etiological agents in an ICU at the National Research Center for Oncology and Transplantation (NRCOT) in Astana, Kazakhstan. Methods This retrospective, observational study was conducted in a 12-bed ICU at the NRCOT, Astana, Kazakhstan. We enrolled all patients who were admitted to the ICU from January, 2014 through November 2015, aged 18 to 90 years of age who developed an HAI. Results The most common type of HAI was surgical site infection (SSI), followed by ventilator-associated pneumonia (VAP), catheter-related blood stream infection (BSI) and catheter-associated urinary tract infection (UTI). The most common HAI was SSI with Pseudomonas aeruginosa as the most common etiological agent. The second most common HAI was VAP also with P. aeruginosa followed by BSI which was also associated with P. aeruginosa (in 2014) and Enterococcus faecalis, and Klebsiella pneumoniae (in 2015) as the most common etiological agents causing these infections. Conclusion We found that HAI among our study population were predominantly caused by gram-negative pathogens, including P. aeruginosa, K. pneumoniae, and E. coli. To our knowledge, this is the only study that describes ICU-related HAI situation from a country within the Central Asian region. Many developing countries such as Kazakhstan lack surveillance systems which could effectively decrease incidence of HAIs and healthcare costs for their treatment. The epidemiological data on HAI in Kazakhstan currently is underrepresented and poorly reported in the literature. Based on this and previous studies, we propose that the most important interventions to prevent HAI at the NRCOT and similar Healthcare Institutions in Kazakhstan are active surveillance, regular infection control audits, rational and effective antibacterial therapy, and general hygiene measures.http://link.springer.com/article/10.1186/s13756-018-0350-0Intensive care unit (ICU)Hospital associated infections (HAI)Surgical site infections (SSI)Ventilator associated pneumonia (VAP)Blood stream infections (BSI)Urinary tract infections (UTI) |
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DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Dmitriy Viderman Yekaterina Khamzina Zhannur Kaligozhin Makhira Khudaibergenova Agzam Zhumadilov Byron Crape Azliyati Azizan |
spellingShingle |
Dmitriy Viderman Yekaterina Khamzina Zhannur Kaligozhin Makhira Khudaibergenova Agzam Zhumadilov Byron Crape Azliyati Azizan An observational case study of hospital associated infections in a critical care unit in Astana, Kazakhstan Antimicrobial Resistance and Infection Control Intensive care unit (ICU) Hospital associated infections (HAI) Surgical site infections (SSI) Ventilator associated pneumonia (VAP) Blood stream infections (BSI) Urinary tract infections (UTI) |
author_facet |
Dmitriy Viderman Yekaterina Khamzina Zhannur Kaligozhin Makhira Khudaibergenova Agzam Zhumadilov Byron Crape Azliyati Azizan |
author_sort |
Dmitriy Viderman |
title |
An observational case study of hospital associated infections in a critical care unit in Astana, Kazakhstan |
title_short |
An observational case study of hospital associated infections in a critical care unit in Astana, Kazakhstan |
title_full |
An observational case study of hospital associated infections in a critical care unit in Astana, Kazakhstan |
title_fullStr |
An observational case study of hospital associated infections in a critical care unit in Astana, Kazakhstan |
title_full_unstemmed |
An observational case study of hospital associated infections in a critical care unit in Astana, Kazakhstan |
title_sort |
observational case study of hospital associated infections in a critical care unit in astana, kazakhstan |
publisher |
BMC |
series |
Antimicrobial Resistance and Infection Control |
issn |
2047-2994 |
publishDate |
2018-04-01 |
description |
Abstract Background Hospital Associated infections (HAI) are very common in Intensive Care Units (ICU) and are usually associated with use of invasive devices in the patients. This study was conducted to determine the prevalence and etiological agents of HAI in a Surgical ICU in Kazakhstan, and to assess the impact of these infections on ICU stay and mortality. Objective To assess the rate of device-associated infections and causative HAI etiological agents in an ICU at the National Research Center for Oncology and Transplantation (NRCOT) in Astana, Kazakhstan. Methods This retrospective, observational study was conducted in a 12-bed ICU at the NRCOT, Astana, Kazakhstan. We enrolled all patients who were admitted to the ICU from January, 2014 through November 2015, aged 18 to 90 years of age who developed an HAI. Results The most common type of HAI was surgical site infection (SSI), followed by ventilator-associated pneumonia (VAP), catheter-related blood stream infection (BSI) and catheter-associated urinary tract infection (UTI). The most common HAI was SSI with Pseudomonas aeruginosa as the most common etiological agent. The second most common HAI was VAP also with P. aeruginosa followed by BSI which was also associated with P. aeruginosa (in 2014) and Enterococcus faecalis, and Klebsiella pneumoniae (in 2015) as the most common etiological agents causing these infections. Conclusion We found that HAI among our study population were predominantly caused by gram-negative pathogens, including P. aeruginosa, K. pneumoniae, and E. coli. To our knowledge, this is the only study that describes ICU-related HAI situation from a country within the Central Asian region. Many developing countries such as Kazakhstan lack surveillance systems which could effectively decrease incidence of HAIs and healthcare costs for their treatment. The epidemiological data on HAI in Kazakhstan currently is underrepresented and poorly reported in the literature. Based on this and previous studies, we propose that the most important interventions to prevent HAI at the NRCOT and similar Healthcare Institutions in Kazakhstan are active surveillance, regular infection control audits, rational and effective antibacterial therapy, and general hygiene measures. |
topic |
Intensive care unit (ICU) Hospital associated infections (HAI) Surgical site infections (SSI) Ventilator associated pneumonia (VAP) Blood stream infections (BSI) Urinary tract infections (UTI) |
url |
http://link.springer.com/article/10.1186/s13756-018-0350-0 |
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