Korean Nosocomial Infections Surveillance System, Intensive Care Unit Module Report: Data Summary from July 2012 through June 2013.
10.14192/kjnic.2015.20.2.37
- Author:
Min Hyok JEON
1
;
Tae Hyong KIM
;
Sung Ran KIM
;
Hee Kyung CHUN
;
Su Ha HAN
;
Ji Hwan BANG
;
Eun Suk PARK
;
Sun Young JEONG
;
Joong Sik EOM
;
Young Keun KIM
;
Kil Yeon LEE
;
Hee Jung CHOI
;
Hyo Youl KIM
;
Kyung Mi KIM
;
Joohon SUNG
;
Young UH
;
Hong Bin KIM
;
Heoung Soo CHUNG
;
Jun Wook KWON
;
Jun Hee WOO
Author Information
1. Division of Infectious Diseases Soonchunhyang University College of Medicine, Seoul, Korea. geuncom@schmc.ac.kr
- Publication Type:Original Article
- Keywords:
Intensive care unit;
KONIS;
Korean Nosocomial Infections Surveillance System;
Nosocomial infection
- MeSH:
Cross Infection*;
Humans;
Intensive Care Units*;
Critical Care*;
Pneumonia;
Prospective Studies;
Urinary Catheters;
Urinary Tract Infections
- From:Korean Journal of Nosocomial Infection Control
2015;20(2):37-48
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: The Korean Society for Nosocomial Infection Control (KOSNIC) ran a surveillance system, called as Korean Nosocomial Infections Surveillance (KONIS), since July 2006. Here, we report the annual data of the intensive care unit (ICU) module of the system from July 2012 through June 2013. METHODS: This is a prospective surveillance of nosocomial urinary tract infections (UTI), bloodstream infections (BSI), and pneumonia (PNEU) at 161 ICUs in 91 hospitals using the KONIS system. The nosocomial infection (NI) rate was calculated as the number of infections per 1,000 patient days or device days. RESULTS: A total of 3,042 NIs were reported during the study period: 877 UTIs (854 cases were urinary catheter-associated), 1,272 BSIs (1,096 were central line-associated), and 893 PNEUs (526 cases were ventilator-associated). The rate of urinary catheter-associated UTIs (CAUTIs) was 1.26 cases per 1,000 device days (95% confidence interval; 1.18-1.34) and urinary catheter utilization ratio was 0.78 (0.779-0.781). The rate of central line-associated BSIs was 2.57 (2.42-2.72) and the utilization ratio was 0.49 (0.489-0.491). The rate of ventilator-associated PNEUs was 1.64 (1.50-1.78) and the utilization ratio was 0.37 (0.369-0.371). The urinary catheter utilization ratio was lower in the ICUs of hospitals with 400-699 beds than in those of hospitals with more than 900 beds; nevertheless, CAUTIs were more common in the hospitals with 400-699 beds. The central line-associated BSI (CLABSI) rate was lower in the study period than in the previous period of July 2011-June 2012 [2.57 (2.42-2.72) vs. 3.01 (2.84-3.19)]. CONCLUSION: The CLABSI rates were lower in the study period than those in the previous years. CAUTIs were more common in the ICUs of hospitals with 400-699 beds than in those of larger hospitals.
