Medical Science
Volume 24, Issue 106, November - December, 2020
Quality indicators for prevention of device-associated infections in a limited resource setting
Howaydah Ahmed Othman1, Marwa Mohamed Zalat2, Essamedin Mamdouh Negm1, Mohamed Mohamed Tawfeek1, Rehab Hosny El- Sokkary3♦
1Anesthesia & Surgical Intensive Care Department, Faculty of Medicine, Zagazig University, Egypt
2Department of Community, Occupational and Environmental Medicine, Zagazig University, Egypt
3Medical Microbiology and Immunology Department, Faculty of Medicine, Zagazig University, Egypt
♦Corresponding author
Medical Microbiology and Immunology Department, Faculty of Medicine, Zagazig University,
Egypt;
Email: rehab_elsokkary@yahoo.com
ABSTRACT
2Department of Community, Occupational and Environmental Medicine, Zagazig University, Egypt
3Medical Microbiology and Immunology Department, Faculty of Medicine, Zagazig University, Egypt
Medical Microbiology and Immunology Department, Faculty of Medicine, Zagazig University, Egypt; Email: rehab_elsokkary@yahoo.com
Background: In resource-limited countries, device-associated infections (DAIs) pose a real threat to patient safety as one of the most
significant causes of morbidity and mortality. Nevertheless, inadequate data from ICUs in the developing world is available. The
study aimed to assess the compliance with the device care bundle and evaluate the impact of device care bundle implementation on
the incidences rate of device-associated infections and the mortality rates. Health care workers’ compliance with care bundles was
observed. DAIs and mortality rates were calculated. Results: The compliance rate was (44/84; 52.4%) to each of ventilator care and
central catheter care bundles and (45/84; 53.6%) to urinary catheter insertion care bundle. The incidence rate of total DAI was
35.3/1000 device-days. The overall crude excess mortality rates is 39.2% (relative risk, 5.7; 95% CI, 3.04- 10.68; P <0.001) & 15.9%
(relative risk, 2.91; 95% CI, 1.55- 5.40; P <0.001), for DAIs and for non-infected cases respectively. Conclusion: A highly recommended
practice is continuous monitoring of the device care bundle implementation. For ICU staff members, a pre-employment package of
training must be provided.
Keywords: Compliance; infection control; middle-income countries; ICU; DAIs rates
Medical Science, 2020, 24(106), 3953-3960
