Time-dependent analysis of extra length of stay and mortality due to ventilator-associated pneumonia in intensive-care units of ten limited-resources countries: findings of the International Nosocomial Infection Control Consortium (INICC)

V. D. Rosenthal; F. E. Udwadia; H. J. Munoz; N. Erben; F. Higuera; K. Abidi; E. A. Medeiros; E. Fernandez Maldonado; S. S. Kanj; A. Gikas; A. G. Barnett; N. Graves; Sandra Guzman; Luis Pedro Flynn; Diego Rausch; Alejandro Spagnolo; Guillermo Benchetrit; Claudio Bonaventura; Maria de los Angeles Caridi; Adriana Messina; Beatriz Ricci; Maria Laura Frias; Griselda Churruarin; Daniel Sztokhamer; Luisa C. Soroka; Silvia Forciniti; Marta Blasco; Carmen B. Lezcano; Carlos Esteban Lastra; Monica Viegas; Beatriz Marta Alicia Di Nubila; Diana Lanzetta; Leonardo J. Fernandez; Maria Adelaida Rossetti; Adriana Romani; Claudia Migazzi; Clarisa Barolin; Estela Martinez; Alicia Kobylarz; Gorki Grinberg; Iselde Buchner Ferreira; Raquel Bauer Cechinel; Daniela Bicudo Angelieri; Simone Nouer; Rosa Vianna; Ana Lucia Machado; Elaine Gama; Doris Blanquet; Bruna Boaria Zanandrea; Carolina Rohnkohl; Marcos Regalin; Reinaldo Salomao; Maria Angela Maretti da Silva; Clelia Heloisa de Jesus Silva; Margarete Vilins; Sergio Blecher; Jamile Leda Spessatto; Ricardo Scopel Pasini; Shaline Ferla; Otto Sussmann; Beatriz Eugenia Mojica; Wilmer Villamil Gomez; Guillermo Ruiz Vergara; Patrick Arrieta; Catherine Rojas; Humberto Beltran; Jerson Paez; Maria del Pilar Torres Navarrete; Luis Dajud; Mariela Mendoza; Carlos Alvarez Moreno; Claudia Linares; Laline Osorio; Nayide Barahona Guzman; Marena Rodriguez Ferrer; Guillermo Sarmiento Villa; Alfredo Lagares Guzman; Narda Olarte; Alberto Valderrama; Julio Garzon Agudelo; Maria Eugenia Rodriguez Calderon; Kalliopi Chaniotaki; Constantinos Tsioutis; Dimitris Bampalis; Subhash Kumar Todi; Arpita Bhakta; Mahuya Bhattacharjee; R. Krishna Kumar; Kavitha Radhakrishnan; Reshma Ansari; Aruna Poojary; Geeta Koppikar; Lata Bhandarkar; Shital Jadhav; Nagamani Sen; Kandasamy Subramani; Anil Karlekar; Camilla Rodrigues; Ashit Hegd; Farahad Kapadia; Samir Sahu; Ramachadran Gopinath; Nallagonda Ravindra; Sheila Nainan Myatra; J. V. Divatia; Rohini Kelkar; Sanjay Biswas; Sandhya Raut; Sulochana Sampat; Rishi Kumar; Murali Chakravarthy; B. N. Gokul; R. Sukanya; Leema Pushparaj; Arpita Dwivedy; Suvin Shetty; Sheena Binu; Nada Zahreddine; Nisreen Sidani; Lamia Alamaddni Jurdi; Zeina Kanafani; Martha Sanchez Lopez; Hector Torres Hernandez; Amalia Chavez Gomez; Jaime Rivera Morales; Julian Enrique Valero Rodriguez; Martha Sobreyra Oropeza; Manuel Sigfrido Rangel-Frausto; Jose Martinez Soto; Alberto Armas Ruiz; Roberto Campuzano; Jorge Mena Brito; Redouane Abouqal; Naoufel Madani; Amine Ali Zeggwagh; Tarek Dendane; Amina Barkat; Naima Lamdouar Bouazzaoui; Kabiri Meryem; Luis Cuellar; Rosa Rosales; Luis Isidro Castillo Bravo; Maria Linares Caceres; Teodora Atencio Espinoza; Favio Sarmiento Lopez; Manuel Jesus Mayorga Espichan; Liliana Echenique; Alex Castaneda Sabogal; Iliana Paredes Goicochea; Abel Arroyo Sanchez; Guillermo Rios Alva; Jorge Garcia Ventura; Miguel Ramrez Aguilar; Niler Segura Plasencia; Teofilo Rodriguez; A. Nevzat Yalcin; Ozge Turhan; Sevim Keskin; Eylul Gumus; Oguz Dursun; Davut Ozdemir; Ertugrul Guclu; Selvi Erdogan; Sercan Ulusoy; Bilgin Arda; Feza Bacakoglu; Emine Alp; Bilgehan Aygen; Dilek Arman; Kenan Hizel; Kesver Ozdemir; Cengiz Uzun; Yesim Cetinkaya Sardan; Gonul Yildirim; Arzu Topeli; Fatma Sirmatel; Mustafa Cengiz; Leyla Yilmaz; Asu Ozgultekin; Guldem Turan; Nur Akgun; Recep Ozturk; Yalim Dikmen; Gokhan Aygun; Ozay Arikan Akan; Melek Tulunay; Mehmet Oral; Necmettin Unal; Iftihar Koksal; Gurdal Yylmaz; A. C. Senel; Ebru Emel Sozen; Gulden Ersoz; Ali Kaya; Ozlem Kandemir; Hakan Leblebicioglu; Saban Esen; Fatma Ulger; Ahmet Dilek; Canan Aygun; Sukru Kucukoduk; Ilhan Ozgunes; Gaye Usluer; Huseyin Turgut; Suzan Sacar; Hulya Sungurtekin; Dogac Ugurcan; INICC

doi:10.1017/S0950268811000094

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Time-dependent analysis of extra length of stay and mortality due to ventilator-associated pneumonia in intensive-care units of ten limited-resources countries: findings of the International Nosocomial Infection Control Consortium (INICC)

Journal article

Peer reviewed

Time-dependent analysis of extra length of stay and mortality due to ventilator-associated pneumonia in intensive-care units of ten limited-resources countries: findings of the International Nosocomial Infection Control Consortium (INICC)

V. D. Rosenthal, F. E. Udwadia, H. J. Munoz, N. Erben, F. Higuera, K. Abidi, E. A. Medeiros, E. Fernandez Maldonado, S. S. Kanj, A. Gikas, …

Epidemiology and infection, Vol.139(11), pp.1757-1763

2011-11-01

DOI: https://doi.org/10.1017/S0950268811000094

PMID: 21320374

Abstract

Infectious Diseases

Life Sciences & Biomedicine

Public, Environmental & Occupational Health

Science & Technology

Ventilator-associated pneumonias (VAPs) are a worldwide problem that significantly increases patient morbidity, mortality, and length of stay (LoS), and their effects should be estimated to account for the timing of infection. The purpose of the study was to estimate extra LoS and mortality in an intensive-care unit (ICU) due to a VAP in a cohort of 69 248 admissions followed for 283 069 days in ICUs from 10 countries. Data were arranged according to the multi-state format. Extra LoS and increased risk of death were estimated independently in each country, and their results were combined using a random-effects meta-analysis. VAP prolonged LoS by an average of 2.03 days (95% CI 1.52-2.54 days), and increased the risk of death by 14% (95% CI 2-27). The increased risk of death due to VAP was explained by confounding with patient morbidity.

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Collaboration types: Domestic collaboration; International collaboration
Citation topics: 1 Clinical & Life Sciences; 1.23 Antibiotics & Antimicrobials; 1.23.146 Antibiotic Resistance
Web Of Science research areas: Infectious Diseases; Public, Environmental & Occupational Health
ESI research areas: Social Sciences, general

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Title: Time-dependent analysis of extra length of stay and mortality due to ventilator-associated pneumonia in intensive-care units of ten limited-resources countries: findings of the International Nosocomial Infection Control Consortium (INICC)
Creators: V. D. Rosenthal - International Nosocomial Infection Control Consortium, Buenos Aires, Argentina. victor_rosenthal@inicc.org
F. E. Udwadia - Breach Candy Hospital
H. J. Munoz - Clínica Reina Sofía
N. Erben - Eskişehir Osmangazi University
F. Higuera - Hospital General de México
K. Abidi - Sina Hospital
E. A. Medeiros - Hospital São Paulo
E. Fernandez Maldonado - Clin San Pablo, Lima, Peru
S. S. Kanj - American University of Beirut Medical Center
A. Gikas - University Hospital of Heraklion
A. G. Barnett - Queensland University of Technology
N. Graves - Queensland University of Technology
Sandra Guzman - Medico
Luis Pedro Flynn - Sanatorio Britanico, Rosario, Argentina
Diego Rausch - Sanatorio Britanico, Rosario, Argentina
Alejandro Spagnolo - Sanatorio Britanico, Rosario, Argentina
Guillermo Benchetrit - Centro Gallego Buenos Aires, Buenos Aires, DF, Argentina
Claudio Bonaventura - Centro Gallego Buenos Aires, Buenos Aires, DF, Argentina
Maria de los Angeles Caridi - Centro Gallego Buenos Aires, Buenos Aires, DF, Argentina
Adriana Messina - Centro Gallego Buenos Aires, Buenos Aires, DF, Argentina
Beatriz Ricci - Centro Gallego Buenos Aires, Buenos Aires, DF, Argentina
Maria Laura Frias - Clin Modelo Lanus, Lanus, Argentina
Griselda Churruarin - Clin Modelo Lanus, Lanus, Argentina
Daniel Sztokhamer - Clin Estrada, Buenos Aires, DF, Argentina
Luisa C. Soroka - Hosp Interzonal Gen Agudos Evita, Lanus, Argentina
Silvia Forciniti - Hosp Interzonal Gen Agudos Pedro Fiorito, Avellaneda, Argentina
Marta Blasco - Hosp Interzonal Gen Agudos Pedro Fiorito, Avellaneda, Argentina
Carmen B. Lezcano - Hosp Interzonal Gen Agudos Pedro Fiorito, Avellaneda, Argentina
Carlos Esteban Lastra - Hosp Narciso Lopez, Lanus, Argentina
Monica Viegas - Hosp Interzonal Gen Agudos Presidente Peron, Avellaneda, Argentina
Beatriz Marta Alicia Di Nubila - Hosp Interzonal Gen Agudos Presidente Peron, Avellaneda, Argentina
Diana Lanzetta - Hosp Interzonal Gen Agudos Presidente Peron, Avellaneda, Argentina
Leonardo J. Fernandez - Hosp Interzonal Gen Agudos Presidente Peron, Avellaneda, Argentina
Maria Adelaida Rossetti - Hosp Interzonal Gen Agudos Presidente Peron, Avellaneda, Argentina
Adriana Romani - Hosp Interzonal Gen Agudos Presidente Peron, Avellaneda, Argentina
Claudia Migazzi - Hosp Interzonal Gen Agudos Presidente Peron, Avellaneda, Argentina
Clarisa Barolin - Hosp Interzonal Gen Agudos Presidente Peron, Avellaneda, Argentina
Estela Martinez - Hosp Interzonal Gen Agudos Presidente Peron, Avellaneda, Argentina
Alicia Kobylarz - Hosp Materno Infantil Eduardo Oller Solano, Barcelona, Spain
Gorki Grinberg - Hosp Gen Porto Alegre, Porto Alegre, RS, Brazil
Iselde Buchner Ferreira - Hosp Gen Porto Alegre, Porto Alegre, RS, Brazil
Raquel Bauer Cechinel - Hosp Gen Porto Alegre, Porto Alegre, RS, Brazil
Daniela Bicudo Angelieri - Hosp Sao Paulo, Sao Paulo, Brazil
Simone Nouer - Hosp Univ Clementino Fraga Filho, Rio De Janeiro, Brazil
Rosa Vianna - Hosp Univ Clementino Fraga Filho, Rio De Janeiro, Brazil
Ana Lucia Machado - Hosp Univ Clementino Fraga Filho, Rio De Janeiro, Brazil
Elaine Gama - Hosp Univ Clementino Fraga Filho, Rio De Janeiro, Brazil
Doris Blanquet - Hosp Univ Clementino Fraga Filho, Rio De Janeiro, Brazil
Bruna Boaria Zanandrea - Hosp Sao Miguel, Joacaba, Brazil
Carolina Rohnkohl - Hosp Sao Miguel, Joacaba, Brazil
Marcos Regalin - Hosp Sao Miguel, Joacaba, Brazil
Reinaldo Salomao - Hosp Santa Marcelina, Sao Paulo, Brazil
Maria Angela Maretti da Silva - Hosp Santa Marcelina, Sao Paulo, Brazil
Clelia Heloisa de Jesus Silva - Hosp Santa Marcelina, Sao Paulo, Brazil
Margarete Vilins - Hosp Santa Marcelina, Sao Paulo, Brazil
Sergio Blecher - Hosp Santa Marcelina, Sao Paulo, Brazil
Jamile Leda Spessatto - Hosp Univ Santa Terezinha, Joacaba, Brazil
Ricardo Scopel Pasini - Hosp Univ Santa Terezinha, Joacaba, Brazil
Shaline Ferla - Hosp Univ Santa Terezinha, Joacaba, Brazil
Gorki Grinberg
Otto Sussmann - Clin Nueva, Bogota, Colombia
Beatriz Eugenia Mojica - Clin Nueva, Bogota, Colombia
Wilmer Villamil Gomez - Clin Santa Maria, Santiago, Chile
Guillermo Ruiz Vergara - Clin Santa Maria, Santiago, Chile
Patrick Arrieta - Clin Santa Maria, Santiago, Chile
Catherine Rojas - Ctr Policlin Olaya, Bogota, Colombia
Humberto Beltran - Ctr Policlin Olaya, Bogota, Colombia
Jerson Paez - Ctr Policlin Olaya, Bogota, Colombia
Otto Sussmann
Maria del Pilar Torres Navarrete - Clin Palermo, Bogota, Colombia
Luis Dajud - Clin Sabana, Sucre, Colombia
Mariela Mendoza - Clin Sabana, Sucre, Colombia
Patrick Arrieta
Carlos Alvarez Moreno - Univ Pontificia Javeriana, Hosp Univ San Ignacio, Bogota, Colombia
Claudia Linares - Univ Pontificia Javeriana, Hosp Univ San Ignacio, Bogota, Colombia
Laline Osorio - Hosp Simon Bolivar ESE, Bogota, Colombia
Nayide Barahona Guzman - Univ Simon Bolivar, Barranquilla, Colombia
Marena Rodriguez Ferrer - Univ Simon Bolivar, Barranquilla, Colombia
Guillermo Sarmiento Villa - Univ Simon Bolivar, Barranquilla, Colombia
Alfredo Lagares Guzman - Univ Simon Bolivar, Barranquilla, Colombia
Narda Olarte - Hosp El Tunal ESE, Bogota, Colombia
Alberto Valderrama - Hosp El Tunal ESE, Bogota, Colombia
Julio Garzon Agudelo - Hosp Videlmed, Bogota, Colombia
Maria Eugenia Rodriguez Calderon - Victoria Hosp, Bogota, Colombia
Kalliopi Chaniotaki - Univ Hosp Herakl, Iraklion, Greece
Constantinos Tsioutis - Univ Hosp Herakl, Iraklion, Greece
Dimitris Bampalis - Univ Hosp Herakl, Iraklion, Greece
Subhash Kumar Todi - AMRI Hosp, Kolkata, India
Arpita Bhakta - AMRI Hosp, Kolkata, India
Mahuya Bhattacharjee - AMRI Hosp, Kolkata, India
R. Krishna Kumar - Amrita Inst Med Sci & Res Ctr, Kochi, Kerala, India
Kavitha Radhakrishnan - Amrita Inst Med Sci & Res Ctr, Kochi, Kerala, India
Reshma Ansari - Breach Candy Hosp Trust, Mumbai, Maharashtra, India
Aruna Poojary - Breach Candy Hosp Trust, Mumbai, Maharashtra, India
Geeta Koppikar - Breach Candy Hosp Trust, Mumbai, Maharashtra, India
Lata Bhandarkar - Breach Candy Hosp Trust, Mumbai, Maharashtra, India
Shital Jadhav - Breach Candy Hosp Trust, Mumbai, Maharashtra, India
Nagamani Sen - Christian Med Coll & Hosp, Vellore, Tamil Nadu, India
Kandasamy Subramani - Christian Med Coll & Hosp, Vellore, Tamil Nadu, India
Anil Karlekar - Escorts Heart Inst & Res Ctr, New Delhi, India
Camilla Rodrigues - PD Hinduja Natl Hosp & Med Res Ctr, Mumbai, Maharashtra, India
Ashit Hegd - PD Hinduja Natl Hosp & Med Res Ctr, Mumbai, Maharashtra, India
Farahad Kapadia - PD Hinduja Natl Hosp & Med Res Ctr, Mumbai, Maharashtra, India
Samir Sahu - Kalinga Hosp, Bhubaneswar, India
Ramachadran Gopinath - Nizams Inst Med Sci, Hyderabad, India
Nallagonda Ravindra - Nizams Inst Med Sci, Hyderabad, India
Sheila Nainan Myatra - Mécanique et Engrenage Moderne
J. V. Divatia - Mécanique et Engrenage Moderne
Rohini Kelkar - Mécanique et Engrenage Moderne
Sanjay Biswas - Mécanique et Engrenage Moderne
Sandhya Raut - Mécanique et Engrenage Moderne
Sulochana Sampat - Mécanique et Engrenage Moderne
Rishi Kumar - Mécanique et Engrenage Moderne
Murali Chakravarthy - Wockhardt
B. N. Gokul - Wockhardt
R. Sukanya
Leema Pushparaj - Wockhardt
Arpita Dwivedy - Dr L H Hiranandani Hosp, Mumbai, Maharashtra, India
Suvin Shetty - Dr L H Hiranandani Hosp, Mumbai, Maharashtra, India
Sheena Binu - Dr L H Hiranandani Hosp, Mumbai, Maharashtra, India
Nada Zahreddine - Amer Univ Beirut Med Ctr, Beirut, Lebanon
Nisreen Sidani - Amer Univ Beirut Med Ctr, Beirut, Lebanon
Lamia Alamaddni Jurdi - Amer Univ Beirut Med Ctr, Beirut, Lebanon
Zeina Kanafani - Amer Univ Beirut Med Ctr, Beirut, Lebanon
Martha Sanchez Lopez - Hosp Gen Celaya, Celaya, Mexico
Hector Torres Hernandez - Hosp Gen Irapuato, Irapuato, Mexico
Amalia Chavez Gomez - Hosp Gen Irapuato, Irapuato, Mexico
Jaime Rivera Morales - Hosp Gen Irapuato, Irapuato, Mexico
Julian Enrique Valero Rodriguez - Hosp Gen Irapuato, Irapuato, Mexico
Martha Sobreyra Oropeza - Hosp Mujer, Mexico City, DF, Mexico
Manuel Sigfrido Rangel-Frausto - Specialties IMSS Hosp, Mexico City, DF, Mexico
Jose Martinez Soto - Gabriel Mancera IMSS Hosp, Mexico City, DF, Mexico
Alberto Armas Ruiz - Centro Med Raza, Mexico City, DF, Mexico
Roberto Campuzano - Centro Med Raza, Mexico City, DF, Mexico
Jorge Mena Brito - Centro Med Raza, Mexico City, DF, Mexico
Redouane Abouqal - Sina
Naoufel Madani - Sina
Amine Ali Zeggwagh - Sina
Tarek Dendane - Sina
Amina Barkat - Children Hosp Rabat, Rabat, Morocco
Naima Lamdouar Bouazzaoui - Children Hosp Rabat, Rabat, Morocco
Kabiri Meryem - Children Hosp Rabat, Rabat, Morocco
Luis Cuellar - Inst Nacl Enfermedades Neoplas, Lima, Peru
Rosa Rosales - Inst Nacl Enfermedades Neoplas, Lima, Peru
Luis Isidro Castillo Bravo - Inst Nacl Enfermedades Neoplas, Lima, Peru
Maria Linares Caceres - Inst Nacl Enfermedades Neoplas, Lima, Peru
Teodora Atencio Espinoza - Hosp Reg Pucallpa, Pucallpa, Peru
Favio Sarmiento Lopez - Hosp Reg Pucallpa, Pucallpa, Peru
Manuel Jesus Mayorga Espichan - Clin San Pablo, Lima, Peru
Liliana Echenique - Clin San Pablo, Lima, Peru
Alex Castaneda Sabogal - Victor
Iliana Paredes Goicochea - Victor
Abel Arroyo Sanchez - Victor
Guillermo Rios Alva - Victor
Jorge Garcia Ventura - Victor
Miguel Ramrez Aguilar - Victor
Niler Segura Plasencia - Victor
Teofilo Rodriguez - Victor
A. Nevzat Yalcin - Akdeniz University
Ozge Turhan - Akdeniz University
Sevim Keskin - Akdeniz University
Eylul Gumus - Akdeniz University
Oguz Dursun - Akdeniz University
Davut Ozdemir - Supreme Council Of Health
Ertugrul Guclu - Supreme Council Of Health
Selvi Erdogan - Supreme Council Of Health
Sercan Ulusoy - Ege University
Bilgin Arda - Ege University
Feza Bacakoglu - Ege University
Emine Alp - Erciyes University
Bilgehan Aygen - Erciyes University
Dilek Arman - Gazi University
Kenan Hizel - Gazi University
Kesver Ozdemir - Gazi University
Cengiz Uzun - German Hosp, Istanbul, Turkey
Yesim Cetinkaya Sardan - Hacettepe University
Gonul Yildirim - Hacettepe University
Arzu Topeli - Hacettepe University
Fatma Sirmatel - Harran University
Mustafa Cengiz - Harran University
Leyla Yilmaz - Harran University
Asu Ozgultekin - Haydarpasa Hosp, Istanbul, Turkey
Guldem Turan - Haydarpasa Hosp, Istanbul, Turkey
Nur Akgun - Haydarpasa Hosp, Istanbul, Turkey
Recep Ozturk - Istanbul University-Cerrahpaşa
Yalim Dikmen - Istanbul University-Cerrahpaşa
Gokhan Aygun - Istanbul University-Cerrahpaşa
Ozay Arikan Akan - Ankara University
Melek Tulunay - Ankara University
Mehmet Oral - Ankara University
Necmettin Unal - Ankara University
Iftihar Koksal - Supreme Council Of Health
Gurdal Yylmaz - Supreme Council Of Health
A. C. Senel - Supreme Council Of Health
Ebru Emel Sozen - Supreme Council Of Health
Gulden Ersoz - Mersin University
Ali Kaya - Mersin University
Ozlem Kandemir - Mersin University
Hakan Leblebicioglu - Supreme Council Of Health
Saban Esen - Supreme Council Of Health
Fatma Ulger - Supreme Council Of Health
Ahmet Dilek - Supreme Council Of Health
Canan Aygun - Supreme Council Of Health
Sukru Kucukoduk - Supreme Council Of Health
Ilhan Ozgunes - Eskişehir Osmangazi University
Gaye Usluer - Eskişehir Osmangazi University
Huseyin Turgut - Pamukkale University
Suzan Sacar - Pamukkale University
Hulya Sungurtekin - Pamukkale University
Dogac Ugurcan - Pamukkale University
INICC
Publication Details: Epidemiology and infection, Vol.139(11), pp.1757-1763
Publisher: Cambridge Univ Press
Number of pages: 7
Academic Unit: Miller School of Medicine; UMMG Department of Public Health Sciences Research
Language: English
Resource Type: Journal article
PMID: 21320374
Record Identifier: 991031725548402976