Incidence and Risk Factors of Intensive Care Device Associated Infections - In a Tertiary Hospital, Egypt. | ||||
| ARCADEs of MEDICINE | ||||
| Articles in Press, Accepted Manuscript, Available Online from 06 September 2025 | ||||
| Document Type: Original Research | ||||
| DOI: 10.21608/arcmed.2025.403477.1146 | ||||
 View on SCiNiTO | ||||
| Author | ||||
Ali Ahmed Ali Hamama  
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| Public health department, armed forces college of medicine, Cairo, Egypt. | ||||
| Abstract | ||||
| Background Device-associated infections in a tertiary hospital, particularly ventilator-associated pneumonia (VAP), central venous catheter (CVC)–associated bloodstream infection, and catheter associated urinary tract infection (CAUTIs), pose the greatest threat to patient safety in the ICU. Methods: This is a prospective cohort study, that was performed in general and surgical ICUs of a tertiary hospital. Patients were divided into two groups: those who acquired a device associated infection (DAI), and without DAI, to study the risk factors of the acquired DAIs. Data were collected through three worksheets during a six months period, starting from February, 2023. Results: A Total of 250 patients were admitted for six months in three ICUs: general (A) ICU, general (B) ICU and surgical ICU. Of these patients, 44 patients acquired 44 infections with an overall patient infection rate 17.6 % and overall patient day rate of 33.26% per 1000 ICU days. The ventilator associated pneumonia infection rate was 22.86 per 1000 ventilator days, central line associated blood stream infection rate was 10.98 per 1000 central line days and 9.37 per 1000 urinary catheter days. The identified risk factors for the studied DAIs were : smoking, diabetes, cardiovascular diseases, chemotherapy, radiotherapy, cortisone, central line catheter, urinary catheter, ventilator introduction, chest tube, nasogastric tube, endoscope, bed ridden and coma. Conclusion: The results of this study demonstrated factors that increase the risk of developing DAIs. This information should guide clinicians in their assessment of DAI risk, and therefore identify targets for intervention, to decrease the incidence of DAIs. | ||||
| Keywords | ||||
| Hospital acquired infections (HAIs); device associated infections (DAIs); surveillance; tertiary hospitals; and ICUs | ||||
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