Case Control Study
Copyright ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Biol Chem. Feb 26, 2017; 8(1): 95-101
Published online Feb 26, 2017. doi: 10.4331/wjbc.v8.i1.95
Device-associated infection rates, mortality, length of stay and bacterial resistance in intensive care units in Ecuador: International Nosocomial Infection Control Consortium’s findings
Estuardo Salgado Yepez, Maria M Bovera, Victor D Rosenthal, Hugo A González Flores, Leonardo Pazmiño, Francisco Valencia, Nelly Alquinga, Vanessa Ramirez, Edgar Jara, Miguel Lascano, Veronica Delgado, Cristian Cevallos, Gasdali Santacruz, Cristian Pelaéz, Celso Zaruma, Diego Barahona Pinto
Estuardo Salgado Yepez, Hugo A González Flores, Francisco Valencia, Vanessa Ramirez, Miguel Lascano, Cristian Cevallos, Cristian Pelaéz, Clínica la Merced, Quito 170401, Ecuador
Maria M Bovera, Leonardo Pazmiño, Nelly Alquinga, Edgar Jara, Veronica Delgado, Gasdali Santacruz, Celso Zaruma, Diego Barahona Pinto, Hospital de los Valles, Quito 170901, Ecuador
Victor D Rosenthal, International Nosocomial Infection Control Consortium, Buenos Aires 1429, Argentina
Author contributions: All authors were involved in study conception and design, drafting of the manuscript, provision of study patients, collection of data, critical revision of the manuscript for important intellectual content, and final approval of the manuscript; Rosenthal VD was responsible for software development, data assembly, analysis, and interpretation, epidemiologic analysis, statistical analysis and technical support.
Institutional review board statement: Every hospital’s Institutional Review Board agreed to the study protocol, and patient confidentiality was protected by codifying the recorded information, making it only identifiable to the infection control team.
Informed consent statement: All involved persons (subjects or legally authorized representative) gave their informed consent prior to study inclusion.
Conflict-of-interest statement: All authors report no conflicts of interest related to this article.
Data sharing statement: Technical appendix, statistical code, and dataset available from the corresponding author at victor_rosenthal@inicc.org.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Victor D Rosenthal, MD, Chairman, International Nosocomial Infection Control Consortium, 11 de Septiembre 4567, Floor 12, Apt 1201, Buenos Aires 1429, Argentina. victor_rosenthal@inicc.org
Telephone: +54-11-47047227
Received: September 17, 2016
Peer-review started: September 19, 2016
First decision: November 14, 2016
Revised: December 31, 2016
Accepted: January 16, 2017
Article in press: January 18, 2017
Published online: February 26, 2017
Core Tip

Core tip: This is a prospective, cohort, surveillance study on device-associated infection rates, mortality, length of stay and bacterial resistance conducted in intensive care units (ICUs) in Ecuador from October 2013 to January 2015. Device-associated healthcare-acquired infection rates in our ICUs from Ecuador are significantly higher than United States Centers for Disease Control and Prevention’s National Healthcare Safety Network’s rates and similar to International Nosocomial Infection Control Consortium’s international rates.