Prevalence and attributable mortality of hospital-acquired infections in Intensive Care Units in Europe, Asia, and America: A systematic review

Postgraduate Thesis uoadl:3397022 21 Read counter

Unit:
Κατεύθυνση Επιδημιολογία-Μεθοδολογία έρευνας στις βιοϊατρικές επιστήμες, την κλινική πράξη και τη δημόσια υγεία
Library of the School of Health Sciences
Deposit date:
2024-04-22
Year:
2024
Author:
Triantafyllou Vasileios
Supervisors info:
Δημήτριος Παρασκεύης, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Ευαγγελία-Γεωργία Κωστάκη, Επιστημονική Συνεργάτης, Ιατρική Σχολή, ΕΚΠΑ
Έντισον Γιαχάϊ, Διδάκτωρ, Ιατρική Σχολή, ΕΚΠΑ
Original Title:
Επιπολασμός νοσοκομειακών λοιμώξεων και σχετιζόμενη-θνητότητα σε Μονάδες Εντατικής Θεραπείας σε Ευρώπη Αμερική και Ασία: Μια συστηματική ανασκόπηση
Languages:
Greek
Translated title:
Prevalence and attributable mortality of hospital-acquired infections in Intensive Care Units in Europe, Asia, and America: A systematic review
Summary:
Introduction: Nosocomial infections are one of the main causes of mortality in Intensive Care Units (ICUs) worldwide. The prevalence in ICUs is higher than in the rest of the hospital departments.
Purpose: To systematically review the prevalence and mortality rate of people infected with nosocomial infections in ICUs in Europe, Asia, and America.
Methodology: A systematic review of the literature was carried out in the international databases Medline, Scopus and ProQuest, from 1/01/2000 to 5/08/2023, with keywords: <>, < >, <>, <>, <>, <>, <>, <>. The search for keywords was done in the title and abstract of the articles. Inclusion criteria were to be an adult population, to have separate ICU prevalence and mortality data, to be prospective, retrospective cohort studies, observational studies, and point prevalence studies, to provide prevalence or/and mortality in percentage, to be population-based in Europe, Asia, and America, be published in the English language and involve people.
Results: Of the published studies, 34 met the inclusion criteria. In Asia, the prevalence ranges from 7.57% - 56.80%, with an intermediate value of 19.80% (IQR:8.13, 38.20), and mortality from 10.00% - 65.60%, with an intermediate value of 33.99% (IQR:17.95, 58.93). In America, the prevalence ranges from 12.20% - 41.40%, with an intermediate value of 29.80% (IQR: 23.20, 40.50), and mortality from 12.60% - 64.50%, with an intermediate value of 29.25% (IQR:14.63, 42.15). In Europe, the prevalence ranges from 15.90% - 39.20%, with an intermediate value of 27.60% (IQR:20.10, 31.85), and mortality from 23.00% - 44.00%, with an intermediate value of 33.20% (IQR: 23.00, 44.00).
Conclusions: Infections in ICUs are a big issue worldwide, and it is important to have more data, to be able to take the necessary actions to improve the issue.
Main subject category:
Health Sciences
Keywords:
Nosocomial infection, Healthcare-associated infection, Hospital-acquired infection, Hai, Prevalence, Attributable mortality, Intensive care unit, ICU
Index:
No
Number of index pages:
0
Contains images:
No
Number of references:
52
Number of pages:
44
File:
File access is restricted until 2026-04-23.

Triantafyllou_Vasileios_MSc.pdf
1 MB
File access is restricted until 2026-04-23.