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| 1 | Device-associated infection rates, mortality, length of stay and bacterial resistance in intensive care units in Ecuador: International Nosocomial Infection Control Consortium's findings显示文摘AIM To report the results of the International Nosocomial Infection Control Consortium(INICC) study conducted in Quito, Ecuador.METHODS A device-associated healthcare-acquired infection(DAHAI) prospective surveillance study conducted from October 2013 to January 2015 in 2 adult intensive care units(ICUs) from 2 hospitals using the United States Centers for Disease Control/National Healthcare Safety Network(CDC/NHSN) definitions and INICC methods. RESULTS We followed 776 ICU patients for 4818 bed-days. The central line-associated bloodstream infection(CLABSI) rate was 6.5 per 1000 central line(CL)-days, the ventilator-associated pneumonia(VAP) rate was 44.3 per 1000 mechanical ventilator(MV)-days, and the catheterassociated urinary tract infection(CAUTI) rate was 5.7 per 1000 urinary catheter(UC)-days. CLABSI and CAUTI rates in our ICUs were similar to INICC rates [4.9(CLABSI) and 5.3(CAUTI)] and higher than NHSN rates [0.8(CLABSI) and 1.3(CAUTI)]- although device use ratios for CL and UC were higher than INICC and CDC/NSHN's ratios. By contrast, despite the VAP rate was higher than INICC(16.5) and NHSN's rates(1.1), MV DUR was lower in our ICUs. Resistance of A. baumannii to imipenem and meropenem was 75.0%, and of Pseudomonas aeruginosa to ciprofloxacin and piperacillin-tazobactam was higher than 72.7%, all them higher than CDC/NHSN rates. Excess length of stay was 7.4 d for patients with CLABSI, 4.8 for patients with VAP and 9.2 for patients CAUTI. Excess crude mortality in ICUs was 30.9% for CLABSI, 14.5% for VAP and 17.6% for CAUTI. CONCLUSION DA-HAI rates in our ICUs from Ecuador are higher than United States CDC/NSHN rates and similar to INICC international rates. | Estuardo Salgado Yepez Maria M Bovera Victor D Rosenthal Hugo A González Flores Leonardo Pazmino Francisco Valencia Nelly Alquinga Vanessa Ramirez Edgar Jara Miguel Lascano Veronica Delgado Cristian Cevallos Gasdali Santacruz Cristian Pelaéz Celso Zaruma Diego Barahona Pinto | 2017 | World Journal of Biological Chemistry2017，8，1： | 23 |
| 2 | Avian Escherichia coli virulence factors associated with coli septicemia in broiler chickens显示文摘 | Ramirez Santoyo R M Moreno Sala A Almanza Marquez Y | 2001 | Rev Argent Mecrobiol2001，33，1： | 2 |
| 3 | Increased NHE1 expression is associated with serum deprivation-induced differentiation in immortalized rat proximal tubule cells 显示文摘 | Carraro-Lacroix L R Ramirez M A Zorn T M | 2006 | Am J Physiol Renal Physiol2006，291，1： | 1 |
| 4 | Ultrasonic refinement of magnesium by cavitation: clarifying the role of wall crystals显示文摘 | QIAN M RAMIREZ A DAS A | 2009 | Journal of Crystal Growth2009，311，14： | 1 |
| 5 | Fiber-rich functional fish food from stripped mullet using amidated low methoxyl pectin显示文摘 | RAMIREZ J A RODRIGUEZ N R URESTI R M etal | 2007 | Food HydrocoUoids2007，21，4： | 1 |
| 6 | Effect of slag properties on mixing phenomena in gas - stirred ladles by physical modeling 显示文摘 | Amaro -villeda A M Ramirez -Argaez M A Conejo A N | 2014 | ISIJ International2014，54，1： | 1 |
| 7 | Effect of xanthan and locust bean gums on thegelling properties of myofibrillar protein显示文摘 | Ramirez J A Barrera M Morales | 2002 | Food Hydrocolloids2002，16，1： | 1 |
| 8 | First field trial of a transmissible recombinant vae cine against myxomatosis and rabbit baemorrhagic disease显示文摘 | TORRES J M SANCHEZ C RAMIREZ M A | 2001 | Vaccine2001，19，31： | 1 |
| 9 | Enantiospecific toxicity of the B-blocker propranolol to Daphnia magna and Pimephales promelas显示文摘 | STANLEY J K RAMIREZ A J MOTTALEB M | 2006 | Environ Chem2006，25，7： | 1 |
| 10 | Metal thbrication by ad- ditive manuthcturing using laser and electron beam melting technol- ogies显示文摘 | Muir L E Gaytan S M Ramirez D A | 2012 | J Material Science and Technology2012，28，1： | 1 |
| 11 | New microsatellite resources for groupers(Serranidae)显示文摘 | Ramirez M A Patricia A J Planas S | 2006 | Molecular Ecology Notes2006，6，3： | 1 |
| 12 | Residual compost of Agaricus bisporus as a source of crude laccase for enzymic oxidation of phenolic compounds 显示文摘 | Trejo-Hernandez M R Lopez-Munguia A Quintero Ramirez R | 2001 | Process Biochemistry2001，36，： | 1 |
| 13 | The influence of eollagen-glycosaminoglyean scaffold relative density and microstructural anisotropy on tenocyte bioactivity and transcriptomic stability 显示文摘 | CALIARI S R WEISGERBER D W RAMIREZ M A | 2012 | J Mech Behav Biomed Ma- ter2012，11，11： | 1 |
| 14 | Prevalence esti- mates and health-related correlates of cognitive impairment from a probability sample of community-residing Latino elders显示文摘 | Ramirez M Teresi J A Holmes D etal | 2007 | J Aging Health2007，19，4： | 1 |
| 15 | Inspiratory muscle training in patients with chronic obstructive pulmonary disease: structural adaptation and physiology outcomes显示文摘 | Ramirez Samiento A Orozco-Levi M Guell R | 2002 | Am J Respir Crit Care Med2002，166，11： | 1 |
| 16 | Use of molecular markers to differentiate between commercial strains of the button mushroom A-garicus bisporus显示文摘 | Ramirez L Victor M Mikel A | 2001 | FEMS Microbiology Letters2001，198，1： | 1 |
| 17 | Microstructure evolution associated with adiabatic shear bands and shear band failure in baUistic plug formation in Ti-6A1-4V targets 显示文摘 | Murr L E Ramirez A C Gaytan S M Lopez M I Martinez E Y Hernandez D H Martinez E | 2009 | Materials Science and Engineering A2009，516，： | 1 |
| 18 | Tlalpha,a lung type I cell differentiation gene, is required for normal lung cell proliferation and alveolus formation at birth显示文摘 | Ramirez M I Millien G Hinds A | 2003 | Dev Biol2003，256，1： | 1 |
| 19 | Improvement of drought tolerance and grain yield in common bean by overexpressing trehalose-6-phosphate synthase in rhizobia显示文摘 | Suarez R Wong A Ramirez M | 2008 | Molecular Plant-Microbe Interactions2008，21，7： | 1 |
| 20 | Improving Image Derived Vegetation Maps with Regression based Distribution Modeling显示文摘 | Dobrowski S Z Greenberg J A Ramirez C M | 2006 | Ecological Modeling2006，192，： | 1 |
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