Cited by 2,514Infection Control in HealthcareNosocomial Infections in ICUAntibiotic Use and Resistance

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Burden of endemic health-care-associated infection in developing countries: systematic review and meta-analysis

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Allegranzi, Benedetta, Nejad, Sepideh Bagheri, Combescure, Christophe, Graafmans, Wilco, Attar, Homa, Donaldson, Liam, Pittet, Didier·2011·The Lancet

DOI 10.1016/s0140-6736(10)61458-4

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Abstract

Background Health-care-associated infection is the most frequent result of unsafe patient care worldwide, but few data are available from the developing world. We aimed to assess the epidemiology of endemic health-care-associated infection in developing countries. Methods We searched electronic databases and reference lists of relevant papers for articles published 1995-2008. Studies containing full or partial data from developing countries related to infection prevalence or incidence-including overall health-care-associated infection and major infection sites, and their microbiological cause-were selected. We classified studies as low-quality or high-quality according to predefined criteria. Data were pooled for analysis. Findings Of 271 selected articles, 220 were included in the final analysis. Limited data were retrieved from some regions and many countries were not represented. 118 (54%) studies were low quality. In general, infection frequencies reported in high-quality studies were greater than those from low-quality studies. Prevalence of health-care-associated infection (pooled prevalence in high-quality studies, 15·5 per 100 patients [95% CI 12·6-18·9]) was much higher than proportions reported from Europe and the USA. Pooled overall health-care-associated infection density in adult intensive-care units was 47·9 per 1000 patient-days (95% CI 36·7-59·1), at least three times as high as densities reported from the USA. Surgical-site infection was the leading infection…

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Authors: Allegranzi, B., Nejad, S. B., Combescure, C., Graafmans, W., Attar, H., Donaldson, L., & Pittet, D.
Affiliations: World Health Organization (CH)
University of Geneva (CH)
Corresponding author: Pittet, Didier
ORCID: Allegranzi, Benedetta
Combescure, Christophe
Donaldson, Liam
Pittet, Didier
Venue: The Lancet
Publisher: Elsevier BV
Published: 2011-01
Volume: 377
Issue: 9761
Pages: 228-241
ISSN: 0099-5355 (ISSN-L)
0140-6736
DOI: 10.1016/s0140-6736(10)61458-4
OpenAlex: W2113701842
Cited by: 2,514
References: 202
Citations by year: 2026: 173 · 2025: 191 · 2024: 205 · 2023: 200 · 2022: 207 · 2021: 258 · 2020: 260 · 2019: 202 · 2018: 207 · 2017: 160 · 2016: 114 · 2015: 96 · 2014: 93 · 2013: 66 · 2012: 53
FWCI: 5.42
Type: journal article
Language: en
Open access: green
archive-ouverte.unige.ch
Licence: cc-by
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
doi.org/10.15223/policy-017 (stm-asf)
doi.org/10.15223/policy-037 (stm-asf)
doi.org/10.15223/policy-012 (stm-asf)
doi.org/10.15223/policy-029 (stm-asf)
doi.org/10.15223/policy-004 (stm-asf)
Locations: The Lancet (publishedVersion)
PubMed (publishedVersion)
Archive ouverte UNIGE (University of Geneva) (submittedVersion, cc-by)
Funders: World Health Organization
Topics: Health Sciences › Medicine › Infectious Diseases › Infection Control in Healthcare
Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Nosocomial Infections in ICU
Health Sciences › Medicine › Infectious Diseases › Antibiotic Use and Resistance
Keywords: nosocomial infections, developing countries, infection prevalence, intensive care unit, surgical site infection, Gram-negative bacilli, Staphylococcus aureus, methicillin resistance, antimicrobial resistance, infection control, infection surveillance
MeSH terms: Cross Infection, Developing Countries, Humans, Cost of Illness, Endemic Diseases

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Burden of endemic health-care-associated infection in developing countries: systematic review and meta-analysis

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