Published Paper Details:

Introduction: Health care associated infections (HCAIs) or hospital acquired infections (HAIs) are infections that occur after 48 hours of hospitalization but are neither present nor incubating upon hospital admission. Health care-associated infections (HAIs) have become a global patient safety concern. Device-associated infections (DAIs) like ventilator-associated pneumonia (VAP), central line-associated blood stream infections (CLA-BSIs) and catheter-associated urinary tract infections (CA-UTIs) together account for the majority of these infections. Aims and objectives--Medical device-associated candida infections at a tertiary care teaching hospital of U.P. India? with an aim to evaluate rate of medical device-associated candida infections. Materials and methods: This study was conducted in Department of Microbiology, Rama Medical College Hospital & Research Centre Kanpur from January 2018 to December 2018. In this study, the following three commonly encountered medical devices associated infections (MDAI), ventilator-associated pneumonia (VAP), central line associated blood stream infections (CLABSI) and catheter associated urinary tract infection (CA-UTI), as per the definition of CDCs National Nosocomial Infection Surveillance (NNIS) system criteria, were included. Results: During the study period, a total of 928 patients were exposed to different types of medical devices for a total duration of 3334 days. Out of these, 41 (4.4%) patients developed different types of Medical device associated infection (MDAI). Bacterial infection was noted in 31 (3.3%) patients, where candida spp. were isolated from 10 (1.0%) cases. The overall rate of MDAI in our hospital was 12.2 per 1000 devices days. The overall rates of bacterial and candida MDAI (1000 devices days) were 9.2 and 2.9 respectively. Conclusion: Systematic surveillance of device-associated infections has facilitated a reduction in the rates of DAIs and an increased compliance to preventive bundles and hand hygiene. Identification of priority areas, focused interventions and prompt information dissemination have aided in this reduction.