surveillance of icu - acquired infections national ... · surveillance of icu - acquired infections...

43
Surveillance of ICU - Acquired Infections National Feedback Report Risk Factor Indicators Year 2013 Scientific Institute of Public Health Direction of Public Health and Surveillance National Surveillance of Hospital Infections (NSIH program) 14, Juliette Wytsmanstraat 1050 Brussels - Belgium http://www.wiv-isp.be http://www.nsih.be Het project wordt financieel ondersteund door KB van 19 juni 2007 betreffende de vaststelling en de vereffening van het budget van financiële middelen van de ziekenhuizen Le projet est financièrement soutenu par AR du 19 juin 2007 relatif à la fixation et à la liquidation du budget des moyens financiers des hôpitaux Further information on this report: Mr. Karl Mertens Tel +32 2 642 5795 [email protected]

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Page 1: Surveillance of ICU - Acquired Infections National ... · Surveillance of ICU - Acquired Infections National Feedback ... Surveillance of ICU-acquired Infections National Feedback

Surveillance of ICU - Acquired InfectionsNational Feedback ReportRisk Factor IndicatorsYear 2013

Scientific Institute of Public HealthDirection of Public Health and SurveillanceNational Surveillance of Hospital Infections (NSIH program)

14, Juliette Wytsmanstraat1050 Brussels - Belgiumhttp://www.wiv-isp.behttp://www.nsih.be

Het project wordt financieel ondersteund doorKB van 19 juni 2007 betreffende de vaststelling en de vereffening van het budget van financiële middelenvan de ziekenhuizen

Le projet est financièrement soutenu parAR du 19 juin 2007 relatif à la fixation et à la liquidation du budget des moyens financiers des hôpitaux

Further information on this report:Mr. Karl MertensTel +32 2 642 [email protected]

Page 2: Surveillance of ICU - Acquired Infections National ... · Surveillance of ICU - Acquired Infections National Feedback ... Surveillance of ICU-acquired Infections National Feedback

Surveillance of ICU-acquired InfectionsNational Feedback Report Risk Factor Indicators Year 2013

List of Tables

1 Missing Admission variables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 Admission Characteristics (a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Admission Characteristics (b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 Admission Characteristics (c) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55 Admission Characteristics (d) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66 Daily Invasive Device exposure indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77 Missing SOFA Scores . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88 Daily SOFA score indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99 Daily SOFA score indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1010 Antibiotic Use Population (aggregated) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1111 Antibiotic Use Distribution (aggregated) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1212 Antibiotic Use (exhaustive) (a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1313 Antibiotic Use (exhaustive) (b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1414 Antibiotic Use (exhaustive) (c) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1415 Pneumonia and Admission Exposure (a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1516 Pneumonia and Admission Exposure (b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1617 Pneumonia and Admission Exposure (c) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1718 Pneumonia and Admission Exposure (d) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1819 Bloodstream Infection and Admission Exposure (a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1920 Bloodstream Infection and Admission Exposure (b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2021 Bloodstream Infection and Admission Exposure (c) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2122 Bloodstream Infection and Admission Exposure (d) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2223 Pneumonia and Invasive Device Exposure (a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2324 Pneumonia and Invasive Device Exposure (b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2425 Pneumonia and Invasive Device Exposure (c) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2526 Bloodstream Infection and Invasive Device Exposure (a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2627 Bloodstream Infection and Invasive Device Exposure (b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2728 Bloodstream Infection and Invasive Device Exposure (c) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2829 Pneumonia and SOFAscore (a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2930 Pneumonia and SOFAscore (b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3031 Bloodstream Infections and SOFAscore (a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3132 Bloodstream Infections and SOFAscore (b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3233 Pneumonia and Antibiotic Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3334 Bloodstream Infection and Antibiotic Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3435 Standardized Pneumonia and Bacteremia Rates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3536 Nosocomial Pneumonia and Bacteremia risk score distribution . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36

List of Figures

1 Evolution: SAPS II Score Median . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 372 Evolution: Death / DNR (%) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 373 Evolution: Intubation days / 1000 patientdays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 384 Evolution: CVC days / 1000 patientdays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 385 Evolution: Any AB utilization days / 1000 patientdays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 396 Benchhmark: Standardized Pneumonia Ratio . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 397 Benchhmark: Ventilator Associated Pneumonia versus Standardized Pneumonia Ratio . . . . . . . . . . . . . . . 408 Benchhmark: Standardized Bacteremia Ratio . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 419 Benchhmark: Catheter Associated Bacteremia versus Standardized Bacteremia Ratio . . . . . . . . . . . . . . . . 42

Scientific Institute Public Health, Brussels, 12 Nov 2015 12:26:12 1

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Surveillance of ICU-acquired InfectionsNational Feedback Report Risk Factor Indicators Year 2013

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Scientific Institute Public Health, Brussels, 12 Nov 2015 12:26:12 2

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Surveillance of ICU-acquired InfectionsNational Feedback Report Risk Factor Indicators Year 2013

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Scientific Institute Public Health, Brussels, 12 Nov 2015 12:26:12 3

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Surveillance of ICU-acquired InfectionsNational Feedback Report Risk Factor Indicators Year 2013

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Scientific Institute Public Health, Brussels, 12 Nov 2015 12:26:12 4

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Surveillance of ICU-acquired InfectionsNational Feedback Report Risk Factor Indicators Year 2013

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Scientific Institute Public Health, Brussels, 12 Nov 2015 12:26:12 5

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Surveillance of ICU-acquired InfectionsNational Feedback Report Risk Factor Indicators Year 2013

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=#/

100

tota

ladm

issi

ons

Scientific Institute Public Health, Brussels, 12 Nov 2015 12:26:12 6

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Table 6: Daily Invasive Device exposure indicators

invasive device #a ratea

agga p10 p25 p50 p75 p90

Intubation days 7830 437.7 161.4 306.0 442.9 473.2 797.7patients with Intubation days 1218 48.3 14.5 42.5 45.1 66.9 84.3

central vascular catheter days 18321 783.9 466.3 709.2 791.4 844.5 949.8patients with central vascular catheter days 2533 77.3 38.3 69.1 77.7 82.8 94.6

urinary catheter days 5702 662.3 0.0 632.9 764.4 873.8 915.7patients with urinary catheter days 703 66.4 0.0 57.2 78.9 90.2 90.3

naso-oro intestinal tube days 2321 269.6 142.6 180.4 230.2 384.1 548.7patients with naso-oro intestinal tube days 446 42.2 14.5 31.7 37.3 55.8 74.5

naso-oro intestinal tube feeding days 2382 276.7 89.8 101.3 269.0 334.3 489.9patients with naso-oro intestinal tube feeding days 250 23.6 5.7 11.9 19.7 25.5 50.4

parenteral feeding days 1211 140.7 60.7 113.6 143.6 196.1 269.0patients with parenteral feeding days 139 13.1 7.1 10.1 13.8 16.4 23.5

invasive mechanical ventilation days 2396 278.3 0.0 155.1 299.2 371.3 508.3patients with invasive mechanical ventilation days 405 38.3 0.0 14.5 42.5 65.6 84.3

non-invasive mechanical ventilation days 403 46.8 0.0 4.9 40.0 65.4 103.3patients with non-invasive mechanical ventilationdays

115 10.9 0.0 1.4 11.3 11.8 24.4

tracheotomy intubation days 426 49.5 0.0 0.0 41.7 70.1 207.9patients with tracheotomy intubation days 31 2.9 0.0 0.0 1.8 5.2 17.6

re-intubation days 25 2.9 0.0 0.0 3.2 3.7 5.4patients with re-intubation days 23 2.2 0.0 0.0 2.0 2.7 4.8

a #=number of days or patients with device exposure; rate=#/1000 patientdays (days); rate=#/100admissions (patients)

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Tabl

e7:

Mis

sing

SO

FAS

core

s

varia

ble

L1a

L2a

Lsa

Req

a#a

%a

p10

p25

p50

p75

p90

sofa

scor

e,cn

sV

aR

7081

0.00

0.00

0.00

0.00

100.

0010

0.00

sofa

scor

e,re

spira

tion

Va

R73

690.

000.

000.

0065

.00

100.

0010

0.00

sofa

scor

e,co

agul

atio

nV

aR

7096

0.00

0.00

0.00

0.00

100.

0010

0.00

sofa

scor

e,ca

rdio

Va

R70

800.

000.

000.

000.

0010

0.00

100.

00so

fasc

ore,

kidn

eyV

aR

7096

0.00

0.00

0.00

0.00

100.

0010

0.00

sofa

scor

e,liv

erV

aR

7387

0.00

0.00

0.00

69.2

910

0.00

100.

00to

tals

ofa

varia

bles

Va

O43

109

66.9

10.

0021

.07

100.

0010

0.00

100.

00

al1

=le

vel1

varia

ble

(den

omin

ator

-bas

edsu

rvei

llanc

e);l

2=le

vel2

varia

ble

(pat

ient

-bas

edsu

rvei

llanc

e);L

2s=

leve

l2su

bopt

ion

(0=

basi

cle

vel2

varia

bles

a=ex

tra

patie

ntad

mis

sion

and

day

byda

yva

riabl

es,b

=ce

ntra

lvas

cula

rca

thet

erfo

llow

-up,

c=an

timic

robi

altr

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ent

follo

w-u

p);R

eq:

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man

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ry,R

=R

equi

red,

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iona

l#=

num

ber

ofm

issi

ngva

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es;%

=#

/100

elig

ible

reco

rds

Scientific Institute Public Health, Brussels, 12 Nov 2015 12:26:12 8

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Table 8: Daily SOFA score indicators

#a aggb p10b p25b p50b p75b p90b

CNS score0 980 64.1 40.0 40.0 56.9 73.7 73.71 237 15.5 14.5 14.5 16.3 18.2 18.22 105 6.9 4.5 4.5 8.7 12.9 12.93 89 5.8 5.4 5.4 6.1 6.9 6.94 117 7.7 1.9 1.9 12.0 22.1 22.1any 1528 17.7 51.1 51.1 51.4 51.8 51.8scores 0.7 0.5 0.5 0.9 1.4 1.4

Respiratory score0 74 6.0 2.7 2.7 4.6 6.4 6.41 278 22.4 6.1 6.1 15.4 24.6 24.62 448 36.1 28.6 28.6 32.9 37.1 37.13 385 31.0 29.7 29.7 35.3 40.8 40.84 55 4.4 2.1 2.1 11.9 21.8 21.8any 1240 14.4 17.5 17.5 34.3 51.1 51.1scores 2.0 1.8 1.8 2.3 2.7 2.7

Coagulation score0 1125 74.4 69.3 69.3 72.8 76.3 76.31 185 12.2 10.2 10.2 13.8 17.4 17.42 140 9.3 9.0 9.0 9.5 10.0 10.03 54 3.6 3.1 3.1 3.4 3.8 3.84 9 0.6 0.2 0.2 0.5 0.7 0.7any 1513 17.6 50.0 50.0 50.5 51.1 51.1scores 0.5 0.4 0.4 0.5 0.5 0.5

Cardiovacular score0 995 65.1 37.6 37.6 56.8 76.0 76.01 244 16.0 4.8 4.8 24.3 43.8 43.82 13 0.9 0.5 0.5 1.1 1.8 1.83 195 12.8 6.0 6.0 10.7 15.5 15.54 82 5.4 3.2 3.2 7.0 10.8 10.8any 1529 17.8 51.1 51.1 51.5 51.9 51.9scores 0.7 0.7 0.7 0.8 1.0 1.0

a #=number of patientdays; 0/4/any=# of days with SOFAscore=0/4/any

b 0/4=% of days with SOFA score=0/4 among days with anySOFA score; any=% of days with any SOFA score amongtotal patientdays; scores=median score for SOFAcomponent; agg= value obtained when pooling allparticipating units; p=percentiles for the distribution ofparticipating units;

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Table 9: Daily SOFA score indicators

#a aggb p10b p25b p50b p75b p90b

Renal score0 864 57.1 56.3 56.3 57.8 59.2 59.21 261 17.3 17.0 17.0 17.4 17.8 17.82 168 11.1 9.8 9.8 12.1 14.5 14.53 83 5.5 5.3 5.3 5.6 5.9 5.94 137 9.1 2.6 2.6 7.1 11.5 11.5any 1513 17.6 50.2 50.2 50.6 51.0 51.0scores 1.0 0.7 0.7 0.9 1.0 1.0

Liver score0 987 80.8 76.7 76.7 79.0 81.2 81.21 133 10.9 10.7 10.7 11.6 12.4 12.42 62 5.1 4.7 4.7 6.6 8.5 8.53 22 1.8 1.7 1.7 2.0 2.3 2.34 18 1.5 0.0 0.0 0.8 1.6 1.6any 1222 14.2 15.4 15.4 33.2 51.1 51.1scores 0.4 0.3 0.3 0.3 0.4 0.4

Total score0/1 94 8.2 0.0 0.0 4.3 8.6 8.62 228 20.0 0.0 0.0 10.5 20.9 20.93/4 301 26.4 3.8 3.8 15.6 27.4 27.45/6 187 16.4 7.7 7.7 12.2 16.8 16.87/max 332 29.1 26.2 26.2 57.4 88.5 88.5any 1142 13.3 6.2 6.2 28.6 51.0 51.0scores 6.1 4.9 4.9 7.8 10.7 10.7

a #=number of patientdays; 0/4/any=# of days with SOFAscore=0/4/any

b 0/4=% of days with SOFA score=0/4 among days with anySOFA score; any=% of days with any SOFA score amongtotal patientdays; scores=median score for SOFAcomponent; agg= value obtained when pooling allparticipating units; p=percentiles for the distribution ofparticipating units;

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Tabl

e10

:A

ntib

iotic

Use

Pop

ulat

ion

(agg

rega

ted)

Pat

ient

s,#a

Pat

ient

days

,#a

agg

p10

p25

p50

p75

p90

agg

p10

p25

p50

p75

p90

patie

nts

with

AB

use

511

141

141

163

207

207

4801

1268

1268

1587

1946

1946

units

with

AB

use

613

157

157

210

246

246

5302

1325

1325

1838

2139

2139

aP

atie

nts,

#=nu

mbe

rof

patie

nts;

Pat

ient

days

,#=

num

ber

ofpa

tient

days

;agg

=ag

greg

ated

over

allp

artic

ipat

ing

units

;p1

0-p9

0=pe

rcen

tile

ofdi

strib

utio

nof

part

icip

atin

gun

its

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Tabl

e11

:A

ntib

iotic

Use

Dis

trib

utio

n(a

ggre

gate

d)

#a%

ain

cda

agg

agg

p10

p25

p50

p75

p90

agg

p10

p25

p50

p75

p90

Tota

lAB

days

4835

912

880

880

893

948

948

AB

days

with

SD

Dus

e0

00

00

00

00

00

00

AB

days

with

Pro

fyla

ctic

use

330

71

15

1818

6212

1245

159

159

AB

days

with

Em

piric

alus

e26

5855

4343

4872

7250

138

038

045

364

464

4A

Bda

ysw

ithM

icro

orga

nism

know

n86

20

00

44

160

00

4040

AB

days

with

Ant

ibio

gram

know

n17

6136

2727

3943

4333

223

723

734

040

940

9

a#=

num

ber

ofA

ntib

otic

days

with

part

icul

arus

e;%

=#

AB

days

/100

tota

lAB

days

;inc

d=#

AB

days

/100

0pa

tient

days

ofun

itsw

ithA

Bus

e;ag

g=ag

greg

ated

over

allp

artic

ipat

ing

units

;p10

-p90

=pe

rcen

tile

ofdi

strib

utio

nof

part

icip

atin

gun

its

Scientific Institute Public Health, Brussels, 12 Nov 2015 12:26:12 12

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Table 12: Antibiotic Use (exhaustive) (a)

Antibiotic pats patdays Antibiotic days, #a

# # T S P E M A

all 4835 0 330 2658 86 1761

J01C PENICILLINS 295 3265 1865 0 44 1166 31 624J01CA Penicillins extended spectrum 28 684 215 0 0 20 3 192J01CA01 Ampicillin 6 171 40 0 0 7 2 31J01CA04 Amoxicillin 3 105 26 0 0 0 0 26J01CA17 Temocillin 23 601 149 0 0 13 1 135J01CE Beta-lactamase sens. penicillins 1 3 3 0 0 0 0 3J01CE08 Benzathine benzylpenicillin 1 3 3 0 0 0 0 3J01CF SS-lactamase resist. penicillins 14 347 116 0 0 1 0 115J01CF02 Cloxacillin 1 18 1 0 0 0 0 1J01CF04 Oxacillin 8 183 48 0 0 0 0 48J01CF05 Flucloxacillin 5 146 67 0 0 1 0 66J01CG SS-lactamase inhibitors 67 785 346 0 0 229 13 104J01CG02 Tazobactam 67 785 346 0 0 229 13 104J01CR SS-lactam + SS-lactamase inhibitor 224 2223 1185 0 44 916 15 210J01CR01 Ampicillin + sulbactam 2 9 9 0 0 9 0 0J01CR02 Amoxicillin + clavulanic acid 188 1702 862 0 39 686 15 122J01CR05 Piperacilline + Tazobactam 50 728 314 0 5 221 0 88

J01D OTH. SS-LACTAM AB,INCL.CEPHALOSP. 294 3230 1585 0 224 778 13 570J01DA Cephalosporins 265 2854 1194 0 224 569 12 389J01DA04 Cefazolin 109 709 206 0 199 7 0 0J01DA06 Cefuroxime 67 680 306 0 25 165 9 107J01DA10 Cefotaxime 7 77 33 0 0 14 1 18J01DA11 Ceftazidime 59 1162 313 0 0 164 2 147J01DA13 Ceftriaxone 50 699 236 0 0 161 0 75J01DA24 Cefepime 13 354 98 0 0 56 0 42J01DA34 Cefacetrile 1 9 2 0 0 2 0 0J01DH Carbapenems 46 1046 391 0 0 209 1 181J01DH02 Meropenem 43 1015 378 0 0 203 1 174J01DH51 Imipenem and enzyme inhibitor 3 31 13 0 0 6 0 7

a T=total use; S=SDD use; P=Profylactic use; E=Empirical use; M=Microorganism known; A=Antibogram known

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Table 13: Antibiotic Use (exhaustive) (b)

Antibiotic pats patdays Antibiotic days, #a

# # T S P E M A

J01E SULFONAMIDES AND COMBINATIONS 9 178 57 0 10 22 0 25J01EA Trimethoprim 7 160 43 0 10 16 0 17J01EA01 Trimethoprim 7 160 43 0 10 16 0 17J01EE Sulfonamides + trimethoprim + deriv 2 18 14 0 0 6 0 8J01EE02 Sulfadiazine + trimethoprim 2 18 14 0 0 6 0 8

J01F MACROLIDES AND LINCOSAMIDES 49 553 290 0 4 227 10 49J01FA Macrolides + Synergistins 39 448 222 0 0 182 10 30J01FA09 Clarithromycin 39 448 222 0 0 182 10 30J01FF Lincosamides 10 105 68 0 4 45 0 19J01FF01 Clindamycin 10 105 68 0 4 45 0 19

J01G AMINOGLYCOSIDE ANTIBACTERIALS 63 864 194 0 2 99 4 89J01GB Aminoglycosides other than strep 63 864 194 0 2 99 4 89J01GB03 Gentamicin 4 53 22 0 2 0 0 20J01GB06 Amikacin 59 811 172 0 0 99 4 69

J01M QUINOLONE ANTIBACTERIALS 40 592 209 0 14 127 1 67J01MA Fluoroquinolones 40 592 209 0 14 127 1 67J01MA02 Ciprofloxacin 24 343 125 0 3 95 0 27J01MA06 Norfloxacin 1 5 5 0 5 0 0 0J01MA12 Levofloxacin 7 158 41 0 6 3 1 31J01MA14 Moxifloxacin 8 86 38 0 0 29 0 9

J01R COMBINATIONS OF DIFFERENT AB’s 1 8 2 0 0 2 0 0J01RA Combinations of different ab’s 1 8 2 0 0 2 0 0J01RA01 Penicill + other antibacterials 1 8 2 0 0 2 0 0

a T=total use; S=SDD use; P=Profylactic use; E=Empirical use; M=Microorganism known; A=Antibiogramknown

Table 14: Antibiotic Use (exhaustive) (c)

Antibiotic pats patdays Antibiotic days, #a

# # T S P E M A

J01X OTHER ANTIBACTERIALS 49 1062 404 0 3 124 6 271J01XA Glycopeptide antibacterials 42 803 293 0 0 101 5 187J01XA01 Vancomycin 42 803 287 0 0 101 5 181J01XA02 Teicoplanin 1 36 6 0 0 0 0 6J01XB Polymyxins 3 169 50 0 0 4 1 45J01XB01 Colistin 3 169 50 0 0 4 1 45J01XD Imidazole derivatives 6 174 48 0 3 19 0 26J01XD01 Metronidazole 6 174 48 0 3 19 0 26J01XX08 Linezolid 2 52 13 0 0 0 0 13

J02A ANTIMYCOTICS FOR SYSTEMIC USE 20 444 122 0 6 59 10 47J02AA Antifungal antibiotics 2 49 7 0 0 0 0 7J02AB Imidazole antimycotics 3 32 21 0 0 18 0 3J02AC Triazole derivative antimycotics 16 370 88 0 6 35 10 37J02AC01 Fluconazole 16 370 88 0 6 35 10 37J02AX Other systemic antimycotics 2 19 6 0 0 6 0 0J02AX04 Caspofungin 2 19 6 0 0 6 0 0

J04A TREATMENT OF TUBERCULOSIS 1 9 1 0 0 0 0 1J04AB Antimycobacterial antibiotics 1 9 1 0 0 0 0 1J04AB02 Rifampicin 1 9 1 0 0 0 0 1

a T=total use; S=SDD use; P=Profylactic use; E=Empirical use; M=Microorganism known; A=Antibogramknown

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Tabl

e15

:P

neum

onia

and

Adm

issi

onE

xpos

ure

(a)

pats

apa

tday

saN

Pa

IAP

a

#b%

b#b

%b

#b%

bin

cdb

#bin

cdb

agg

agg

agg

agg

agg

agg

p10

p25

p50

p75

p90

agg

p10

p25

p50

p75

p90

agg

agg

p10

p25

p50

p75

p90

Ag

e≤

4059

5.6

459

5.3

11.

70.

00.

00.

00.

010

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20.

00.

00.

00.

07.

71

6.3

0.0

0.0

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40-5

918

017

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7218

.38

4.4

0.0

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912

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70-7

412

611

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2411

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0.0

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714

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515

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847.

995

511

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01.

46.

49.

9

apa

ts=

patie

nts

patd

ays=

patie

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ocom

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neum

onia

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P=

Intu

batio

nA

ssoc

iate

dN

Pb

#=cr

ude

num

ber;

pats

/pat

days

%=

perc

enta

geof

tota

lpat

s/pa

tday

s;N

P%

=#

NP

/100

patie

nts;

NP

incd

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tient

days

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cd=

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Scientific Institute Public Health, Brussels, 12 Nov 2015 12:26:12 15

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Surveillance of ICU-acquired InfectionsNational Feedback Report Risk Factor Indicators Year 2013

Tabl

e16

:P

neum

onia

and

Adm

issi

onE

xpos

ure

(b)

pats

apa

tday

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Pa

IAP

a

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b#b

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bin

cdb

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agg

agg

agg

agg

agg

agg

p10

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p10

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re<

108

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Scientific Institute Public Health, Brussels, 12 Nov 2015 12:26:12 16

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Surveillance of ICU-acquired InfectionsNational Feedback Report Risk Factor Indicators Year 2013

Tabl

e17

:P

neum

onia

and

Adm

issi

onE

xpos

ure

(c)

pats

apa

tday

saN

Pa

IAP

a

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b#b

%b

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bin

cdb

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cdb

agg

agg

agg

agg

agg

agg

p10

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agg

p10

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agg

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Trau

ma

no82

477

.965

3075

.925

3.0

0.0

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80.

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ts=

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Scientific Institute Public Health, Brussels, 12 Nov 2015 12:26:12 17

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Surveillance of ICU-acquired InfectionsNational Feedback Report Risk Factor Indicators Year 2013

Tabl

e18

:P

neum

onia

and

Adm

issi

onE

xpos

ure

(d)

pats

apa

tday

saN

Pa

IAP

a

#b%

b#b

%b

#b%

bin

cdb

#bin

cdb

agg

agg

agg

agg

agg

agg

p10

p25

p50

p75

p90

agg

p10

p25

p50

p75

p90

agg

agg

p10

p25

p50

p75

p90

Acu

teC

oro

nar

yC

are

no80

576

.165

7076

.323

2.9

0.0

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90.

03.

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00

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Scientific Institute Public Health, Brussels, 12 Nov 2015 12:26:12 18

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Surveillance of ICU-acquired InfectionsNational Feedback Report Risk Factor Indicators Year 2013

Tabl

e19

:B

lood

stre

amIn

fect

ion

and

Adm

issi

onE

xpos

ure

(a)

pats

apa

tday

saN

Ba

CA

Ba

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b#b

%b

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bin

cdb

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cdb

agg

agg

agg

agg

agg

agg

p10

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agg

p10

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agg

agg

p10

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Ag

e≤

4059

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459

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017

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995

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0

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ts=

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ter

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ted

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tient

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Scientific Institute Public Health, Brussels, 12 Nov 2015 12:26:12 19

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Surveillance of ICU-acquired InfectionsNational Feedback Report Risk Factor Indicators Year 2013

Tabl

e20

:B

lood

stre

amIn

fect

ion

and

Adm

issi

onE

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Scientific Institute Public Health, Brussels, 12 Nov 2015 12:26:12 20

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Surveillance of ICU-acquired InfectionsNational Feedback Report Risk Factor Indicators Year 2013

Tabl

e21

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Scientific Institute Public Health, Brussels, 12 Nov 2015 12:26:12 21

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Surveillance of ICU-acquired InfectionsNational Feedback Report Risk Factor Indicators Year 2013

Tabl

e22

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Scientific Institute Public Health, Brussels, 12 Nov 2015 12:26:12 22

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Surveillance of ICU-acquired InfectionsNational Feedback Report Risk Factor Indicators Year 2013

Tabl

e23

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Scientific Institute Public Health, Brussels, 12 Nov 2015 12:26:12 23

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Surveillance of ICU-acquired InfectionsNational Feedback Report Risk Factor Indicators Year 2013

Tabl

e24

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sive

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0.0

0.0

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16.7

4/6

403.

857

96.

72

5.0

0.0

0.0

0.0

0.0

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3.5

0.0

0.0

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0.0

12.8

13.

00.

00.

00.

00.

09.

9>

=7

252.

475

68.

85

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0.0

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100.

06.

60.

00.

02.

19.

817

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0.0

0.0

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oO

roIn

test

inal

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ew

ith

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ing

082

978

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3161

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2.1

0.0

0.8

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0.0

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98.

00.

00.

06.

011

.114

.41

686.

466

97.

812

17.6

0.0

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13.6

25.0

36.4

17.9

0.0

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13.7

18.5

48.2

1131

.413

.017

.228

.629

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389

8.4

1028

11.9

1011

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00.

00.

025

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70.

00.

00.

011

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10.7

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0.0

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4/6

454.

378

49.

13

6.7

0.0

0.0

0.0

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10.

00.

00.

00.

09.

4>

=7

272.

679

79.

33

11.1

0.0

0.0

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13.9

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10.

00.

00.

00.

06.

2

Par

ente

ralN

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itio

n0

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50.

00.

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58.

55.

00.

00.

03.

69.

912

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0.0

0.0

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22.9

132

3.0

382

4.4

515

.60.

00.

00.

020

.033

.313

.10.

00.

00.

022

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0.0

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33.3

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454.

360

07.

02

4.4

0.0

0.0

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15.

30.

00.

00.

00.

014

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626

2.5

398

4.6

13.

80.

00.

00.

00.

010

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00.

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00.

00.

0>

=7

161.

559

66.

94

25.0

0.0

0.0

0.0

50.0

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0.0

0.0

8.5

13.6

25.

70.

00.

00.

012

.712

.8

apa

ts=

patie

nts

patd

ays=

patie

ntda

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ocom

ialP

neum

onia

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batio

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ssoc

iate

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Pb

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ude

num

ber;

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/pat

days

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enta

geof

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tday

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P%

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NP

/100

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nts;

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incd

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NP

/100

0pa

tient

days

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cd=

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000

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efor

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000

patie

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ys

Scientific Institute Public Health, Brussels, 12 Nov 2015 12:26:12 24

Page 26: Surveillance of ICU - Acquired Infections National ... · Surveillance of ICU - Acquired Infections National Feedback ... Surveillance of ICU-acquired Infections National Feedback

Surveillance of ICU-acquired InfectionsNational Feedback Report Risk Factor Indicators Year 2013

Tabl

e25

:P

neum

onia

and

Inva

sive

Dev

ice

Exp

osur

e(c

)

pats

apa

tday

saN

Pa

IAP

a

#b%

b#b

%b

#b%

bin

cdb

#bin

cdb

agg

agg

agg

agg

agg

agg

p10

p25

p50

p75

p90

agg

p10

p25

p50

p75

p90

agg

agg

p10

p25

p50

p75

p90

Inva

sive

Mec

han

ical

Ven

tila

tio

n0

668

63.1

4469

51.9

101.

50.

00.

00.

74.

14.

52.

20.

00.

01.

05.

57.

33

4.0

0.0

0.0

0.0

0.0

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122

221

.015

2817

.716

7.2

0.0

0.0

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0.0

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15.9

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1324

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00.

016

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399

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1212

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00.

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150

.011

.60.

00.

08.

19.

227

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0.0

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424.

070

88.

22

4.8

0.0

0.0

0.0

0.0

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0.0

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00.

00.

00.

00.

011

.5>

=7

272.

687

210

.15

18.5

0.0

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35.

30.

00.

03.

18.

19.

8

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n-I

nva

sive

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90.

02.

23.

47.

08.

45.

00.

01.

83.

99.

312

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8.7

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3.0

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12.8

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179

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892

10.4

810

.10.

00.

02.

516

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.39.

00.

00.

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514

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222.

121

32.

50

0.0

0.0

0.0

0.0

0.0

0.0

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0.0

0.0

0.0

0.0

00.

00.

00.

00.

00.

00.

04/

65

0.5

941.

10

0.0

0.0

0.0

0.0

0.0

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00.

00.

00.

00.

0>

=7

30.

357

0.7

00.

00.

00.

00.

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00.

00.

00.

00.

00.

00.

00.

00

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0.0

0.0

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Trac

heo

tom

yIn

tub

atio

n0

1034

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8083

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00.

00.

02.

58.

110

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10.

00.

03.

011

.212

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0.0

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13.4

22.8

14

0.4

851.

02

50.0

0.0

0.0

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100.

010

0.0

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0.0

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37.0

237

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00.

037

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37

0.7

831.

02

28.6

0.0

0.0

33.3

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0.0

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30.3

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65

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851.

00

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80.

827

33.

20

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00.

00.

00.

00.

00.

00.

0

apa

ts=

patie

nts

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ays=

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onia

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enta

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NP

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incd

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NP

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Scientific Institute Public Health, Brussels, 12 Nov 2015 12:26:12 25

Page 27: Surveillance of ICU - Acquired Infections National ... · Surveillance of ICU - Acquired Infections National Feedback ... Surveillance of ICU-acquired Infections National Feedback

Surveillance of ICU-acquired InfectionsNational Feedback Report Risk Factor Indicators Year 2013

Tabl

e26

:B

lood

stre

amIn

fect

ion

and

Inva

sive

Dev

ice

Exp

osur

e(a

)

pats

apa

tday

saN

Ba

CA

Ba

#b%

b#b

%b

#b%

bin

cdb

#bin

cdb

agg

agg

agg

agg

agg

agg

p10

p25

p50

p75

p90

agg

p10

p25

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agg

agg

p10

p25

p50

p75

p90

Intu

bat

ion

062

859

.442

6149

.55

0.8

0.0

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3.0

52.

40.

00.

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45.

21

247

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2/3

999.

493

610

.94

4.0

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0.0

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16.7

33.

60.

00.

00.

08.

517

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647

4.4

778

9.0

36.

40.

00.

00.

050

.050

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90.

00.

00.

012

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0.0

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>=

737

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00.

00.

033

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50.

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07.

210

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Cen

tral

Vas

cula

rC

ath

eter

043

340

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6035

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0.0

0.0

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0.0

0.0

0.0

0.0

0.0

0.0

00.

00.

00.

00.

00.

00.

01

134

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539

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20.

00.

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918

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60.

00.

00.

07.

923

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295

27.9

1795

20.9

72.

40.

00.

02.

03.

06.

53.

90.

00.

03.

54.

69.

27

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114

10.8

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14.0

32.

60.

00.

00.

014

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50.

00.

00.

010

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1.7

0.0

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0.0

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>=

782

7.8

2006

23.3

78.

50.

00.

05.

315

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50.

00.

02.

56.

26.

56

3.3

0.0

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4.9

6.8

Uri

nar

yC

ath

eter

038

836

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3035

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1.3

0.0

0.0

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0.0

0.0

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52.

60.

00.

00.

00.

04.

21

108

10.2

442

5.1

32.

80.

00.

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422

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80.

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06.

826

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366

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25.3

61.

60.

00.

00.

92.

55.

42.

80.

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0.0

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108

10.2

1046

12.2

10.

90.

00.

00.

00.

014

.31.

00.

00.

00.

00.

013

.30

0.0

0.0

0.0

0.0

0.0

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>=

788

8.3

1912

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70.

00.

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911

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60.

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04.

46.

04

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apa

ts=

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nts

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ays=

patie

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ocom

ialB

acte

rem

ia;C

AB

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athe

ter

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ocia

ted

NB

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enu

mbe

r;pa

ts/p

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rcen

tage

ofto

talp

ats/

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B/1

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tient

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000

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AB

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ter

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(bef

ore

1stN

B);

Scientific Institute Public Health, Brussels, 12 Nov 2015 12:26:12 26

Page 28: Surveillance of ICU - Acquired Infections National ... · Surveillance of ICU - Acquired Infections National Feedback ... Surveillance of ICU-acquired Infections National Feedback

Surveillance of ICU-acquired InfectionsNational Feedback Report Risk Factor Indicators Year 2013

Tabl

e27

:B

lood

stre

amIn

fect

ion

and

Inva

sive

Dev

ice

Exp

osur

e(b

)

pats

apa

tday

saN

Ba

CA

Ba

#b%

b#b

%b

#b%

bin

cdb

#bin

cdb

agg

agg

agg

agg

agg

agg

p10

p25

p50

p75

p90

agg

p10

p25

p50

p75

p90

agg

agg

p10

p25

p50

p75

p90

Nas

oO

roIn

test

inal

Tub

ew

ith

ou

tfe

edin

g0

654

61.8

4682

54.4

71.

10.

00.

01.

73.

03.

81.

50.

00.

02.

22.

93.

55

2.0

0.0

0.0

0.0

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4.5

124

823

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2718

.95

2.0

0.0

0.0

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60.

00.

00.

06.

18.

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394

8.9

1050

12.2

44.

30.

00.

00.

07.

722

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80.

00.

00.

07.

213

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13.5

4/6

393.

759

46.

91

2.6

0.0

0.0

0.0

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0.0

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90.

00.

00.

00.

09.

1>

=7

232.

265

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127

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0.0

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oO

roIn

test

inal

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ew

ith

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ing

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579

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8466

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0.9

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0.0

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30.

00.

00.

04.

57.

21

595.

649

55.

73

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14.3

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16.7

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30.

00.

011

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383

7.8

839

9.7

44.

80.

00.

00.

014

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80.

00.

00.

07.

619

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424.

068

98.

00

0.0

0.0

0.0

0.0

0.0

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00.

00.

00.

00.

00.

0>

=7

292.

790

210

.55

17.2

0.0

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40.0

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00.

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01.

88.

59.

3

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ente

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940

88.8

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92.

31.

30.

00.

01.

02.

93.

18

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132

3.0

335

3.9

515

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00.

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040

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00.

00.

030

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484.

573

08.

55

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50.

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05.

910

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625

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380

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00.

00.

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00.

00.

00.

00.

00.

00.

00.

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00.

00

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713

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451

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70.

00.

00.

00.

050

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20.

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51

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0.0

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apa

ts=

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ays=

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ialB

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rem

ia;C

AB

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ter

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ted

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enu

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rcen

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tient

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ter

days

(bef

ore

1stN

B);

Scientific Institute Public Health, Brussels, 12 Nov 2015 12:26:12 27

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Surveillance of ICU-acquired InfectionsNational Feedback Report Risk Factor Indicators Year 2013

Tabl

e28

:B

lood

stre

amIn

fect

ion

and

Inva

sive

Dev

ice

Exp

osur

e(c

)

pats

apa

tday

saN

Ba

CA

Ba

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b#b

%b

#b%

bin

cdb

#bin

cdb

agg

agg

agg

agg

agg

agg

p10

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p90

agg

p10

p25

p50

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agg

agg

p10

p25

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sive

Mec

han

ical

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tila

tio

n0

691

65.3

4871

56.6

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20.

00.

00.

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13.

31.

60.

00.

00.

03.

14.

48

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90.

00.

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389

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114

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60.

00.

00.

07.

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277

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04

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90.

00.

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04.

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262.

586

610

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30.

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61.

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224

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91

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10

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0.0

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418

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40

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851.

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00.

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00.

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0

apa

ts=

patie

nts

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ocom

ialB

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rem

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athe

ter

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ocia

ted

NB

b#=

crud

enu

mbe

r;pa

ts/p

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rcen

tage

ofto

talp

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tient

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cd=

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000

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athe

ter

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ore

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B);

Scientific Institute Public Health, Brussels, 12 Nov 2015 12:26:12 28

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Surveillance of ICU-acquired InfectionsNational Feedback Report Risk Factor Indicators Year 2013

Tabl

e29

:P

neum

onia

and

SO

FAsc

ore

(a)

pats

apa

tday

saN

Pa

IAP

a

#b%

b#b

%b

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bin

cdb

#bin

cdb

agg

agg

agg

agg

agg

agg

p10

p25

p50

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agg

p10

p25

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p75

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agg

agg

p10

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mea

nC

NS

SO

FAsc

ore

016

24.

912

595.

33

1.9

1.4

1.4

2.9

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4.3

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1.8

1.8

4.8

7.8

7.8

14.

14.

14.

14.

14.

14.

10.

1/1

993.

076

73.

25

5.1

4.6

4.6

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5.9

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29.

80.

00.

05.

110

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521.

638

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61

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17.

00.

00.

05.

711

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230.

728

11.

24

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11.1

11.1

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323

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200.

615

20.

63

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11.1

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00.

013

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011

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511.

529

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20

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311

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412

475.

24

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15.

05.

08.

411

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230.

721

70.

94

17.4

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010

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181

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780

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48.

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36.

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09.

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74

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238

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302

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00.

00.

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00.

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00

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318

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139

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211

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00.

020

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00.

025

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43

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250.

10

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00.

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00.

00.

00.

0

apa

ts=

patie

nts

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ays=

patie

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ocom

ialP

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onia

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batio

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ssoc

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Pb

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ude

num

ber;

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/pat

days

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perc

enta

geof

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NP

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NP

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);

Scientific Institute Public Health, Brussels, 12 Nov 2015 12:26:12 29

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Surveillance of ICU-acquired InfectionsNational Feedback Report Risk Factor Indicators Year 2013

Tabl

e30

:P

neum

onia

and

SO

FAsc

ore

(b)

pats

apa

tday

saN

Pa

IAP

a

#b%

b#b

%b

#b%

bin

cdb

#bin

cdb

agg

agg

agg

agg

agg

agg

p10

p25

p50

p75

p90

agg

p10

p25

p50

p75

p90

agg

agg

p10

p25

p50

p75

p90

mea

nC

ard

iova

scu

lar

SO

FAsc

ore

012

93.

983

83.

53

2.3

0.9

0.9

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1.4

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18.2

18.2

18.

00.

00.

04.

58.

98.

90.

1/1

133

4.0

1112

4.7

43.

02.

92.

93.

03.

13.

13.

62.

82.

83.

94.

94.

92

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260

1.8

650

2.7

46.

74.

84.

87.

911

.111

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24.

64.

66.

99.

29.

22

8.0

6.5

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326

0.8

205

0.9

311

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65.

615

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27.

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48

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650.

32

25.0

25.0

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37.0

247

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512

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37

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643

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331.

030

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32

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290.

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01

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363

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512

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50

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70.

248

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114

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00.

050

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00.

071

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90

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20

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348

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792.

462

62.

62

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76.

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814

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011

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212

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apa

ts=

patie

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ays=

patie

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onia

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Pb

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ber;

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);

Scientific Institute Public Health, Brussels, 12 Nov 2015 12:26:12 30

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Surveillance of ICU-acquired InfectionsNational Feedback Report Risk Factor Indicators Year 2013

Tabl

e31

:B

lood

stre

amIn

fect

ions

and

SO

FAsc

ore

(a)

pats

apa

tday

saN

Ba

CA

Ba

#b%

b#b

%b

#b%

bin

cdb

#bin

cdb

agg

agg

agg

agg

agg

agg

p10

p25

p50

p75

p90

agg

p10

p25

p50

p75

p90

agg

agg

p10

p25

p50

p75

p90

mea

nC

NS

SO

FAsc

ore

016

34.

913

365.

66

3.7

0.0

0.0

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0.0

0.0

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5.0

66.

80.

00.

03.

77.

37.

30.

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982.

976

03.

21

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80.

00.

01.

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32.

31.

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541.

641

21.

70

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230.

727

81.

21

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11.1

11.1

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03.

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190.

613

70.

61

5.3

0.0

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60.

00.

05.

310

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nR

esp

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ory

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011

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511.

529

61.

21

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20.

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412

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13

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00.

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83.

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230.

724

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01

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27

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30.

00.

01.

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32.

31.

30.

00.

01.

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32.

31

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00.

00.

00.

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10

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ter

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Scientific Institute Public Health, Brussels, 12 Nov 2015 12:26:12 31

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Surveillance of ICU-acquired InfectionsNational Feedback Report Risk Factor Indicators Year 2013

Tabl

e32

:B

lood

stre

amIn

fect

ions

and

SO

FAsc

ore

(b)

pats

apa

tday

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CA

Ba

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b#b

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bin

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agg

agg

agg

agg

agg

agg

p10

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agg

p10

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agg

agg

p10

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mea

nC

ard

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scu

lar

SO

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ore

012

93.

990

33.

84

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4.9

36.

70.

00.

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87.

67.

60.

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136

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50.

00.

01.

42.

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91.

60.

00.

01.

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62

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260

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565

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30.

00.

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54.

53.

50.

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02.

75.

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324

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189

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00.

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48

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650.

31

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Scientific Institute Public Health, Brussels, 12 Nov 2015 12:26:12 32

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Surveillance of ICU-acquired InfectionsNational Feedback Report Risk Factor Indicators Year 2013

Tabl

e33

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neum

onia

and

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ticU

se

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a

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agg

agg

agg

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agg

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agg

p10

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agg

agg

p10

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012

03.

693

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94

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Scientific Institute Public Health, Brussels, 12 Nov 2015 12:26:12 33

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Surveillance of ICU-acquired InfectionsNational Feedback Report Risk Factor Indicators Year 2013

Tabl

e34

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fect

ion

and

Ant

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CA

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64.

194

04.

02

1.5

0.0

0.0

1.5

1.8

1.8

2.1

0.0

0.0

2.1

2.5

2.5

23.

70.

00.

03.

15.

85.

8>

=7

117

3.5

1731

7.3

54.

30.

00.

05.

016

.716

.72.

90.

00.

03.

67.

07.

05

3.9

0.0

0.0

4.4

7.7

7.7

apa

ts=

patie

nts

patd

ays=

patie

ntda

ysN

B=

Nos

ocom

ialB

acte

rem

ia;C

AB

=C

athe

ter

Ass

ocia

ted

NB

b#=

crud

enu

mbe

r;pa

ts/p

atda

ys%

=pe

rcen

tage

ofto

talp

ats/

patd

ays;

NB

%=

#N

B/1

00pa

tient

s;N

Bin

cd=

#N

B/1

000

patie

ntda

ys;C

AB

incd

=#

NP

/100

0C

athe

ter

days

(bef

ore

1stN

B);

Scientific Institute Public Health, Brussels, 12 Nov 2015 12:26:12 34

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Table 35: Standardized Pneumonia and Bacteremia Rates

Expecteda Observed/Expecteda

agg agg p10 p25 p50 p75 p90

Nosocomial Bacteremia 19.00 1.00 0.00 0.22 0.95 1.37 1.41Nosocomial Pneumonia 28.00 1.00 0.00 0.52 0.89 3.53 4.86

a Expected=number of infection as predicted by risk factors for Pneumonia andBacteremia Observed/Expected=number of observed infections divided by expectednumber of infections

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Tabl

e36

:N

osoc

omia

lPne

umon

iaan

dB

acte

rem

iaris

ksc

ore

dist

ribut

ion

pats

apa

tday

saN

P,N

Ba

IAP,

CA

Ba

#b%

b#b

%b

#b%

bin

cdb

#bin

cdb

agg

agg

agg

agg

agg

agg

p10

p25

p50

p75

p90

agg

p10

p25

p50

p75

p90

agg

agg

p10

p25

p50

p75

p90

No

soco

mia

lPn

eum

on

iaR

isk

Sco

re≤

915

64.

711

204.

70

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

00.

00.

00.

00.

00.

00.

010

/19

190

5.7

1411

5.9

31.

60.

00.

00.

01.

311

.12.

10.

00.

00.

01.

518

.20

0.0

0.0

0.0

0.0

0.0

0.0

20/2

913

03.

985

63.

63

2.3

0.0

0.0

4.0

4.5

100.

03.

50.

00.

04.

77.

866

.73

12.0

0.0

0.0

11.6

19.2

142.

930

/39

591.

863

72.

72

3.4

0.0

0.0

1.5

9.8

16.7

3.1

0.0

0.0

1.5

6.0

8.9

26.

80.

00.

03.

815

.523

.340

/49

571.

768

82.

99

15.8

0.0

0.0

12.1

25.0

40.0

13.1

0.0

0.0

10.2

18.5

35.7

817

.40.

00.

014

.125

.025

.050

/59

290.

930

11.

36

20.7

14.3

14.3

16.7

50.0

100.

019

.911

.113

.023

.329

.471

.44

18.2

0.0

14.3

16.1

58.8

76.9

≥60

140.

440

71.

75

35.7

16.7

20.8

45.8

83.3

100.

012

.38.

48.

812

.317

.820

.04

13.6

11.5

11.7

12.0

18.2

24.4

No

soco

mia

lBac

tere

mia

Ris

kS

core

≤9

271

8.1

1678

7.1

31.

10.

00.

01.

82.

22.

71.

80.

00.

03.

13.

36.

03

6.3

0.0

0.0

4.5

15.9

19.2

10/1

922

76.

814

396.

14

1.8

0.0

0.0

0.0

2.2

4.9

2.8

0.0

0.0

0.0

3.7

5.7

43.

40.

00.

00.

03.

88.

620

/29

130

3.9

1218

5.1

21.

50.

00.

00.

01.

65.

01.

60.

00.

00.

01.

94.

52

1.9

0.0

0.0

0.0

2.2

5.1

30/3

968

2.0

834

3.5

11.

50.

00.

00.

00.

07.

11.

20.

00.

00.

00.

05.

41

1.3

0.0

0.0

0.0

0.0

6.8

40/4

979

2.4

1259

5.3

78.

90.

00.

010

.215

.425

.05.

60.

00.

05.

511

.117

.56

5.3

0.0

0.0

5.9

8.3

18.9

≥50

100.

320

70.

92

20.0

0.0

0.0

0.0

0.0

66.7

9.7

0.0

0.0

0.0

0.0

14.3

211

.00.

00.

00.

00.

014

.80

0.0

00.

00

..

0.

apa

ts=

patie

nts

patd

ays=

patie

ntda

ysN

P=

Nos

ocom

ialP

neum

onia

;NB

=N

osoc

omia

lBac

tere

mia

;IA

P=

Intu

batio

nA

ssoc

iate

dN

P;C

AB

=C

athe

ter

Ass

ocia

ted

NB

b#=

crud

enu

mbe

r;pa

ts/p

atda

ys%

=pe

rcen

tage

ofto

talp

ats/

patd

ays;

NP

%=

#N

P/1

00pa

tient

s;N

Pin

cd=

#N

P/1

000

patie

ntda

ys;I

AP

incd

=#

NP

/100

0in

tuba

tion

days

(bef

ore

1stN

P);

NB

%=

#N

B/1

00pa

tient

s;N

Bin

cd=

#N

B/1

000

patie

ntda

ys;C

AB

incd

=#

NB

/100

0ca

thet

erda

ys(b

efor

e1s

tNB

);

Scientific Institute Public Health, Brussels, 12 Nov 2015 12:26:12 36

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Figure 1: Evolution: SAPS II Score Median

Figure 2: Evolution: Death / DNR (%)

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Figure 3: Evolution: Intubation days / 1000 patientdays

Figure 4: Evolution: CVC days / 1000 patientdays

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Figure 5: Evolution: Any AB utilization days / 1000 patientdays

Figure 6: Benchhmark: Standardized Pneumonia Ratio

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Figure 7: Benchhmark: Ventilator Associated Pneumonia versus Standardized Pneumonia Ratio

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Figure 8: Benchhmark: Standardized Bacteremia Ratio

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Figure 9: Benchhmark: Catheter Associated Bacteremia versus Standardized Bacteremia Ratio

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