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X Demographics
Mendeley readers
Attention Score in Context
| Title |
Burden of Hospital Acquired Infections and Antimicrobial Use in Vietnamese Adult Intensive Care Units
|
|---|---|
| Published in |
PLOS ONE, January 2016
|
| DOI | 10.1371/journal.pone.0147544 |
| Pubmed ID | |
| Authors |
Vu Dinh Phu, Heiman F. L. Wertheim, Mattias Larsson, Behzad Nadjm, Quynh-Dao Dinh, Lennart E. Nilsson, Ulf Rydell, Tuyet Thi Diem Le, Son Hong Trinh, Hung Minh Pham, Cang Thanh Tran, Hanh Thi Hong Doan, Nguyen Thua Tran, Nhan Duc Le, Nhuan Van Huynh, Thao Phuong Tran, Bao Duc Tran, Son Truong Nguyen, Thao Thi Ngoc Pham, Tam Quang Dang, Chau Van Vinh Nguyen, Yen Minh Lam, Guy Thwaites, Kinh Van Nguyen, Hakan Hanberger |
| Abstract |
Vietnam is a lower middle-income country with no national surveillance system for hospital-acquired infections (HAIs). We assessed the prevalence of hospital-acquired infections and antimicrobial use in adult intensive care units (ICUs) across Vietnam. Monthly repeated point prevalence surveys were systematically conducted to assess HAI prevalence and antimicrobial use in 15 adult ICUs across Vietnam. Adults admitted to participating ICUs before 08:00 a.m. on the survey day were included. Among 3287 patients enrolled, the HAI prevalence was 29.5% (965/3266 patients, 21 missing). Pneumonia accounted for 79.4% (804/1012) of HAIs Most HAIs (84.5% [855/1012]) were acquired in the survey hospital with 42.5% (363/855) acquired prior to ICU admission and 57.5% (492/855) developed during ICU admission. In multivariate analysis, the strongest risk factors for HAI acquired in ICU were: intubation (OR 2.76), urinary catheter (OR 2.12), no involvement of a family member in patient care (OR 1.94), and surgery after admission (OR 1.66). 726 bacterial isolates were cultured from 622/1012 HAIs, most frequently Acinetobacter baumannii (177/726 [24.4%]), Pseudomonas aeruginosa (100/726 [13.8%]), and Klebsiella pneumoniae (84/726 [11.6%]), with carbapenem resistance rates of 89.2%, 55.7%, and 14.9% respectively. Antimicrobials were prescribed for 84.8% (2787/3287) patients, with 73.7% of patients receiving two or more. The most common antimicrobial groups were third generation cephalosporins, fluoroquinolones, and carbapenems (20.1%, 19.4%, and 14.1% of total antimicrobials, respectively). A high prevalence of HAIs was observed, mainly caused by Gram-negative bacteria with high carbapenem resistance rates. This in combination with a high rate of antimicrobial use illustrates the urgent need to improve rational antimicrobial use and infection control efforts. |
X Demographics
The data shown below were collected from the profiles of 7 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United Kingdom | 1 | 14% |
| India | 1 | 14% |
| Australia | 1 | 14% |
| Unknown | 4 | 57% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 5 | 71% |
| Practitioners (doctors, other healthcare professionals) | 1 | 14% |
| Scientists | 1 | 14% |
Mendeley readers
The data shown below were compiled from readership statistics for 240 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| India | 1 | <1% |
| Unknown | 239 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 36 | 15% |
| Researcher | 31 | 13% |
| Student > Ph. D. Student | 20 | 8% |
| Student > Postgraduate | 15 | 6% |
| Other | 13 | 5% |
| Other | 51 | 21% |
| Unknown | 74 | 31% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 67 | 28% |
| Agricultural and Biological Sciences | 21 | 9% |
| Immunology and Microbiology | 14 | 6% |
| Nursing and Health Professions | 11 | 5% |
| Biochemistry, Genetics and Molecular Biology | 7 | 3% |
| Other | 37 | 15% |
| Unknown | 83 | 35% |
Attention Score in Context
This research output has an Altmetric Attention Score of 5. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 30 June 2018.
All research outputs
#6,119,844
of 23,577,761 outputs
Outputs from PLOS ONE
#77,314
of 202,084 outputs
Outputs of similar age
#97,258
of 399,720 outputs
Outputs of similar age from PLOS ONE
#1,585
of 5,072 outputs
Altmetric has tracked 23,577,761 research outputs across all sources so far. This one has received more attention than most of these and is in the 73rd percentile.
So far Altmetric has tracked 202,084 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 15.3. This one has gotten more attention than average, scoring higher than 61% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 399,720 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 75% of its contemporaries.
We're also able to compare this research output to 5,072 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 68% of its contemporaries.