International Nosocomial Infection Control Consortium (INICC) report, data summary of 45 countries for 2012-2017: Device-associated module


Por: Rosenthal V.D., Bat-Erdene I., Gupta D., Belkebir S., Rajhans P., Zand F., Myatra S.N., Afeef M., Tanzi V.L., Muralidharan S., Gurskis V., Al-Abdely H.M., El-Kholy A., AlKhawaja S.A.A., Sen S., Mehta Y., Rai V., Hung N.V., Sayed A.F., Guerrero-Toapanta F.M., Elahi N., Morfin-Otero M.D.R., Somabutr S., De-Carvalho B.M., Magdarao M.S., Velinova V.A., Quesada-Mora A.M., Anguseva T., Ikram A., Aguilar-de-Moros D., Duszynska W., Mejia N., Horhat F.G., Belskiy V., Mioljevic V., Di-Silvestre G., Furova K., Gamar-Elanbya M.O., Gupta U., Abidi K., Raka L., Guo X., Luque-Torres M.T., Jayatilleke K., Ben-Jaballah N., Gikas A., Sandoval-Castillo H.R., Trotter A., Valderrama-Beltrán S.L., Leblebicioglu H., Riera F.O., López M., Maurizi D.M., Desse J.E., Pérez I., Silva G.C., Chaparro G.J., Golschmid D., Cabrera R., Montanini A.M., Bianchi A.C., Vimercati J., Rodríguez-del-Valle M.C., Domínguez C.V., Saul P.A., Chediack V., Piastrelini M., Cardena L.P., Ramasco L., Olivieri M.S., Gallardo P.F., Juarez P.D., Brito M.P., Botta P., Alvarez G., Benchetrit G., Caridi M., Stagnaro J.P., Bourlot I., García M., Arregui N.V., Saeed N.K., Abdul-Aziz S., ALSayegh S., Humood M.Z., Mohamed-Ali K., Swar S., Magray T.A.S., Aguiar-Portela T.B., Sugette-de-Aguiar T., Serpa-Maia F.I., Fernandes-Alves-de-Lima L., Teixeira-Josino L.A., Sampaio-Bezerra M., Furtado-Maia R.C., Romário-Mendes A., Alves-De-Oliveira A., Vasconcelos-Carneiro A.P., Anjos-Lima J.D., Pinto-Coelho K.H., Maciel-Canuto M.L., Rocha-Batista M.X., Moreira T., Rodrigues-Amarilo N., Lima-de-Barros T.M., Guimarães K.A., Batista C., Santos C., de-Lima-Silva F.J., Santos-Mota E., Karla L., Ferreira-de-Souza M.C., Luzia N., de-Oliveira S.S., Takeda C., Azevedo-Ferreira-Lima D., Faheina J., Coelho-Oliveira L.M., do-Nascimento S.C., Machado-Silva V.L., Bento-Ferreira, Olszewski J., Tenorio M.T., Silva-Lemos A.C., Ramos-Feijó C.A., Cardoso D.M., Correa-Barbosa M.A., Assunção-Ponte G., da-Silva-Escudero D.V., Servolo-Medeiros E.A., Andrade-Oliveira-Reis M., Kostadinov E.D., Dicheva V.J., Petrov M.M., Guo C., Yu H., Liu T., Song G., Wang C., Cañas-Giraldo L.M., Marin-Tobar D.A., Trujillo-Ramirez E.M., Andrea-Rios P., Álvarez-Moreno C., Linares C., González-Rubio P.A., Ariza-Ayala B.E., Gamba-Moreno L.J., Gualtero-Trujill S.L., Segura-Sarmiento S.J., Rodriguez-Pena J., Ortega R., Olarte N., Pardo-Lopez Y.A., Luis Marino Otela-Baicue A., Vargas-Garcia A.R., Roncancio E.G., Gomez-Nieto K., Espinosa-Valencia M., Barahona-Guzman N., Avila-Acosta C., Raigoza-Martinez W., Villamil-Gomez W., Chapeta-Parada E.G., Mindiola-Rochel A.E., Corchuelo-Martinez A.H., Martinez A., Lagares-Guzman A., Rodriguez-Ferrer M., Yepes-Gomez D., Muñoz-Gutierrez G.A., Arguello-Ruiz A., Zuniga-Chavarria M.A., Maroto-Vargas L., Valverde-Hernández M., Solano-Chinchilla A., Calvo-Hernandez I., Chavarria-Ugalde O., Tolari G., Rojas-Fermin R.A., Diaz-Rodriguez C.V., Huascar S., Ortiz M., Bovera M.M., Alquinga N., Santacruz G., Jara E., Delgado V., Salgado-Yepez E., Valencia F., Pelaez C., Gonzalez-Flores H.A., Coello-Gordon E.E., Picoita F., Arboleda M., Garcia M.F., Velez J., Valle M., Unigarro L., Figueroa V., Marin K., Caballero-Narvaez H., Bayani V., Ahmed S.A., Alansary A.M., Hassan A.R., Abdel-Halim M.M., El-Fattah M.A., Abdelaziz-Yousef R.H., Hala A., Abdelhady K.M., Ahmed-Fouad H., Mounir-Agha H., Hamza H.S., Salah Z., Abdel-Aziz D.M., Ibrahim S.B., Helal A.M., AbdelMassih A.F., Mahmoud A.R., Elawady B., El-sherif R.H., Fattah-Radwan Y.A., Abdel-Mawla T.S., Kamal-Elden N.M., Kartsonaki M., Rivera D.M., Mandal S., Mukherjee S., Navaneet P., Padmini B., Sorabjee J.S., Sakle A.S., Potdar M.S., Mane D., Sale H.K., Abdul-Gaffar M.M., Kazi M., Chabukswar S., Anju M., Gaikwad D., Harshe A., Blessymole S., Nair P.K., Khanna D.K., Chacko F., Rajalakshmi A., Mubarak A., Kharbanda M., Kumar S., Mathur P., Saranya S., Abubakar F., Sampat S., Raut V., Biswas S.K., Kelkar R., Divatia J.V., Chakravarthy M., Gokul B.N., Sukanya R., Pushparaj L., Thejasvini A., Rangaswamy S., Saini N., Bhattacharya C., Das S., Sanyal S., Chaudhury B.N., Rodrigues C., Khanna G., Dwivedy A., Binu S., Shetty S., Eappen J., Valsa T., Sriram A., Todi S.K., Bhattacharyya M., Bhakta A., Ramachandran B., Krupanandan R., Sahoo P., Mohanty N., Sahu S., Misra S., Ray B., Pattnaik S., Pillai H., Warrier A.R., Ranganathan L., Mani A.K., Rajagopal S.K., Abraham B.K., Venkatraman R., Ramakrishnan N., Devaprasad D., Siva K., Divekar D.G., Satish Kavathekar M.S., Suryawanshi M.V., Poojary A., Sheeba J., Patil P., Kukreja S., Varma K., Narayanan S., Sohanlal T., Agarwal A., Agarwal M., Nadimpalli G., Bhamare S., Thorat S., Sarda O., Nadimpalli P., Nirkhiwale S., Gehlot G.S., Bhattacharya S., Pandya N., Raphel A.K.O., Zala D., Mishra S.B., Patel M.H., Aggarwal D.G.C., Jawadwal B.Q., Pawar N.K., Kardekar S.N., Manked A.N., Tamboli A.S., Manked A., Khety Z., Singhal T., Shah S., Kothari V., Naik R., Narain R., Sengupta S., Karmakar A., Mishra S., Pati B.K., Kantroo V., Kansal S., Modi N., Chawla R., Chawla A., Roy I., Bej M., Mukherjee P., Baidya S., Durell A., Vadi S., Saseedharan S., Anant P., Edwin J.P., Sen N., Sandhu K., Sharma S., Palaniswamy V., Sharma P., Selvaraj M., Saurabh L., Punia D.P., Soni D.K., Misra R., Harsvardhan R., Azim A., Kambam C., Garg A., Ekta S., Lakhe M., Sharma C.B., Singh G., Kaur A., Singhal S., Chhabra K.D., Ramakrishnan G., Kamboj H., Pillai S., Rani P., Singla D., Sanaei A., Maghsudi B., Sabetian G., Masjedi M., Shafiee E., Nikandish R., Paydar S., Khalili H.A., Moradi A., Sadeghi P., Bolandparvaz S., Mubarak S., Makhlouf M., Awwad M., Ayyad O., Shaweesh A.A., Khader M.M., Alghazawi A., Hussien N., Alruzzieh M., Mohamed Y.K., ALazhary M., Abdul Aziz O.A., Alazmi M., Mendoza J., De Vera P.A., Rillorta A.S., de Guzman M., Girvan M., Torres M., Alzahrani N., Alfaraj S., Gopal U., Manuel M.G., Alshehri R., Lessing L., Alzoman H., Abdrahiem J., Adballah H., Thankachan J., Gomaa H., Asad T., AL-Alawi M., Al-Abdullah N.A., Demaisip N.L., Laungayan-Cortez E., Cabato A.F., Gonzales J.M., Al Raey M.A., Al-Darani S.A., Aziz M.R., Al-Manea B., Samy E., AlDalaton M., Alaliany M.J., Alabdely H.M., Helali N.J., Sindayen G., Malificio A.A., Al-Dossari H.B., Kelany A., Algethami A.G., Mohamed D., Yanne L., Tan A., Babu S., Abduljabbar S.M., Al-Zaydani M.A., Ahmed H., Al Jarie A., Al-Qathani A.S.M., Al-Alkami H.Y., Alih S.J.B., Gasmin-Aromin R., Balon-Ubalde E., Diab H.H., Kader N.A., Hassan-Assiry I.Y., Albeladi E., Aboushoushah S., Qushmaq N., Fernandez J., Hussain W.M., Rajavel R.D., Bukhari S.Z., Rushdi H., Turkistani A.A., Mushtaq J.J., Bohlega E., Simon S., Damlig E., Elsherbini S.G., Abraham S., Kaid E., Al-Attas A., Hawsawi G., Hussein B., Esam B., Caminade Y., Santos A.J., Abdulwahab M.H., Aldossary A.H., Al-Suliman S., AlTalib A.A., Albaghly N., HaqlreMia M.E., Altowerqi R., Ghalilah K.M., Alradady M., Al-Qatri A., Chaouali M., Shyrine E.L., Philipose J., Raees M., AbdulKhalik N.S., Madco M., Acostan C., Safwat R., Halwani M., Abdul-Aal N.A.H., Thomas A., Abdulatif S.M., Ali-Karrar M.A., Al-Gosn N., Al-Hindi A.A., Jaha R.N., AlQahtani S.N., Ayugat E.P., Al-Hussain M.I., Aldossary A., Al-Talib A.A., Haqlre-Mia M.E., Briones S., Krishnan R., Tabassum K., Alharbi L., Madani A., Al-Gethamy M.A., Alamri D.M., Spahija G., Gashi A., Kurian A., George S.M., Mohamed A.M., Ramapurath R.J., Varghese S.T., Abdo N.M., Foda-Salama M., Al-Mousa H.H., Omar A.A., Salama M.F., Toleb M., Khamis S., Kanj S.S., Zahreddine N.K., Kanafani Z., Kardas T., Ahmadieh R., Hammoud Z., Zeid I., Al-Souheil A., Ayash H., Mahfouz T., Kondratas T., Grinkeviciute D., Kevalas R., Dagys A., Mitrev Z., Bogoevska-Miteva Z., Jankovska K., Guroska S.T., Petrovska M., Popovska K., Ng C., Hoon Y.M., Hasan Y.M.S., Othman-Jailani M.I., Hadi-Jamaluddin M.F., Othman A.A., Zainol H., Wan-Yusoff W.N., Gan C.S., Lum L.C.S., Ling C.S., Aziz F.A., Zhazali R., Abud-Wahab M.R., Cheng T.S., Elghuwael I.M., Wan-Mat W.R., Abd-Rahman R., Perez-Gomez H.R., Kasten-Monges M., Esparza-Ahumada S., Rodriguez-Noriega E., Gonzalez-Diaz E., Mayoral-Pardo D., Cerero-Gudino A., Altuzar-Figueroa M.A., Perez-Cruz J., Escobar-Vazquez M., Aragon D.M.L., Coronado-Magana H., Mijangos-Mendez J.C., Corona-Jimenez F., Aguirre-Avalos G., Lopez-Mateos A., Martinez-Marroquin M.Y., Montell-Garcia M., Martinez-Martinez A., Leon-Sanchez E., Gomez-Flores G., Ramirez M., Gomez M.E., Lozano M., Mercado V.N., Zamudio-Lugo I., Gomez-Gonzalez C.J., Miranda-Novales M.G., Villegas-Mota I., Reyes-Garcia C., Ramirez-Morales M.K., Sanchez-Rivas M., Cureno-Diaz M.A., Matias-Tellez B., Gonzalez-Martinez J., Juarez-Vargas R., Pastor-Salinas O., Gutierrez-Munoz V.H., Conde-Mercado J.M., Bruno-Carrasco G., Manrique M.A., Monroy-Colin V.A., Cruz-Rivera Z., Rodriguez-Pacheco J., Cruz N.L., Hernandez-Chena B.E., Guido-Ramirez O., Arteaga-Troncoso G., Guerra-Infante F.M., Lopez-Hurtado M., Caleco J.A.D., Leyva-Medellin E.E., Salamanca-Meneses A., Cosio-Moran C., Ruiz-Rendon R., Aguilar-Angel L.A., Sanchez-Vargas M., Mares-Morales R.C., Fernandez-Alvarez L.C., Castillo-Cruz B.V., Gonzalez-Ma M.R., Zavala-Ramír M.C., Rivera-Reyna L., del-Moral-Rossete L.G., Lopez-Rubio C., Valadez-de-Alba M., Bat-Erdene A., Chuluunchimeg K.H., Baatar O., Batkhuu B., Ariyasuren Z., Bayasgalan G., Baigalmaa S., Uyanga T.S., Suvderdene P., Enkhtsetseg D., Suvd-Erdene D., Chimedtseye E., Bilguun G., Tuvshinbayar M., Dorj M., Khajidmaa T., Batjargal G., Naranpurev M., Bolormaa T., Battsetseg T., Batsuren C., Batsaikhan N., Tsolmon B., Saranbaatar A., Natsagnyam P., Nyamdawa O., Madani N., Abouqal R., Zeggwagh A.A., Berechid K., Dendane T.P., Koirala A., Giri R., Sainju S., Acharya S.P., Paul N., Parveen A., Raza A., Nizamuddin S., Sultan F., Imran X., Sajjad R., Khan M., Sana F., Tayyab N., Ahmed A., Zaman G., Khan I., Khurram F., Hussain A., Zahra F.T., Imtiaz A., Daud N., Sarwar M., Roop Z., Yusuf S., Hanif F., Shumaila X., Zeb J., Ali S.R., Demas S., Ariff S., Riaz A., Hussain A.S., Kanaan A., Jeetawi R., Castaño E.G., Moreno-Castillo L.L., García-Mayorca E., Prudencio-Leon W.E., Vivas-Pardo A., Changano-Rodriguez M.V., Castillo-Bravo L.I., Aibar-Yaranga K.F., Marquez-Mondalgo V.A., Mueras-Quevedo J., Meza-Borja C., Flor J.L., Fernandez-Camacho Y.M., Banda-Flores C., Pichilingue-Chagray J., Castaneda-Sabogal A., Caoili J.C., Mariano M.C., Maglente R.R., Santos S., de-Guzman G., Mendoza M.T., Javellana O.P., Tajanlangit A.N.L., Tapang A.R.D., Sg-Buenaflor M.C., Labro E., Carma R., Dy A.M.P., Fortin J.D., Navoa-Ng J.A., Cesar J.L., Bonifacio B.S., Llames M.J.P., Gata H.L.B., Tamayo A.S., Calupit H.K.E., Catcho V.V., Bergosa L.D., Abuy M.T.B., Barteczko-Grajek B., Rojek S., Szczesny A., Domanska M., Lipinska G., Jaroslaw J., Wieczoreka A., Szczykutowicza A., Gawor M., Piwoda M., Rydz-Lutrzykowska J., Grudzinska M., Kolat-Brodecka P., Smiechowicz K., Tamowicz B., Mikstacki A., Grams A., Sobczynski P., Nowicka M., Kretov V., Shalapuda V., Molkov A., Puzanov S., Utkin I., Tchekulaev A., Tulupova V., Vasiljevic S., Nikolic L., Ristic G., Eremija J., Kojovic J., Lekic D., Simic A., Hlinkova S., Lesnakova A., Kadankunnel S.K., Abdo-Ali M.M., Pimathai R., Wanitanukool S., Supa N., Prasan P., Luxsuwong M., Khuenkaew Y., Lamngamsupha J., Siriyakorn N., Prasanthai V., Apisarnthanarak A., Borgi A., Bouziri A., Cabadak H., Tuncer G.E., Bulut C., Hatipoglu C.A., Sebnem F.E., Demiroz A.P., Kaya A., Ersoz G., Kuyucu N., Karacorlu S., Oncul O., Gorenek L., Erdem H., Yildizdas D., Horoz O.O., Guclu E., Kaya G., Karabay O., Altindis M., Oztoprak N., Sahip Y., Uzun C., Erben N., Usluer G., Ozgunes I., Ozcelik M., Ceyda B.M., Oral M., Unal N., Cigdem Y.G., Bayar M.K., Bermede O., Saygili S., Yesiler I., Memikoglu O., Tekin R., Oncul A., Gunduz A., Ozdemir D., Geyik M.F., Erdogan S.Y., Aygun C., Dilek A., Esen S., Turgut H., Sungurtekin H., Ugurcan D., Yarar V., Bilir Y., Bayram N., Devrim I., Agin H., Ceylan G., Yasar N., Oruc Y., Ramazanoglu A., Turhan O., Cengiz M., Yalcin A.N., Dursun O., Gunasan P., Kaya S., Senol G., Kocagoz A.S., Al-Rahma H., Annamma P., El-Houfi A., Vidal H., Perez F., D-Empaire G., Ruiz Y., Hernandez D., Aponte D., Salinas E., Vidal H.R., Navarrete N., Vargas R., Sanchez E., Ngo Quy C., Thu T.A., Nguyet L.T.T., Hang P.T., Hang T.T.T., Hanh T.T.M., Anh D.P.P., International Nosocomial Infection Control Consortium

Publicada: 1 ene 2020
Resumen:
Background: We report the results of International Nosocomial Infection Control Consortium (INICC) surveillance study from January 2012 to December 2017 in 523 intensive care units (ICUs) in 45 countries from Latin America, Europe, Eastern Mediterranean, Southeast Asia, and Western Pacific. Methods: During the 6-year study period, prospective data from 532,483 ICU patients hospitalized in 242 hospitals, for an aggregate of 2,197,304 patient days, were collected through the INICC Surveillance Online System (ISOS). The Centers for Disease Control and Prevention-National Healthcare Safety Network (CDC-NHSN) definitions for device-associated health care–associated infection (DA-HAI) were applied. Results: Although device use in INICC ICUs was similar to that reported from CDC-NHSN ICUs, DA-HAI rates were higher in the INICC ICUs: in the medical-surgical ICUs, the pooled central line-associated bloodstream infection rate was higher (5.05 vs 0.8 per 1,000 central line-days); the ventilator-associated pneumonia rate was also higher (14.1 vs 0.9 per 1,000 ventilator-days,), as well as the rate of catheter-associated urinary tract infection (5.1 vs 1.7 per 1,000 catheter-days). From blood cultures samples, frequencies of resistance, such as of Pseudomonas aeruginosa to piperacillin-tazobactam (33.0% vs 18.3%), were also higher. Conclusions: Despite a significant trend toward the reduction in INICC ICUs, DA-HAI rates are still much higher compared with CDC-NHSN's ICUs representing the developed world. It is INICC's main goal to provide basic and cost-effective resources, through the INICC Surveillance Online System to tackle the burden of DA-HAIs effectively. © 2019 Association for Professionals in Infection Control and Epidemiology, Inc.

Filiaciones:
Rosenthal V.D.:
 Infection Control Department, International, Nosocomial Infection Control Consortium, Buenos Aires, Argentina

Bat-Erdene I.:
 Infection Control Department, Infection Control Professionals of Mongolia, and Intermed Hospital, Ulaanbaatar, Mongolia

Gupta D.:
 Infection Control Department, BM Birla Heart Research Centre, and The Calcutta Medical Research Institute, Calcutta, India

Belkebir S.:
 Infection Control Department, An Najah National University Hospital, Nablus, Palestine

Rajhans P.:
 Infection Control Department, Deenanath Mangeshkar Hospital, Pune, India

Zand F.:
 Infection Control Department, Anesthesiology and Critical Care Research Center, Nemazee Hospital, Shiraz University of Medical Sciences, Shiraz, Iran

Myatra S.N.:
 Infection Control Department, Tata Memorial Hospital, Mumbai, India

Afeef M.:
 Infection Control Department, King Hussein Cancer Center, Amman, Jordan

Tanzi V.L.:
 Infection Control Department, Hammoud Hospital University Medical Center, Saida, Lebanon

Muralidharan S.:
 Infection Control Department, G Kuppusamy Naidu Memorial Hospital, Coimbatore, India

Gurskis V.:
 Infection Control Department, Hospital of Lithuanian University of Health Sciences, Kaunas, Lithuania

Al-Abdely H.M.:
 Infection Control Department, General Directorate of Infection Prevention and Control, Ministry of Health, Saudi Arabia

El-Kholy A.:
 Infection Control Department, Dar Al Fouad Hospital, 6th of October City, and Cairo University Hospital, Cairo, Egypt

AlKhawaja S.A.A.:
 Infection Control Department, General Directorate of Infection Prevention and Control, Ministry of Health, Bahrain

Sen S.:
 Infection Control Department, Turkiye Yuksek Ihtisas Education And Research Hospital, Ankara, Turkey

Mehta Y.:
 Infection Control Department, Medanta The Medicity, New Delhi, India

Rai V.:
 Infection Control Department, University Malaya Medical Centre, Kuala Lumpur, Malaysia

Hung N.V.:
 Infection Control Department, Bach Mai Hospital, Hanoi, Viet Nam

Sayed A.F.:
 Infection Control Department, Farwaniya Hospital, Kuwait City, Kuwait

Guerrero-Toapanta F.M.:
 Infection Control Department, Hospital Carlos Andrade Marin, Quito, Ecuador

Elahi N.:
 Infection Control Department, Dubai Hospital, Dubai, United Arab Emirates

Morfin-Otero M.D.R.:
 Infection Control Department, Hospital Civil de Guadalajara Fray Antonio Alcalde Infection Control Committee, Guadalajara, Mexico

Somabutr S.:
 Infection Control Department, Bangpakok 9 International Hospital, Pratumthani, Thailand

De-Carvalho B.M.:
 Infection Control Department, Hospital de Messejana, Fortaleza, Brazil

Magdarao M.S.:
 Makati Medical Center, Makati, Philippines

Velinova V.A.:
 Queen Giovanna Isul, Sofia, Bulgaria

Quesada-Mora A.M.:
 Hospital Clínica Bíblica, San Jose, Costa Rica

Anguseva T.:
 Special Hospital for Surgical Diseases Filip Vtori, Skopje, North Macedonia

Ikram A.:
 Armed Forces Institute of Pathology, Rawalpindi, Pakistan

Aguilar-de-Moros D.:
 Hospital del Niño de Panama, Panama

Duszynska W.:
 Wroclaw University Hospital, Wroclaw, Poland

Mejia N.:
 Hospital General de La Plaza de La Salud, Santo Domingo, Dominican Republic

Horhat F.G.:
 University of Medicine and Pharmacy Victor Babes Timisoara Emergency County Clinical Hospital, Timisoara, Romania

Belskiy V.:
 Privolzhskiy District Medical Center, Nizhniy Novgorod, Russian Federation

Mioljevic V.:
 Clinical Center of Serbia, Belgrade, Serbia

Di-Silvestre G.:
 Hospital de Clínicas Caracas, Caracas, Venezuela

Furova K.:
 Catholic University in Ruzomberok Faculty Of Health Central Military Hospital Ruzomberok, Ruzomberok, Slovakia

Gamar-Elanbya M.O.:
 Royal Care International Hospital, Khartoum, Sudan

Gupta U.:
 Port Moresby General Hospital, Port Moresby, Papua New Guinea

Abidi K.:
 Ibn Sina Hospital of Morocco, Rabat, Morocco

Raka L.:
 National Institute for Public Health of Kosovo and Medical School, Prishtina University, Prishtina, Serbia

Guo X.:
 Dong E Peoples Hospital, Shandong, China

Luque-Torres M.T.:
 Hospital de Especialidades del Instituto Hondureño de Seguridad Social, Tegucigalpa, Honduras

Jayatilleke K.:
 Sri Jayewardenepura General Hospital, Nugegoda, Sri Lanka

Ben-Jaballah N.:
 Children Hospital Bechir Hamza of Tunis, Tunis, Tunisia

Gikas A.:
 University General Hospital of Heraklion, Athens, Greece

Sandoval-Castillo H.R.:
 Clínica Ricardo Palma, Lima, Peru

Trotter A.:
 Grande International Hospital, Kathmandu, Nepal

Valderrama-Beltrán S.L.:
 Pontificia Universidad Javeriana Hospital Universitario San Ignacio, Bogotá, Colombia

Leblebicioglu H.:
 Ondokuz Mayis University Medical School, Samsun, Turkey

Torres M.:
 Hospital de Especialidades del Instituto Hondureño de Seguridad Social, Tegucigalpa, Honduras
ISSN: 01966553
Editorial
Mosby Inc., 360 PARK AVENUE SOUTH, NEW YORK, NY 10010-1710 USA, Estados Unidos America
Tipo de documento: Article
Volumen: 48 Número: 4
Páginas: 423-432
WOS Id: 000522628200013
ID de PubMed: 31676155

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