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https://hdl.handle.net/11499/7978
Title: | Impact of a multidimensional infection control approach on catheter-associated urinary tract infection rates in adult intensive care units in 10 cities of Turkey: International Nosocomial Infection Control Consortium findings (INICC) | Authors: | Leblebicioglu, H. Ersoz, G. Rosenthal, V.D. Nevzat-Yalcin, A. Akan, Ö.A. Sirmatel, F. Turgut, Hüseyin |
Keywords: | Bundle Catheter-related urinary tract infections Critical care Developing countries Device-associated infection Emerging countries Hand hygiene Handwashing Health care-acquired infection Hospital infection Incidence density Limited resources countries Low-income countries Nosocomial infection Surveillance Urinary catheter Acinetobacter adult Aeromonas article Candida catheter infection Citrobacter coagulase negative Staphylococcus disease surveillance Enterobacter Enterococcus Escherichia coli feedback system female human infection control intensive care unit Klebsiella major clinical study male Morganella outcome assessment prospective study Proteus Pseudomonas risk factor Serratia Staphylococcus aureus Streptococcus Turkey (republic) urinary catheter urinary tract infection Adult Aged Aged, 80 and over Catheter-Related Infections Cross Infection Female Humans Incidence Infection Control Intensive Care Units Male Middle Aged Turkey Urinary Tract Infections |
Abstract: | Background: We evaluate the effectiveness of a multidimensional infection control approach for the reduction of catheter-associated urinary tract infections (CAUTIs) in 13 intensive care units (ICUs) in 10 hospital members of the International Nosocomial Infection Control Consortium (INICC) from 10 cities of Turkey. Methods: A before-after prospective active surveillance study was used to determine rates of CAUTI. The study was divided into baseline (phase 1) and intervention (phase 2). In phase 1, surveillance was performed applying the definitions of the Centers for Disease Control and Prevention/National Healthcare Safety Network. In phase 2, we implemented a multidimensional approach that included bundle of infection control interventions, education, surveillance and feedback on CAUTI rates, process surveillance, and performance feedback. We used random effects Poisson regression to account for clustering of CAUTI rates across time periods. Results: The study included 4,231 patients, hospitalized in 13 ICUs, in 10 hospitals, in 10 cities, during 49,644 patient-days. We recorded a total of 41,871 urinary catheter (UC)-days: 5,080 in phase 1 and 36,791 in phase 2. During phase 1, the rate of CAUTI was 10.63 per 1,000 UC-days and was significantly decreased by 47% in phase 2 to 5.65 per 1,000 UC-days (relative risk, 0.53; 95% confidence interval: 0.4-0.7; P value =.0001). Conclusion: Our multidimensional approach was associated with a significant reduction in the rates of CAUTI in Turkey. Copyright © 2013 by the Association for Professionals in Infection Control and Epidemiology, Inc. | URI: | https://hdl.handle.net/11499/7978 https://doi.org/10.1016/j.ajic.2013.01.028 |
ISSN: | 0196-6553 |
Appears in Collections: | PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection Tıp Fakültesi Koleksiyonu WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection |
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