Please use this identifier to cite or link to this item: 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

Show full item record



CORE Recommender

SCOPUSTM   
Citations

52
checked on Nov 16, 2024

WEB OF SCIENCETM
Citations

46
checked on Nov 21, 2024

Page view(s)

76
checked on Aug 24, 2024

Google ScholarTM

Check




Altmetric


Items in GCRIS Repository are protected by copyright, with all rights reserved, unless otherwise indicated.