Please use this identifier to cite or link to this item: https://hdl.handle.net/11499/8163
Title: Effectiveness of a multidimensional approach for prevention of ventilator-associated pneumonia in 11 adult intensive care units from 10 cities of Turkey: Findings of the International Nosocomial Infection Control Consortium (INICC)
Authors: Leblebicioglu, H.
Yalcin, A.N.
Rosenthal, V.D.
Koksal, I.
Sirmatel, F.
Unal, S.
Turgut, Hüseyin
Keywords: Adult intensive care unit
Developing countries
Health care acquired infection
International Nosocomial Infection Control Consortium
Multidimensional approach
Ventilator associated pneumonia
amikacin
ceftazidime
imipenem
meticillin
piperacillin
piperacillin plus tazobactam
Acinetobacter
adult
aged
antibiotic resistance
article
bacterium isolation
Candida
clinical effectiveness
clinical practice
coagulase negative Staphylococcus
controlled study
education
endotracheal intubation
Enterobacter
Enterococcus
Escherichia coli
female
hand washing
health care personnel
human
infection control
intensive care unit
Klebsiella
major clinical study
male
mouth hygiene
nasotracheal intubation
outcome assessment
performance
practice guideline
prospective study
Proteus
Pseudomonas
Serratia
staff training
Staphylococcus
Staphylococcus epidermidis
Stenotrophomonas
Streptococcus
Turkey (republic)
ventilator associated pneumonia
Adult
Aged
Cities
Communicable Disease Control
Cross Infection
Female
Guideline Adherence
Health Personnel
Hospitalization
Humans
Intensive Care Units
Male
Middle Aged
Pneumonia, Ventilator-Associated
Program Evaluation
Prospective Studies
Turkey
Abstract: Purpose: To evaluate the impact of the International Nosocomial Infection Control Consortium (INICC) multidimensional approach on the reduction of ventilator-associated pneumonia (VAP) in adult patients hospitalized in 11 intensive care units (ICUs), from 10 hospitals, members of the INICC, in 10 cities of Turkey. Methods: A prospective active before-after surveillance study was conducted to determine the effect of the INICC multidimensional approach in the VAP rate. The study was divided into two phases. In phase 1, active prospective surveillance of VAP was conducted using the definitions of the Centers for Disease Control and Prevention National Health Safety Network, and the INICC methods. In phase 2, we implemented the multidimensional approach for VAP. The INICC multidimensional approach included the following measures: (1) bundle of infection control interventions, (2) education, (3) outcome surveillance, (4) process surveillance, (5) feedback of VAP rates, and (6) performance feedback of infection control practices. We compared the rates of VAP obtained in each phase. A time series analysis was performed to assess the impact of our approach. Results: In phase 1, we recorded 2,376 mechanical ventilator (MV)-days, and in phase 2, after implementing the multidimensional approach, we recorded 28,181 MV-days. The rate of VAP was 31.14 per 1,000 MV-days during phase 1, and 16.82 per 1,000 MV-days during phase 2, amounting to a 46 % VAP rate reduction (RR, 0.54; 95 % CI, 0.42-0.7; P value, 0.0001.) Conclusions: The INICC multidimensional approach was associated with a significant reduction in the VAP rate in these adult ICUs of Turkey. © 2013 Springer-Verlag Berlin Heidelberg.
URI: https://hdl.handle.net/11499/8163
https://doi.org/10.1007/s15010-013-0407-1
ISSN: 0300-8126
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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