Please use this identifier to cite or link to this item: https://hdl.handle.net/11499/8467
Title: Impact of a multidimensional infection control strategy on catheter-associated urinary tract infection rates in the adult intensive care units of 15 developing countries: Findings of the International Nosocomial Infection Control Consortium (INICC)
Authors: Rosenthal, V.D.
Todi, S.K.
Álvarez-Moreno, C.
Pawar, M.
Karlekar, A.
Zeggwagh, A.A.
Mitrev, Z.
Keywords: Catheter-associated urinary tract infection
Developing countries
Device-associated infection
Hand hygiene
Health care-acquired infection
Intensive care unit
adult
article
catheter associated urinary tract infection
catheter infection
clinical effectiveness
cohort analysis
control strategy
developing country
disease surveillance
female
hand washing
health survey
hospital patient
human
incidence
infection control
infection prevention
intensive care unit
major clinical study
male
outcome surveillance
patient compliance
patient education
personal hygiene
process surveillance
prospective study
Americas
Asia
Catheter-Related Infections
Cross Infection
Developing Countries
Europe
Female
Hand Hygiene
Humans
Infection Control
Male
Middle Aged
Morocco
Program Evaluation
Prospective Studies
Urinary Catheters
Urinary Tract Infections
Abstract: Purpose We aimed to evaluate the impact of a multidimensional infection control strategy for the reduction of the incidence of catheter-associated urinary tract infection (CAUTI) in patients hospitalized in adult intensive care units (AICUs) of hospitals which are members of the International Nosocomial Infection Control Consortium (INICC), from 40 cities of 15 developing countries: Argentina, Brazil, China, Colombia, Costa Rica, Cuba, India, Lebanon, Macedonia, Mexico, Morocco, Panama, Peru, Philippines, and Turkey. Methods We conducted a prospective before-after surveillance study of CAUTI rates on 56,429 patients hospitalized in 57 AICUs, during 360,667 bed-days. The study was divided into the baseline period (Phase 1) and the intervention period (Phase 2). In Phase 1, active surveillance was performed. In Phase 2, we implemented a multidimensional infection control approach that included: (1) a bundle of preventive measures, (2) education, (3) outcome surveillance, (4) process surveillance, (5) feedback of CAUTI rates, and (6) feedback of performance. The rates of CAUTI obtained in Phase 1 were compared with the rates obtained in Phase 2, after interventions were implemented. Results We recorded 253,122 urinary catheter (UC)-days: 30,390 in Phase 1 and 222,732 in Phase 2. In Phase 1, before the intervention, the CAUTI rate was 7.86 per 1,000 UC-days, and in Phase 2, after intervention, the rate of CAUTI decreased to 4.95 per 1,000 UC-days [relative risk (RR) 0.63 (95 % confidence interval [CI] 0.55-0.72)], showing a 37 % rate reduction. Conclusions Our study showed that the implementation of a multidimensional infection control strategy is associated with a significant reduction in the CAUTI rate in AICUs from developing countries. © Springer-Verlag 2012.
URI: https://hdl.handle.net/11499/8467
https://doi.org/10.1007/s15010-012-0278-x
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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