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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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