Findings of the International Nosocomial Infection Control Consortium (INICC), Part I : Effectiveness of a multidimensional infection control approach on catheter-associated urinary tract infection rates in pediatric intensive care units of 6 developing countries
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Date
2012Les auteurs
Rosenthal, Víctor DanielRamachandran, Bala
Dueñas, Lourdes
Álvarez-Moreno, Carlos Álvarez
Auteur(s) d'entreprise
Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Medicina Interna. Grupo de Investigación en Enfermedades Infecciosas HUSI - PUJ
Type
Artículo de revista
ISSN
0899-823X / 1559-6834 (Electrónico)
Des pages
696-703
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Abstrait
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.
Keywords
Health care-acquired infectionDevice-associated infection
Catheter-associated urinary tract infection
Developing countries
Intensive care unit
Hand hygiene
Origine
Infection Control and Hospital Epidemiology; Vol. 33 Núm. 7 (2012)
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