Impact of International Nosocomial Infection Control Consortium (INICC) strategy on central line-associated bloodstream infection rates in the intensive care units of 15 developing countries

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dc.authorscopusid6603762543
dc.authorscopusid7102733479
dc.authorscopusid7202508291
dc.authorscopusid57221557200
dc.authorscopusid24073322700
dc.authorscopusid36667245900
dc.authorscopusid36868016000
dc.contributor.authorRosenthal, Victor D.
dc.contributor.authorMaki, Dennis G.
dc.contributor.authorRodrigues, Camila
dc.contributor.authorÁlvarez-Moreno, Carlos
dc.contributor.authorLeblebicioglu, Hakan
dc.contributor.authorSobreyra-Oropeza, Martha
dc.contributor.authorBerba, Regina
dc.date.accessioned2024-09-25T19:45:15Z
dc.date.available2024-09-25T19:45:15Z
dc.date.issued2010
dc.departmentAbant İzzet Baysal Üniversitesien_US
dc.description.abstractBACKGROUND. The International Nosocomial Infection Control Consortium (INICC) was established in 15 developing countries to reduce infection rates in resource-limited hospitals by focusing on education and feedback of outcome surveillance (infection rates) and process surveillance (adherence to infection control measures). We report a time-sequence analysis of the effectiveness of this approach in reducing rates of central line-associated bloodstream infection (CLABSI) and associated deaths in 86 intensive care units with a minimum of 6-month INICC membership. METHODS. Pooled CLABSI rates during the first 3 months (baseline) were compared with rates at 6-month intervals during the first 24 months in 53,719 patients (190,905 central line-days). Process surveillance results at baseline were compared with intervention period data. RESULTS. During the first 6 months, CLABSI incidence decreased by 33% (from 14.5 to 9.7 CLABSIs per 1,000 central line-days). Over the first 24 months there was a cumulative reduction from baseline of 54% (from 16.0 to 7.4 CLABSIs per 1,000 central line-days; relative risk, 0.46 [95% confidence interval, 0.33-0.63]; P < .001). The number of deaths in patients with CLABSI decreased by 58%. During the intervention period, hand hygiene adherence improved from 50% to 60% (P < .001); the percentage of intensive care units that used maximal sterile barriers at insertion increased from 45% to 85% (P < .001 ), that adopted chlorhexidine for antisepsis increased from 7% to 27% (P=.018 ), and that sought to remove unneeded catheters increased from 37% to 83% (P=.004); and the duration of central line placement decreased from 4.1 to 3.5 days (P < .001). CONCLUSIONS. Education, performance feedback, and outcome and process surveillance of CLABSI rates significantly improved infection control adherence, reducing the CLABSI incidence by 54% and the number of CLABSI-associated deaths by 58% in INICC hospitals during the first 2 years. © 2010 by The Society for Healthcare Epidemiology of America. All rights reserved.en_US
dc.description.sponsorshipFederal University of Sao Paulo; INEN; Instituto Nacional de Enfermedades Neoplásicas; Medical College of Buenos Aires; National Hospital and Medical Research Centre; Society for Healthcare Epidemiology of America; The Society for Healthcare Epidemiology of America; University , Bogota , Colombia Ondokuz Mayis University; City, University of London, City; American University of Beirut; School of Medicine, Indiana University; Comisión de Investigaciones Científicasen_US
dc.identifier.doi10.1086/657140
dc.identifier.endpage1272en_US
dc.identifier.issn0899-823X
dc.identifier.issue12en_US
dc.identifier.pmid21029008en_US
dc.identifier.scopus2-s2.0-78649944895en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage1264en_US
dc.identifier.urihttps://doi.org/10.1086/657140
dc.identifier.urihttps://hdl.handle.net/20.500.12491/12928
dc.identifier.volume31en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherUniversity of Chicago Pressen_US
dc.relation.ispartofInfection Control and Hospital Epidemiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzYK_20240925en_US
dc.subjectchlorhexidineen_US
dc.subjectadulten_US
dc.subjectageden_US
dc.subjectantisepsisen_US
dc.subjectarticleen_US
dc.subjectbloodstream infectionen_US
dc.subjectcatheteren_US
dc.subjectclinical trialen_US
dc.subjectcontrolled studyen_US
dc.subjectfemaleen_US
dc.subjecthealth care organizationen_US
dc.subjecthealth programen_US
dc.subjecthealth surveyen_US
dc.subjecthospital infectionen_US
dc.subjecthumanen_US
dc.subjectincidenceen_US
dc.subjectintensive care uniten_US
dc.subjectInternational Nosocomial Infection Control Consortiumen_US
dc.subjectmajor clinical studyen_US
dc.subjectmaleen_US
dc.subjectmulticenter studyen_US
dc.subjecttreatment durationen_US
dc.titleImpact of International Nosocomial Infection Control Consortium (INICC) strategy on central line-associated bloodstream infection rates in the intensive care units of 15 developing countriesen_US
dc.typeArticleen_US

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