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Impact of the International Nosocomial Infection Control Consortium (INICC)'s Multidimensional Approach on Rates of Central Line-Associated Bloodstream Infection in 14 Intensive Care Units in 11 Hospitals of 5 Cities in Argentina.
Rosenthal, Victor Daniel; Desse, Javier; Maurizi, Diego Marcelo; Chaparro, Gustavo Jorge; Orellano, Pablo Wenceslao; Chediack, Viviana; Cabrera, Rafael; Golschmid, Daniel; Silva, Cristina Graciela; Vimercati, Julio Cesar; Stagnaro, Juan Pablo; Perez, Ivanna; Spadaro, María Laura; Montanini, Adriana Miriam; Pedersen, Dina; Paniccia, Teresa Laura; Aguilera, Ana María Ríos; Cermesoni, Raul; Mele, Juan Ignacio; Alda, Ernesto; Paldoro, Analía Edith; Ortta, Agustín Román; Cooke, Bettina; García, María Cecilia; Obed, Mora Nair; Domínguez, Cecilia Verónica; Saúl, Pablo Alejandro; Rodríguez Del Valle, María Cecilia; Bianchi, Alberto Claudio; Alvarez, Gustavo; Pérez, Ricardo; Oyola, Carolina.
Afiliación
  • Rosenthal VD; 1International Nosocomial Infection Control Consortium,Buenos Aires,Argentina.
  • Desse J; 2Sanatorio San Cayetano,Buenos Aires,Argentina.
  • Maurizi DM; 4Hospital Municipal De Agudos Dr Leónidas Lucero,Bahía Blanca,Argentina.
  • Chaparro GJ; 6Instituto Médico Platense SA,La Plata,Argentina.
  • Orellano PW; 1International Nosocomial Infection Control Consortium,Buenos Aires,Argentina.
  • Chediack V; 8Policlínico Central Unión Obrera Metalúrgica,Buenos Aires,Argentina.
  • Cabrera R; 3Hospital E F Erill,Escobar,Argentina.
  • Golschmid D; 9Hospital Privado Raul Matera,Bahía Blanca,Argentina.
  • Silva CG; 10Sanatorio Privado,Buenos Aires,Argentina.
  • Vimercati JC; 11Hospital Zonal General de Agudos Dr Ricardo Gutiérrez,La Plata,Argentina.
  • Stagnaro JP; 12Instituto Central de Medicina,La Plata,Argentina.
  • Perez I; 2Sanatorio San Cayetano,Buenos Aires,Argentina.
  • Spadaro ML; 4Hospital Municipal De Agudos Dr Leónidas Lucero,Bahía Blanca,Argentina.
  • Montanini AM; 4Hospital Municipal De Agudos Dr Leónidas Lucero,Bahía Blanca,Argentina.
  • Pedersen D; 4Hospital Municipal De Agudos Dr Leónidas Lucero,Bahía Blanca,Argentina.
  • Paniccia TL; 4Hospital Municipal De Agudos Dr Leónidas Lucero,Bahía Blanca,Argentina.
  • Aguilera AMR; 5Hospital Privado del Sur,Bahía Blanca,Argentina.
  • Cermesoni R; 5Hospital Privado del Sur,Bahía Blanca,Argentina.
  • Mele JI; 5Hospital Privado del Sur,Bahía Blanca,Argentina.
  • Alda E; 5Hospital Privado del Sur,Bahía Blanca,Argentina.
  • Paldoro AE; 6Instituto Médico Platense SA,La Plata,Argentina.
  • Ortta AR; 6Instituto Médico Platense SA,La Plata,Argentina.
  • Cooke B; 6Instituto Médico Platense SA,La Plata,Argentina.
  • García MC; 6Instituto Médico Platense SA,La Plata,Argentina.
  • Obed MN; 6Instituto Médico Platense SA,La Plata,Argentina.
  • Domínguez CV; 8Policlínico Central Unión Obrera Metalúrgica,Buenos Aires,Argentina.
  • Saúl PA; 8Policlínico Central Unión Obrera Metalúrgica,Buenos Aires,Argentina.
  • Rodríguez Del Valle MC; 11Hospital Zonal General de Agudos Dr Ricardo Gutiérrez,La Plata,Argentina.
  • Bianchi AC; 11Hospital Zonal General de Agudos Dr Ricardo Gutiérrez,La Plata,Argentina.
  • Alvarez G; 12Instituto Central de Medicina,La Plata,Argentina.
  • Pérez R; 12Instituto Central de Medicina,La Plata,Argentina.
  • Oyola C; 13Sanatorio Pasteur,Catamarca,Argentina.
Infect Control Hosp Epidemiol ; 39(4): 445-451, 2018 04.
Article en En | MEDLINE | ID: mdl-29427997
OBJECTIVE To analyze the impact of the International Nosocomial Infection Control Consortium (INICC) Multidimensional Approach (IMA) and the INICC Surveillance Online System (ISOS) on central line-associated bloodstream infection (CLABSI) rates in 14 intensive care units (ICUs) in Argentina from January 2014 to April 2017. DESIGN This prospective, pre-post surveillance study of 3,940 ICU patients was conducted in 11 hospitals in 5 cities in Argentina. During our baseline evaluation, we performed outcome and process surveillance of CLABSI applying Centers for Disease Control and Prevention/National Health Safety Network (CDC/NHSN) definitions. During the intervention, we implemented the IMA through ISOS: (1) a bundle of infection prevention practice interventions, (2) education, (3) outcome surveillance, (4) process surveillance, (5) feedback on CLABSI rates and consequences, and (6) performance feedback of process surveillance. Bivariate and multivariate regression analyses were performed using a logistic regression model to estimate the effect of the intervention on the CLABSI rate. RESULTS During the baseline period, 5,118 CL days and 49 CLABSIs were recorded, for a rate of 9.6 CLABSIs per 1,000 central-line (CL) days. During the intervention, 15,659 CL days and 68 CLABSIs were recorded, for a rate of 4.1 CLABSIs per 1,000 CL days. The CLABSI rate was reduced by 57% (incidence density rate: 0.43; 95% confidence interval, 0.34-0.6; P<.001). CONCLUSIONS Implementing IMA through ISOS was associated with a significant reduction in the CLABSI rate in ICUs in Argentina. Infect Control Hosp Epidemiol 2018;39:445-451.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infección Hospitalaria / Control de Infecciones / Bacteriemia / Infecciones Relacionadas con Catéteres / Catéteres Venosos Centrales Tipo de estudio: Clinical_trials / Etiology_studies / Evaluation_studies / Incidence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Implementation_research Límite: Humans País/Región como asunto: America do sul / Argentina Idioma: En Revista: Infect Control Hosp Epidemiol Asunto de la revista: DOENCAS TRANSMISSIVEIS / ENFERMAGEM / EPIDEMIOLOGIA / HOSPITAIS Año: 2018 Tipo del documento: Article País de afiliación: Argentina Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infección Hospitalaria / Control de Infecciones / Bacteriemia / Infecciones Relacionadas con Catéteres / Catéteres Venosos Centrales Tipo de estudio: Clinical_trials / Etiology_studies / Evaluation_studies / Incidence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Implementation_research Límite: Humans País/Región como asunto: America do sul / Argentina Idioma: En Revista: Infect Control Hosp Epidemiol Asunto de la revista: DOENCAS TRANSMISSIVEIS / ENFERMAGEM / EPIDEMIOLOGIA / HOSPITAIS Año: 2018 Tipo del documento: Article País de afiliación: Argentina Pais de publicación: Estados Unidos