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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)

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dc.contributor.author Rosenthal, V.D.
dc.contributor.author Todi, S.K.
dc.contributor.author Álvarez-Moreno, C.
dc.contributor.author Pawar, M.
dc.contributor.author Karlekar, A.
dc.contributor.author Zeggwagh, A.A.
dc.contributor.author Mitrev, Z.
dc.contributor.author Udwadia, F.E.
dc.contributor.author Navoa-Ng, J.A.
dc.contributor.author Chakravarthy, M.
dc.contributor.author Salomao, R.
dc.contributor.author Sahu, S.
dc.contributor.author Dilek, A.
dc.contributor.author Kanj, S.S.
dc.contributor.author Guanche-Garcell, H.
dc.contributor.author Cuéllar, L.E.
dc.contributor.author Ersoz, G.
dc.contributor.author Nevzat-Yalcin, A.
dc.contributor.author Jaggi, N.
dc.contributor.author Medeiros, E.A.
dc.contributor.author Ye, G.
dc.contributor.author Akan, Ö.A.
dc.contributor.author Mapp, T.
dc.contributor.author Castañeda-Sabogal, A.
dc.contributor.author Matta-Cortés, L.
dc.contributor.author Sirmatel, F.
dc.contributor.author Olarte, N.
dc.contributor.author Torres-Hernández, H.
dc.contributor.author Barahona-Guzmán, N.
dc.contributor.author Fernández-Hidalgo, R.
dc.contributor.author Villamil-Gómez, W.
dc.contributor.author Sztokhamer, D.
dc.contributor.author Forciniti, S.
dc.contributor.author Berba, R.
dc.contributor.author Turgut, H.
dc.contributor.author Bin, C.
dc.contributor.author Yang, Y.
dc.contributor.author Pérez-Serrato, I.
dc.contributor.author Lastra, C.E.
dc.contributor.author Singh, S.
dc.contributor.author Ozdemir, D.
dc.contributor.author Ulusoy, S.
dc.date.accessioned 2019-08-16T12:40:56Z
dc.date.available 2019-08-16T12:40:56Z
dc.date.issued 2012
dc.identifier.issn 03008126 (ISSN)
dc.identifier.uri http://acikerisim.pau.edu.tr:8080/xmlui/handle/11499/8467
dc.description.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.
dc.language.iso English
dc.relation.isversionof 10.1007/s15010-012-0278-x
dc.subject Catheter-associated urinary tract infection
dc.subject Developing countries
dc.subject Device-associated infection
dc.subject Hand hygiene
dc.subject Health care-acquired infection
dc.subject Intensive care unit
dc.subject adult
dc.subject article
dc.subject catheter associated urinary tract infection
dc.subject catheter infection
dc.subject clinical effectiveness
dc.subject cohort analysis
dc.subject control strategy
dc.subject developing country
dc.subject disease surveillance
dc.subject female
dc.subject hand washing
dc.subject health survey
dc.subject hospital patient
dc.subject human
dc.subject incidence
dc.subject infection control
dc.subject infection prevention
dc.subject intensive care unit
dc.subject major clinical study
dc.subject male
dc.subject outcome surveillance
dc.subject patient compliance
dc.subject patient education
dc.subject personal hygiene
dc.subject process surveillance
dc.subject prospective study
dc.subject Americas
dc.subject Asia
dc.subject Catheter-Related Infections
dc.subject Cross Infection
dc.subject Developing Countries
dc.subject Europe
dc.subject Female
dc.subject Hand Hygiene
dc.subject Humans
dc.subject Infection Control
dc.subject Male
dc.subject Middle Aged
dc.subject Morocco
dc.subject Program Evaluation
dc.subject Prospective Studies
dc.subject Urinary Catheters
dc.subject Urinary Tract Infections
dc.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)
dc.type Article
dc.relation.journal Infection
dc.identifier.volume 40
dc.identifier.issue 5
dc.identifier.startpage 517
dc.identifier.endpage 526
dc.identifier.index Scopus


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