OBJECTIVE: To analyse the impact of the International Nosocomial Infection Control Consortium (INICC) Multidimensional Approach (IMA) and INICC Surveillance Online System (ISOS) on central line-associated bloodstream infection (CLABSI) rates in five intensive care units (ICUs) from October 2013 to September 2015. DESIGN: Prospective, before-after surveillance study of 3769 patients hospitalised in four adult ICUs and one paediatric ICU in five hospitals in five cities. During baseline, we performed outcome and process surveillance of CLABSI applying CDC/NHSN definitions. During intervention, we implemented IMA and ISOS, which included: (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. RESULTS: During baseline, 4468 central line (CL) days and 31 CLABSIs were recorded, accounting for 6.9 CLABSIs per 1000 CL-days. During intervention, 12,027 CL-days and 37 CLABSIs were recorded, accounting for 3.1 CLABSIs per 1000 CL-days. The CLABSI rate was reduced by 56% (incidence-density rate, 0.44; 95% confidence interval, 0.28-0.72; P = 0.001). CONCLUSIONS: Implementing IMA through ISOS was associated with a significant reduction in the CLABSI rate in the ICUs of Saudi Arabia.
OBJECTIVE: To analyse the impact of the International Nosocomial Infection Control Consortium (INICC) Multidimensional Approach (IMA) and INICC Surveillance Online System (ISOS) on central line-associated bloodstream infection (CLABSI) rates in five intensive care units (ICUs) from October 2013 to September 2015. DESIGN: Prospective, before-after surveillance study of 3769 patients hospitalised in four adult ICUs and one paediatric ICU in five hospitals in five cities. During baseline, we performed outcome and process surveillance of CLABSI applying CDC/NHSN definitions. During intervention, we implemented IMA and ISOS, which included: (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. RESULTS: During baseline, 4468 central line (CL) days and 31 CLABSIs were recorded, accounting for 6.9 CLABSIs per 1000 CL-days. During intervention, 12,027 CL-days and 37 CLABSIs were recorded, accounting for 3.1 CLABSIs per 1000 CL-days. The CLABSI rate was reduced by 56% (incidence-density rate, 0.44; 95% confidence interval, 0.28-0.72; P = 0.001). CONCLUSIONS: Implementing IMA through ISOS was associated with a significant reduction in the CLABSI rate in the ICUs of Saudi Arabia.
Authors: Imran Khalid; Hanadi Al Salmi; Ismael Qushmaq; Mohammed Al Hroub; Mazen Kadri; Mohammad R Qabajah Journal: Am J Infect Control Date: 2013-09-12 Impact factor: 2.918
Authors: Naomi P O'Grady; Mary Alexander; Lillian A Burns; E Patchen Dellinger; Jeffrey Garland; Stephen O Heard; Pamela A Lipsett; Henry Masur; Leonard A Mermel; Michele L Pearson; Issam I Raad; Adrienne G Randolph; Mark E Rupp; Sanjay Saint Journal: Am J Infect Control Date: 2011-05 Impact factor: 2.918
Authors: Deborah S Yokoe; Deverick J Anderson; Sean M Berenholtz; David P Calfee; Erik R Dubberke; Katherine D Ellingson; Dale N Gerding; Janet P Haas; Keith S Kaye; Michael Klompas; Evelyn Lo; Jonas Marschall; Leonard A Mermel; Lindsay E Nicolle; Cassandra D Salgado; Kristina Bryant; David Classen; Katrina Crist; Valerie M Deloney; Neil O Fishman; Nancy Foster; Donald A Goldmann; Eve Humphreys; John A Jernigan; Jennifer Padberg; Trish M Perl; Kelly Podgorny; Edward J Septimus; Margaret VanAmringe; Tom Weaver; Robert A Weinstein; Robert Wise; Lisa L Maragakis Journal: Am J Infect Control Date: 2014-08 Impact factor: 2.918
Authors: Francisco Higuera; Manuel Sigfrido Rangel-Frausto; Victor Daniel Rosenthal; Jose Martinez Soto; Jorge Castañon; Guillermo Franco; Natividad Tabal-Galan; Javier Ruiz; Pablo Duarte; Nicholas Graves Journal: Infect Control Hosp Epidemiol Date: 2007-01 Impact factor: 3.254
Authors: Víctor Daniel Rosenthal; Dennis George Maki; Yatin Mehta; Hakan Leblebicioglu; Ziad Ahmed Memish; Haifaa Hassan Al-Mousa; Hanan Balkhy; Bijie Hu; Carlos Alvarez-Moreno; Eduardo Alexandrino Medeiros; Anucha Apisarnthanarak; Lul Raka; Luis E Cuellar; Altaf Ahmed; Josephine Anne Navoa-Ng; Amani Ali El-Kholy; Souha Sami Kanj; Ider Bat-Erdene; Wieslawa Duszynska; Nguyen Van Truong; Leonardo N Pazmino; Lucy Chai See-Lum; Rosalia Fernández-Hidalgo; Gabriela Di-Silvestre; Farid Zand; Sona Hlinkova; Vladislav Belskiy; Hussain Al-Rahma; Marco Tulio Luque-Torres; Nesil Bayraktar; Zan Mitrev; Vaidotas Gurskis; Dale Fisher; Ilham Bulos Abu-Khader; Kamal Berechid; Arnaldo Rodríguez-Sánchez; Florin George Horhat; Osiel Requejo-Pino; Nassya Hadjieva; Nejla Ben-Jaballah; Elías García-Mayorca; Luis Kushner-Dávalos; Srdjan Pasic; Luis E Pedrozo-Ortiz; Eleni Apostolopoulou; Nepomuceno Mejía; May Osman Gamar-Elanbya; Kushlani Jayatilleke; Miriam de Lourdes-Dueñas; Guadalupe Aguirre-Avalos Journal: Am J Infect Control Date: 2014-09 Impact factor: 2.918
Authors: Victor D Rosenthal; Dennis G Maki; Camila Rodrigues; Carlos Alvarez-Moreno; Hakan Leblebicioglu; Martha Sobreyra-Oropeza; Regina Berba; Naoufel Madani; Eduardo A Medeiros; Luis E Cuéllar; Zan Mitrev; Lourdes Dueñas; Humberto Guanche-Garcell; Trudell Mapp; Souha S Kanj; Rosalía Fernández-Hidalgo Journal: Infect Control Hosp Epidemiol Date: 2010-10-28 Impact factor: 3.254