Impact of the International Nosocomial Infection Control Consortium (INICC) multidimensional approach on rates of ventilator-associated pneumonia in intensive care units of two hospitals in Kuwait

Journal of Infection Prevention
Haifaa Hassan Al-MousaPablo Wenceslao Orellano

Abstract

To analyse the impact of the International Nosocomial Infection Control Consortium (INICC) multidimensional approach (IMA) on ventilator-associated pneumonia (VAP) rates in three intensive care units (ICUs) from two hospitals in Kuwait City from January 2014 to March 2015. A prospective, before-after study on 2507 adult ICU patients. During baseline, we performed outcome surveillance of VAP applying CDC/NHSN definitions. During intervention, we implemented the IMA through the INICC Surveillance Online System (ISOS), which included: (1) a bundle of infection prevention interventions; (2) education; (3) outcome surveillance; and (4) feedback on VAP rates and consequences. Logistic regression analysis was performed to estimate the effect of the intervention on VAP, controlling for potential bias. During baseline, 1990 mechanical ventilator (MV)-days and 14 VAPs were recorded, accounting for 7.0 VAPs per 1000 MV-days. During intervention, 9786 MV-days and 35 VAPs were recorded, accounting for 3.0 VAPs per 1000 MV-days. The VAP rate was reduced by 57.1% (incidence-density ratio = 0.51; 95% CI = 0.28-0.93; p = 0.042). Logistic regression showed a significant reduction in VAP rate during the intervention phase (OR = 0.39, 95% CI = 0.1...Continue Reading

References

Jul 31, 2003·American Journal of Infection Control·Victor Daniel RosenthalPablo Wenceslao Orellano
Oct 11, 2005·Critical Care Medicine·Nasia SafdarSanjay Saint
Feb 24, 2006·American Journal of Infection Control·Victor D RosenthalChristopher Crnich
Oct 18, 2006·Annals of Internal Medicine·Victor D RosenthalUNKNOWN International Nosocomial Infection Control Consortium
May 27, 2008·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Yaseen ArabiAntonio Anzueto
Aug 8, 2008·Medical Principles and Practice : International Journal of the Kuwait University, Health Science Centre·Nasser Yehia A AlyEl Sayed M Al Asar
Oct 7, 2008·American Journal of Infection Control·Victor D RosenthalUNKNOWN International Nosocomial Infection Control Consortium Members
Oct 9, 2008·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Jonas MarschallDeborah S Yokoe
Feb 24, 2010·American Journal of Infection Control·Victor D RosenthalUNKNOWN INICC Members
Dec 15, 2010·Lancet·Victor D Rosenthal
Sep 13, 2011·American Journal of Infection Control·Victor D RosenthalUNKNOWN INICC members
Jun 7, 2012·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Victor D RosenthalCanan Aygun
Jun 30, 2012·Current Opinion in Infectious Diseases·Lila BouadmaJean-Christophe Lucet
Aug 5, 2014·American Journal of Infection Control·Deborah S YokoeLisa L Maragakis
Jan 13, 2015·American Journal of Infection Control·Margaret A DudeckDawn M Sievert
Aug 11, 2015·Frontiers in Microbiology·Leila ValiBenjamin A Evans
Oct 16, 2016·American Journal of Infection Control·Víctor Daniel RosenthalUNKNOWN Remaining authors

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Citations

Jul 18, 2018·Journal of Infection Prevention·Jennie Wilson
Nov 5, 2019·American Journal of Infection Control·Víctor Daniel RosenthalUNKNOWN International Nosocomial Infection Control Consortium

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Methods Mentioned

BETA
KISS

Software Mentioned

INICC Surveillance Online System ( ISOS )
INICC
R

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