Ventilator-Associated Pneumonia Rates in 88 Intensive Care Units of 18 Developing Countries. Findings of the International Nosocomial Infection Control Consortium (INICC)

2008 ◽  
Vol 36 (5) ◽  
pp. E174-E176
Keyword(s):  
Developing Countries ◽  
Intensive Care ◽  
Nosocomial Infection ◽  
Infection Control ◽  
Intensive Care Units ◽  
Ventilator Associated Pneumonia

Effectiveness of a multidimensional approach for prevention of ventilator-associated pneumonia in 21 adult intensive-care units from 10 cities in India: findings of the International Nosocomial Infection Control Consortium (INICC)

2013 ◽  
Vol 141 (12) ◽  
pp. 2483-2491 ◽  
Author(s):  
Y. MEHTA ◽  
N. JAGGI ◽  
V. D. ROSENTHAL ◽  
C. RODRIGUES ◽  
S. K. TODI ◽  
...  
Keyword(s):  
Intensive Care ◽  
Nosocomial Infection ◽  
Infection Control ◽  
Intensive Care Units ◽  
Ventilator Associated Pneumonia ◽  
Multidimensional Approach ◽  
Time Period ◽  
Control And Prevention ◽  
Quasi Experimental ◽  
And Performance

SUMMARYWe report on the effect of the International Nosocomial Infection Control Consortium's (INICC) multidimensional approach for the reduction of ventilator-associated pneumonia (VAP) in adult patients hospitalized in 21 intensive-care units (ICUs), from 14 hospitals in 10 Indian cities. A quasi-experimental study was conducted, which was divided into baseline and intervention periods. During baseline, prospective surveillance of VAP was performed applying the Centers for Disease Control and Prevention/National Healthcare Safety Network definitions and INICC methods. During intervention, our approach in each ICU included a bundle of interventions, education, outcome and process surveillance, and feedback of VAP rates and performance. Crude stratified rates were calculated, and by using random-effects Poisson regression to allow for clustering by ICU, the incidence rate ratio for each time period compared with the 3-month baseline was determined. The VAP rate was 17·43/1000 mechanical ventilator days during baseline, and 10·81 for intervention, showing a 38% VAP rate reduction (relative risk 0·62, 95% confidence interval 0·5–0·78, P = 0·0001).

scholarly journals 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

2018 ◽  
Vol 19 (4) ◽  
pp. 168-176 ◽  
Author(s):  
Haifaa Hassan Al-Mousa ◽  
Abeer Aly Omar ◽  
Víctor Daniel Rosenthal ◽  
Mona Foda Salama ◽  
Nasser Yehia Aly ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Intensive Care ◽  
Nosocomial Infection ◽  
Infection Control ◽  
Intensive Care Units ◽  
Density Ratio ◽  
Incidence Density ◽  
Ventilator Associated Pneumonia ◽  
Multidimensional Approach ◽  
The Impact

Objective: 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. Design: 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. Results: 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 = 0.18–0.83), with 61% effectiveness. Conclusions: Implementing IMA through ISOS was associated with a significant reduction in the VAP rate in Kuwait ICUs.

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