RE: “A MEASUREMENT OF THE EFFICACY OF NOSOCOMIAL INFECTION CONTROL USING THE 95 PER CENT CONFIDENCE INTERVAL FOR INFECTION RATES”

1988 ◽  
Vol 128 (1) ◽  
pp. 246-246
Author(s):  
Adele Josephson
Keyword(s):  
Confidence Interval ◽  
Nosocomial Infection ◽  
Infection Control ◽  
Infection Rates

Impact of International Nosocomial Infection Control Consortium’s multidimensional approach on central line–associated bloodstream infection rates in Bahrain

2019 ◽  
Vol 21 (4) ◽  
pp. 481-489
Author(s):  
Safaa Alkhawaja ◽  
Nermeen Kamal Saeed ◽  
Victor Daniel Rosenthal ◽  
Sana Abdul-Aziz ◽  
Ameena Alsayegh ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Nosocomial Infection ◽  
Infection Control ◽  
Bloodstream Infection ◽  
Infection Rate ◽  
Bloodstream Infections ◽  
Central Line ◽  
Multidimensional Approach ◽  
Infection Rates

Background: Central line–associated bloodstream infections are serious life-threatening infections in the intensive care unit setting. Methods: To analyze 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 rates in Bahrain from January 2013 to December 2016, we conducted a prospective, before-after surveillance, cohort, observational study in one intensive care unit in Bahrain. During baseline, we performed outcome and process surveillance of central line–associated bloodstream infection on 2320 intensive care unit patients, applying Centers for Disease Control and Prevention’s National Healthcare Safety Network definitions. During intervention, we implemented IMA through ISOS, including (1) a bundle of infection prevention interventions, (2) education, (3) outcome surveillance, (4) process surveillance, (5) feedback on central line–associated bloodstream infection 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 central line–associated bloodstream infection rate. Results: During baseline, 672 central line days and 7 central line–associated bloodstream infections were recorded, accounting for 10.4 central line–associated bloodstream infections per 1000 central line days. During intervention, 13,020 central line days and 48 central line–associated bloodstream infections were recorded. After the second year, there was a sustained 89% cumulative central line–associated bloodstream infection rate reduction to 1.2 central line–associated bloodstream infections per 1000 central line days (incidence density rate, 0.11; 95% confidence interval 0.1–0.3; p, 0.001). The average extra length of stay of patients with central line–associated bloodstream infection was 23.3 days, and due to the reduction of central line–associated bloodstream infections, 367 days of hospitalization were saved, amounting to a reduction in hospitalization costs of US$1,100,553. Conclusion: Implementing IMA was associated with a significant reduction in the central line–associated bloodstream infection rate in Bahrain.

Multicenter study in Colombia: Impact of a multidimensional International Nosocomial Infection Control Consortium (INICC) approach on central line–associated bloodstream infection rates

2016 ◽  
Vol 44 (11) ◽  
pp. e235-e241 ◽  
Author(s):  
Carlos A. Álvarez-Moreno ◽  
Sandra L. Valderrama-Beltrán ◽  
Víctor D. Rosenthal ◽  
Beatriz E. Mojica-Carreño ◽  
Ismael A. Valderrama-Márquez ◽  
...  
Keyword(s):  
Nosocomial Infection ◽  
Infection Control ◽  
Bloodstream Infection ◽  
Multicenter Study ◽  
Central Line ◽  
Infection Rates

Surgical Site Infection Rates in Four Cities in Brazil: Findings of the International Nosocomial Infection Control Consortium

2016 ◽  
Vol 17 (1) ◽  
pp. 53-57 ◽  
Author(s):  
Rosana Richtmann ◽  
Erci Maria Onzi Siliprandi ◽  
Victor D. Rosenthal ◽  
Tarquino Erástides G. Sánchez ◽  
Marina Moreira ◽  
...  
Keyword(s):  
Nosocomial Infection ◽  
Infection Control ◽  
Surgical Site Infection ◽  
Site Infection ◽  
Infection Rates
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