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artículo

Examining the impact of a 9-component bundle and the INICC multidimensional approach on catheter-associated urinary tract infection rates in 32 countries across Asia, Eastern Europ...

Publicado por
Rosenthal, Victor D., Yin, Ruijie, Jin, Zhilin, Perez, Valentina, Kis, Matthew A., Abdulaziz-Alkhawaja, Safaa, Valderrama-Beltran, Sandra L., Gomez, Katherine, Rodas, Claudia M.H., El-Sisi, Amal, Sahu, Suneeta, Kharbanda, Mohit, Rodrigues, Camilla, Myatra, Sheila N., Chawla, Rajesh, Sandhu, Kavita, Mehta, Yatin, Rajhans, Prasad, Arjun, Rajalakshmi, Tai, Chian Wern, Bhakta, Arpita, Mat Nor, Mohd Basri, Aguirre-Avalos, Guadalupe, Sassoe-Gonzalez, Alejandro, Bat-Erdene, Ider, Acharya, Subhash P., Aguilar-de-Moros, Daisy, Carreazo, Nilton Yhuri, Duszynska, Wieslawa, Hlinkova, Sona, Yildizdas, Dincer, Kılıc, Esra K., Dursun, Oguz, Odek, Caglar, Deniz, Suna S.O., Guclu, Ertugrul, Koksal, Iftihar, Medeiros, Eduardo A., Petrov, Michael M., Tao, Lili, Salgado, Estuardo, Dueñas, Lourdes, Daboor, Mohammad A., Raka, Lul, Omar, Abeer A., Ikram, Aamer, Horhat-Florin, George, Memish, Ziad A., Brown, Eric C.

Publicado 2024

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Background: Catheter-Associated Urinary Tract Infections (CAUTIs) frequently occur in the intensive care unit (ICU) and are correlated with a significant burden. Methods: We implemented a strategy involving a 9-element bundle, education, surveillance of CAUTI rates and clinical outcomes, monitoring compliance with bundle components, feedback of CAUTI rates and performance feedback. This was executed in 299 ICUs across 32 low- and middle-income countries. The dependent variable was CAUTI per 1,000 UC days, assessed at baseline and throughout the intervention, in the second month, third month, 4 to 15 months, 16 to 27 months, and 28 to 39 months. Comparisons were made using a 2-sample t test, and the exposure-outcome relationship was explored using a generalized linear mixed model with a Poisson distribution. Results: Over the course of 978,364 patient days, 150,258 patients utilized 652,0...

artículo

Decreasing central line-associated bloodstream infections rates in intensive care units in 30 low- and middle-income countries: An INICC approach

Publicado por
Rosenthal, Victor D., Jin, Zhilin, Brown, Eric C., Dongol, Reshma, De Moros, Daisy A., Alarcon-Rua, Johana, Perez, Valentina, Stagnaro, Juan P., Alkhawaja, Safaa, Jimenez-Alvarez, Luisa F., Cano-Medina, Yuliana A., Valderrama-Beltran, Sandra L., Henao-Rodas, Claudia M., Zuniga-Chavarria, Maria A., El-Kholy, Amani, Agha, Hala, Sahu, Suneeta, Mishra, Shakti B., Bhattacharyya, Mahuya, Kharbanda, Mohit, Poojary, Aruna, Nair, Pravin K., Myatra, Sheila N., Chawla, Rajesh, Sandhu, Kavita, Mehta, Yatin, Rajhans, Prasad, Abdellatif-Daboor, Mohammad, Chian-Wern, Tai, Gan, Chin Seng, Mohd-Basri, Mat Nor, Aguirre-Avalos, Guadalupe, Hernandez-Chena, Blanca E., Sassoe-Gonzalez, Alejandro, Villegas-Mota, Isabel, Aleman- Bocanegra, Mary C., Bat-Erdene, Ider, Carreazo, Nilton Y., Castaneda-Sabogal, Alex, Janc, Jarosław, Hlinkova, Sona, Yildizdas, Dincer, Havan, Merve, Koker, Alper, Sungurtekin, Hulya, Dinleyici, Ener C., Guclu, Ertugrul, Tao, Lili, Memish, Ziad A., Yin, Ruijie

Publicado 2024

Enlace

Background: Central line (CL)-associated bloodstream infections (CLABSIs) occurring in the intensive care unit (ICU) are common and associated with a high burden. Methods: We implemented a multidimensional approach, incorporating an 11-element bundle, education, surveillance of CLABSI rates and clinical outcomes, monitoring compliance with bundle components, feedback of CLABSI rates and clinical outcomes, and performance feedback in 316 ICUs across 30 low- and middle-income countries. Our dependent variables were CLABSI per 1,000-CL-days and in-ICU all-cause mortality rates. These variables were measured at baseline and during the intervention, specifically during the second month, third month, 4 to 16 months, and 17 to 29 months. Comparisons were conducted using a two-sample t test. To explore the exposure-outcome relationship, we used a generalized linear mixed model with a Poisson dis...