MEHTA, Y.;
JAGGI, N.;
ROSENTHAL, V. D.;
RODRIGUES, C.;
TODI, S. K.;
SAINI, N.;
UDWADIA, F. E.;
KARLEKAR, A.;
KOTHARI, V.;
MYATRA, S. N.;
CHAKRAVARTHY, M.;
SINGH, S.;
DWIVEDY, A.;
SEN, N.;
SAHU, S.
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)
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Medientyp:
E-Artikel
Titel:
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)
Beteiligte:
MEHTA, Y.;
JAGGI, N.;
ROSENTHAL, V. D.;
RODRIGUES, C.;
TODI, S. K.;
SAINI, N.;
UDWADIA, F. E.;
KARLEKAR, A.;
KOTHARI, V.;
MYATRA, S. N.;
CHAKRAVARTHY, M.;
SINGH, S.;
DWIVEDY, A.;
SEN, N.;
SAHU, S.
Erschienen:
Cambridge University Press, 2013
Erschienen in:
Epidemiology and Infection, 141 (2013) 12, Seite 2483-2491
Beschreibung:
<p>We 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).</p>