Impact of the International Nosocomial Infection Control Consortium (INICC)'s multidimensional approach on rates of ventilator-associated pneumonia in intensive care units in 22 hospitals of 14 cities of the Kingdom of Saudi Arabia. Issue 5 (September 2018)

• Record Type: Journal Article
• Authors: Al-Abdely, Hail M.; Khidir Mohammed, Yassir; Rosenthal, Victor D.; Orellano, Pablo W.; ALazhary, Mohamed; Kaid, Eman; Al-Attas, Anan; Hawsawi, Ghadeer; Kelany, Ashraf; Hussein, Bedoor; Esam, Bayan; Altowerqi, Rami; Alkamaly, Modhi A.; Tawfic, Nader A.; Cruzpero, Elinita; Al Rashidi, Raya M.; Thomas, Reny; Molano, Apsia M.; Al Enazy, Hessa A.; Al Adwani, Fatima M.; Casuyon Pahilanga, Arlu M.; Alatawi, Sharifa; Nakhla, Raslan; Al Adwani, Fatma M.; Gasmin Aromin, Rosita; Balon Ubalde, Evangelina; Hanafy Diab, Hanan; Kader, Nahla A.; Hassan Assiry, Ibtesam Y.; Sawan, Fahad A.; Ammari, Hassan E.; Mashiakhy, Alhasan M.; Santiago, Elaine B.; Chua, Christian M.S.; Dalis, Imee M.; Arishi, Haider M.; Lozada, Ruthelma; Al-Zaydani Asiri, Ibrahim A.M.; Ahmed, Hala; Jarie, Al; Al-Qathani, Ali S.M.; Al-Alkami, Halima Y.; AlDalaton, Mervat; Alih, Siti J.B.; Alaliany, Mohammed J.; Helali, Najla J.; Sindayen, Grace; Malificio, Annalyn A.; Al Dossari, Haya B.; Algethami, Abdulmajid G.; Mohamed, Dia; Yanne, Leigh; Tan, Avigail; Babu, Sheema; Abduljabbar, Shatha M.; Rushdi, Hala; Fernandez, Janice; Hussain, Waleed M.; Rajavel, Renuga D.; Bukhari, Syed Z.; Turkistani, Abdullah A.; Mushtaq, Jeyashri J.; Albeladi, Eida; Aboushoushah, Sally; Qushmaq, Nahed; Shyrine, Leide; Philipose, Jomol; Raees, Mohamed; AbdulKhalik, Nawal S.; Madco, Marjory; Abdulghany, Mohd; Manao, Athena; Acostan, Catherine; Safwat, Rania; Halwani, Muhammad; Abdul Aal, Nahla A.H.; Thomas, Anumol; Abdulatif, Shaymaa M.; Ariola, Nelia C.; Mutwalli, Aisha H.; Ariola, Nelia; Bohlega, Eatedal; Simon, Saly; Damlig, Estelita; Elsherbini, Sherin G.; Krishne, Ilama T.; Abraham, Sheela; Ali Karrar, Mohammed A.; Gosn, Nisreen A.; Al Hindi, Abdulaziz A.; Jaha, Rasha N.; AlQahtani, Saeda M.; Abdul Aziz, Ali O.; Demaisip, Nadia L.; Laungayan Cortez, Elizabeth; Cabato, Analen F.; Gonzales Celiz, Jerlie M.; Al Raey, Mohammed A.; Al Darani, Saeed A.; Aziz, Misbah R.; Manea, Batool A.; Samy, Eslam; Briones, Solita; Krishnan, Radhika; Raees, Saman S.M.; Tabassum, Kehkashan; Ghalilah, Khalid M.; Alradady, Mohamed; Al Qatri, Abdulrahim; Chaouali, Mafaten; Elsisi, Magdy; Aldossary, Hajer A.; Al-Suliman, Shehab; Al Talib, Amina A.; Albaghly, Nadira; Haqlre Mia, Mohammad E.; Al-Gethamy, Manal M.; Alamri, Dhafer M.; Al-Saadi, Adnan S.; Ayugat, Evelyn P.; Al Hazazi, Nawaf A.; Al Hussain, Modi I.; Caminade, Yvonne; Santos, Ann J.; Abdulwahab, Mohamed H.; Al-Garni, Bushra T.A.;
• Is Part Of: Journal of infection and public health. Volume 11:Issue 5(2018)
• Page Start: 677
• Page End: 684
• Publication Date: 2018-09
• Subjects: Hospital infection -- Healthcare-acquired infection -- Hospital-acquired pneumonia -- Nosocomial pneumonia -- Limited-resource countries -- Surveillance; Communicable diseases -- Periodicals; Public health -- Periodicals; Epidemiology -- Periodicals; Nosocomial infections -- Prevention -- Periodicals; Medical microbiology -- Periodicals; 614.4
• DOI: 10.1016/j.jiph.2018.06.002
• Languages: English
• ISSNs: 1876-0341

Abstract

Abstract: Background: To analyze the impact of the International Nosocomial Infection Control Consortium (INICC) Multidimensional Approach (IMA) and use of INICC Surveillance Online System (ISOS) on ventilator-associated pneumonia (VAP) rates in Saudi Arabia from September 2013 to February 2017. Methods: A multicenter, prospective, before–after surveillance study on 14, 961 patients in 37 intensive care units (ICUs) of 22 hospitals. During baseline, we performed outcome surveillance of VAP applying the definitions of the CDC/NHSN. During intervention, we implemented the IMA and the ISOS, which included: (1) a bundle of infection prevention practice interventions, (2) education, (3) outcome surveillance, (4) process surveillance, (5) feedback on VAP rates and consequences and (6) performance feedback of process surveillance. Bivariate and multivariate regression analyses were performed using generalized linear mixed models to estimate the effect of intervention. Results: The baseline rate of 7.84 VAPs per 1000 mechanical-ventilator (MV)-days―with 20, 927 MV-days and 164 VAPs―, was reduced to 4.74 VAPs per 1000 MV-days―with 118, 929 MV-days and 771 VAPs―, accounting for a 39% rate reduction (IDR 0.61; 95% CI 0.5–0.7; P 0.001). Conclusions: Implementing the IMA was associated with significant reductions in VAP rates in ICUs of Saudi Arabia.