• Infect Control Hosp Epidemiol · Dec 2010

    Impact of International Nosocomial Infection Control Consortium (INICC) strategy on central line-associated bloodstream infection rates in the intensive care units of 15 developing countries.

    • Victor D Rosenthal, Dennis G Maki, Camila Rodrigues, Carlos Alvarez-Moreno, Hakan Leblebicioglu, Martha Sobreyra-Oropeza, Regina Berba, Naoufel Madani, Eduardo A Medeiros, Luis E Cuéllar, Zan Mitrev, Lourdes Dueñas, Humberto Guanche-Garcell, Trudell Mapp, Souha S Kanj, Rosalía Fernández-Hidalgo, and International Nosocomial Infection Control Consortium Investigators.
    • Medical College of Buenos Aires, Argentina. victor_rosenthal@inicc.org
    • Infect Control Hosp Epidemiol. 2010 Dec 1;31(12):1264-72.

    BackgroundThe International Nosocomial Infection Control Consortium (INICC) was established in 15 developing countries to reduce infection rates in resource-limited hospitals by focusing on education and feedback of outcome surveillance (infection rates) and process surveillance (adherence to infection control measures). We report a time-sequence analysis of the effectiveness of this approach in reducing rates of central line-associated bloodstream infection (CLABSI) and associated deaths in 86 intensive care units with a minimum of 6-month INICC membership.MethodsPooled CLABSI rates during the first 3 months (baseline) were compared with rates at 6-month intervals during the first 24 months in 53,719 patients (190,905 central line-days). Process surveillance results at baseline were compared with intervention period data.ResultsDuring the first 6 months, CLABSI incidence decreased by 33% (from 14.5 to 9.7 CLABSIs per 1,000 central line-days). Over the first 24 months there was a cumulative reduction from baseline of 54% (from 16.0 to 7.4 CLABSIs per 1,000 central line-days; relative risk, 0.46 [95% confidence interval, 0.33-0.63]; P < .001). The number of deaths in patients with CLABSI decreased by 58%. During the intervention period, hand hygiene adherence improved from 50% to 60% (P < .001); the percentage of intensive care units that used maximal sterile barriers at insertion increased from 45% to 85% (P < .001), that adopted chlorhexidine for antisepsis increased from 7% to 27% (P < .001), and that sought to remove unneeded catheters increased from 37% to 83% (P < .001); and the duration of central line placement decreased from 4.1 to 3.5 days (P < .001).ConclusionsEducation, performance feedback, and outcome and process surveillance of CLABSI rates significantly improved infection control adherence, reducing the CLABSI incidence by 54% and the number of CLABSI-associated deaths by 58% in INICC hospitals during the first 2 years.

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