Impact of a multidimensional infection control approach on catheter-associated urinary tract infection rates in adult intensive care units in 10 cities of Turkey: International Nosocomial Infection Control Consortium findings (INICC)

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dc.contributor.authorLeblebicioğlu, Hakan
dc.contributor.authorErsöz, Gülden
dc.contributor.authorRosenthal, Victor Daniel
dc.contributor.authorYalçın, Ata Nevzat
dc.contributor.authorAkan, Özay Arıkan
dc.contributor.authorSırmatel, Fatma
dc.contributor.authorBacakoğlu, Feza
dc.date.accessioned2020-04-30T23:18:25Z
dc.date.available2020-04-30T23:18:25Z
dc.date.issued2013
dc.departmentDÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.descriptionYalcin, Ata Nevzat/0000-0002-7243-7354; dursun, oguz/0000-0001-5482-3780; Geyik, Mehmet Faruk/0000-0002-0906-0902; Dursun, Oguz/0000-0001-5482-3780; Leblebicioglu, Hakan/0000-0002-6033-8543; Unal, Necmettin/0000-0002-9440-7893en_US
dc.descriptionWOS: 000325254600011en_US
dc.descriptionPubMed: 23623158en_US
dc.description.abstractBackground: We evaluate the effectiveness of a multidimensional infection control approach for the reduction of catheter-associated urinary tract infections (CAUTIs) in 13 intensive care units (ICUs) in 10 hospital members of the International Nosocomial Infection Control Consortium (INICC) from 10 cities of Turkey. Methods: A before-after prospective active surveillance study was used to determine rates of CAUTI. The study was divided into baseline (phase 1) and intervention (phase 2). In phase 1, surveillance was performed applying the definitions of the Centers for Disease Control and Prevention/National Healthcare Safety Network. In phase 2, we implemented a multidimensional approach that included bundle of infection control interventions, education, surveillance and feedback on CAUTI rates, process surveillance, and performance feedback. We used random effects Poisson regression to account for clustering of CAUTI rates across time periods. Results: The study included 4,231 patients, hospitalized in 13 ICUs, in 10 hospitals, in 10 cities, during 49,644 patient-days. We recorded a total of 41,871 urinary catheter (UC)-days: 5,080 in phase 1 and 36,791 in phase 2. During phase 1, the rate of CAUTI was 10.63 per 1,000 UC-days and was significantly decreased by 47% in phase 2 to 5.65 per 1,000 UC-days (relative risk, 0.53; 95% confidence interval: 0.4-0.7; P value = .0001). Conclusion: Our multidimensional approach was associated with a significant reduction in the rates of CAUTI in Turkey. Copyright (C) 2013 by the Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.en_US
dc.description.sponsorshipFoundation to Fight against Nosocomial Infectionsen_US
dc.description.sponsorshipFunding for the activities carried out at INICC headquarters were provided by the corresponding author, Victor D. Rosenthal, and the Foundation to Fight against Nosocomial Infections.en_US
dc.identifier.doi10.1016/j.ajic.2013.01.028en_US
dc.identifier.endpage891en_US
dc.identifier.issn0196-6553
dc.identifier.issn1527-3296
dc.identifier.issue10en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage885en_US
dc.identifier.urihttps://doi.org/10.1016/j.ajic.2013.01.028
dc.identifier.urihttps://hdl.handle.net/20.500.12684/3283
dc.identifier.volume41en_US
dc.identifier.wosWOS:000325254600011en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherMosby-Elsevieren_US
dc.relation.ispartofAmerican Journal Of Infection Controlen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectHospital infectionen_US
dc.subjectNosocomial infectionen_US
dc.subjectHealth care-acquired infectionen_US
dc.subjectDevice-associated infectionen_US
dc.subjectCatheter-related urinary tract infectionsen_US
dc.subjectUrinary catheteren_US
dc.subjectDeveloping countriesen_US
dc.subjectLimited resources countriesen_US
dc.subjectLow-income countriesen_US
dc.subjectEmerging countriesen_US
dc.subjectSurveillanceen_US
dc.subjectCritical careen_US
dc.subjectIncidence densityen_US
dc.subjectBundleen_US
dc.subjectHand hygieneen_US
dc.subjectHandwashingen_US
dc.titleImpact of a multidimensional infection control approach on catheter-associated urinary tract infection rates in adult intensive care units in 10 cities of Turkey: International Nosocomial Infection Control Consortium findings (INICC)en_US
dc.typeArticleen_US

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