Prospective multicentre study in intensive care units in five cities from the Kingdom of Saudi Arabia: Impact of the International Nosocomial Infection Control Consortium (INICC) multidimensional approach on rates of central line-associated bloodstream infection

Hail M Al-Abdely; Areej Dhafer Alshehri; Victor Daniel Rosenthal; Yassir Khidir Mohammed; Weam Banjar; Pablo Wenceslao Orellano; Abdullah Mufareh Assiri; Nahla Moustafa Abedel Kader; Hessa Abdullah Al Enizy; Diaa Abdullah Mohammed; Duaa Khalil Al-Awadi; Analen Fabros Cabato; Maria Wasbourne; Randa Saliya; Rosita Gasmin Aromin; Evangelina Balon Ubalde; Hanan Hanafy Diab; Modhi Abdullah Alkamaly; Nawal Mohammed Alanazi; Ibtesam Yahia Hassan Assiry; Apsia Musa Molano; Celia Flores Baldonado; Mohamed Al-Azhary; Sharifa Al Atawi; Fatima Mohammad Al Adwani; Arlu Marie Casuyon Pahilanga; Raslan Nakhla; Fatma Mohammad Al Adwani; Deepa Sasithran Nair; Grace Sindayen; Annalyn Amor Malificio; Najla Jameel Helali; Haya Barjas Al Dossari; Ashraf Kelany; Abdulmajid Ghowaizi Algethami; Leigh Yanne; Avigail Tan; Sheema Babu; Shatha Mohammad Abduljabbar; Syed Zahid Bukhari; Roaa Hasan Basri; Jeyashri Jaji Mushtaq; Hala Rushdi; Abdullah Abdulaziz Turkistani; Jerlie Mae Gonzales Celiz; Mohammed Abdullah Al Raey; Ibrahim AM Al-Zaydani Asiri; Saeed Ali Aldarani; Elizabeth Laungayan Cortez; Nadia Lynette Demaisip; Misbah Rehman Aziz; Ali Omer Abdul Aziz; Batool Al Manea; Eslam Samy; Mervat Al-Dalaton; Mohammed Jkedeb Alaliany

doi:10.1177/1757177416669424

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Prospective multicentre study in intensive care units in five cities from the Kingdom of Saudi Arabia: Impact of the International Nosocomial Infection Control Consortium (INICC) multidimensional approach on rates of central line-associated bloodstream infection

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Peer reviewed

Prospective multicentre study in intensive care units in five cities from the Kingdom of Saudi Arabia: Impact of the International Nosocomial Infection Control Consortium (INICC) multidimensional approach on rates of central line-associated bloodstream infection

Hail M Al-Abdely, Areej Dhafer Alshehri, Victor Daniel Rosenthal, Yassir Khidir Mohammed, Weam Banjar, Pablo Wenceslao Orellano, Abdullah Mufareh Assiri, Nahla Moustafa Abedel Kader, Hessa Abdullah Al Enizy, Diaa Abdullah Mohammed, …

Journal of infection prevention, Vol.18(1), pp.25-34

2017-01

DOI: https://doi.org/10.1177/1757177416669424

PMCID: PMC5298378

PMID: 28989500

Abstract

Objective: To analyse the impact of the International Nosocomial Infection Control Consortium (INICC) Multidimensional Approach (IMA) and INICC Surveillance Online System (ISOS) on central line-associated bloodstream infection (CLABSI) rates in five intensive care units (ICUs) from October 2013 to September 2015. Design: Prospective, before-after surveillance study of 3769 patients hospitalised in four adult ICUs and one paediatric ICU in five hospitals in five cities. During baseline, we performed outcome and process surveillance of CLABSI applying CDC/NHSN definitions. During intervention, we implemented IMA and ISOS, which included: (1) a bundle of infection prevention practice interventions; (2) education; (3) outcome surveillance; (4) process surveillance; (5) feedback on CLABSI rates and consequences; and (6) performance feedback of process surveillance. Bivariate and multivariate regression analyses were performed. Results: During baseline, 4468 central line (CL) days and 31 CLABSIs were recorded, accounting for 6.9 CLABSIs per 1000 CL-days. During intervention, 12,027 CL-days and 37 CLABSIs were recorded, accounting for 3.1 CLABSIs per 1000 CL-days. The CLABSI rate was reduced by 56% (incidence-density rate, 0.44; 95% confidence interval, 0.28–0.72; P = 0.001). Conclusions: Implementing IMA through ISOS was associated with a significant reduction in the CLABSI rate in the ICUs of Saudi Arabia.

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Title: Prospective multicentre study in intensive care units in five cities from the Kingdom of Saudi Arabia: Impact of the International Nosocomial Infection Control Consortium (INICC) multidimensional approach on rates of central line-associated bloodstream infection
Creators: Hail M Al-Abdely - General Directorate of Prevention and Infection Control, Ministry of Health, Riyadh, Saudi Arabia, Assir Central Hospital, Assir, Saudi Arabia
Areej Dhafer Alshehri - General Directorate of Prevention and Infection Control, Ministry of Health, Riyadh, Saudi Arabia
Victor Daniel Rosenthal - International Nosocomial Infection Control Consortium (INICC), Buenos Aires, Argentina
Yassir Khidir Mohammed - General Directorate of Prevention and Infection Control, Ministry of Health, Riyadh, Saudi Arabia, Assir Central Hospital, Assir, Saudi Arabia
Weam Banjar - General Directorate of Prevention and Infection Control, Ministry of Health, Riyadh, Saudi Arabia
Pablo Wenceslao Orellano - National Technological University
Abdullah Mufareh Assiri - General Directorate of Prevention and Infection Control, Ministry of Health, Riyadh, Saudi Arabia
Nahla Moustafa Abedel Kader - King Khalid Hospital, Najran, Saudi Arabia
Hessa Abdullah Al Enizy - King Khalid Hospital, Tabuk, Saudi Arabia
Diaa Abdullah Mohammed - King Abdulaziz Specialist Hospital, Taif, Saudi Arabia
Duaa Khalil Al-Awadi - Hera General Hospital, Makkah, Saudi Arabia
Analen Fabros Cabato - Assir Central Hospital, Assir, Saudi Arabia
Maria Wasbourne - General Directorate of Prevention and Infection Control, Ministry of Health, Riyadh, Saudi Arabia
Randa Saliya - General Directorate of Prevention and Infection Control, Ministry of Health, Riyadh, Saudi Arabia
Rosita Gasmin Aromin - King Khalid Hospital, Najran, Saudi Arabia
Evangelina Balon Ubalde - King Khalid Hospital, Najran, Saudi Arabia
Hanan Hanafy Diab - King Khalid Hospital, Najran, Saudi Arabia
Modhi Abdullah Alkamaly - King Khalid Hospital, Najran, Saudi Arabia
Nawal Mohammed Alanazi - King Khalid Hospital, Najran, Saudi Arabia
Ibtesam Yahia Hassan Assiry - King Khalid Hospital, Najran, Saudi Arabia
Apsia Musa Molano - King Khalid Hospital, Najran, Saudi Arabia
Celia Flores Baldonado - King Khalid Hospital, Najran, Saudi Arabia
Mohamed Al-Azhary - King Khalid Hospital, Najran, Saudi Arabia, Assir Central Hospital, Assir, Saudi Arabia
Sharifa Al Atawi - King Khalid Hospital, Tabuk, Saudi Arabia
Apsia Musa Molano - King Khalid Hospital, Tabuk, Saudi Arabia
Fatima Mohammad Al Adwani - King Khalid Hospital, Tabuk, Saudi Arabia
Arlu Marie Casuyon Pahilanga - King Khalid Hospital, Tabuk, Saudi Arabia
Raslan Nakhla - King Khalid Hospital, Tabuk, Saudi Arabia
Fatma Mohammad Al Adwani - King Khalid Hospital, Tabuk, Saudi Arabia
Deepa Sasithran Nair - King Abdulaziz Specialist Hospital, Taif, Saudi Arabia
Grace Sindayen - King Abdulaziz Specialist Hospital, Taif, Saudi Arabia
Annalyn Amor Malificio - King Abdulaziz Specialist Hospital, Taif, Saudi Arabia
Najla Jameel Helali - King Abdulaziz Specialist Hospital, Taif, Saudi Arabia
Haya Barjas Al Dossari - King Abdulaziz Specialist Hospital, Taif, Saudi Arabia
Ashraf Kelany - King Abdulaziz Specialist Hospital, Taif, Saudi Arabia
Abdulmajid Ghowaizi Algethami - King Abdulaziz Specialist Hospital, Taif, Saudi Arabia
Leigh Yanne - King Abdulaziz Specialist Hospital, Taif, Saudi Arabia
Avigail Tan - King Abdulaziz Specialist Hospital, Taif, Saudi Arabia
Sheema Babu - King Abdulaziz Specialist Hospital, Taif, Saudi Arabia
Shatha Mohammad Abduljabbar - King Abdulaziz Specialist Hospital, Taif, Saudi Arabia
Syed Zahid Bukhari - Hera General Hospital, Makkah, Saudi Arabia
Roaa Hasan Basri - Hera General Hospital, Makkah, Saudi Arabia
Jeyashri Jaji Mushtaq - Hera General Hospital, Makkah, Saudi Arabia
Hala Rushdi - Hera General Hospital
Abdullah Abdulaziz Turkistani - Hera General Hospital, Makkah, Saudi Arabia
Jerlie Mae Gonzales Celiz - Assir Central Hospital, Assir, Saudi Arabia
Mohammed Abdullah Al Raey - Assir Central Hospital, Assir, Saudi Arabia
Ibrahim AM Al-Zaydani Asiri - Assir Central Hospital, Assir, Saudi Arabia
Saeed Ali Aldarani - Assir Central Hospital, Assir, Saudi Arabia
Elizabeth Laungayan Cortez - Assir Central Hospital, Assir, Saudi Arabia
Nadia Lynette Demaisip - Assir Central Hospital, Assir, Saudi Arabia
Misbah Rehman Aziz - Assir Central Hospital, Assir, Saudi Arabia
Ali Omer Abdul Aziz - Assir Central Hospital, Assir, Saudi Arabia
Batool Al Manea - Assir Central Hospital, Assir, Saudi Arabia
Eslam Samy - Assir Central Hospital, Assir, Saudi Arabia
Mervat Al-Dalaton - Assir Central Hospital, Assir, Saudi Arabia
Mohammed Jkedeb Alaliany - Assir Central Hospital, Assir, Saudi Arabia
Publication Details: Journal of infection prevention, Vol.18(1), pp.25-34
Academic Unit: Miller School of Medicine; UMMG Department of Public Health Sciences Research
Language: English
Resource Type: Journal article
PMID: 28989500
PMCID: PMC5298378
Record Identifier: 991031725427902976