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

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

doi:10.1016/j.jiph.2018.06.002

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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

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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

Hail M. Al-Abdely, Yassir Khidir Mohammed, Victor D. Rosenthal, Pablo W. Orellano, Mohamed ALazhary, Eman Kaid, Anan Al-Attas, Ghadeer Hawsawi, Ashraf Kelany, Bedoor Hussein, …

Journal of infection and public health, Vol.11(5), pp.677-684

09/2018

DOI: https://doi.org/10.1016/j.jiph.2018.06.002

PMID: 29945849

Abstract

Healthcare-acquired infection

Hospital infection

Hospital-acquired pneumonia

Limited-resource countries

Nosocomial pneumonia

Surveillance

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. 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. 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). Implementing the IMA was associated with significant reductions in VAP rates in ICUs of Saudi Arabia.

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Title: 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
Creators - without role: Hail M. Al-Abdely - King Abdulaziz Hospital
Yassir Khidir Mohammed - General Directorate of Prevention and Infection Control, Ministry of Health, Riyadh, Saudi Arabia
Victor D. Rosenthal - International Nosocomial Infection Control Consortium (INICC), Buenos Aires, Argentina
Pablo W. Orellano - National Technological University
Mohamed ALazhary - King Abdulaziz Hospital
Eman Kaid - King Fahad Hospital Jeddah
Anan Al-Attas - King Fahad Hospital Jeddah
Ghadeer Hawsawi - King Fahad Hospital Jeddah
Ashraf Kelany - King Abdulaziz Hospital
Bedoor Hussein - King Fahad Hospital Jeddah
Bayan Esam - King Fahad Hospital Jeddah
Rami Altowerqi - King Abdulaziz Hospital
Modhi A. Alkamaly - Qassim University
Nader A. Tawfic - King Khaled Hospital
Elinita Cruzpero - King Khaled Hospital
Raya M. Al Rashidi - King Khaled Hospital
Reny Thomas - King Khaled Hospital
Apsia M. Molano - King Khalid Hospital, Tabuk, Kingdom of Saudi Arabia
Hessa A. Al Enazy - King Khalid Hospital, Tabuk, Kingdom of Saudi Arabia
Fatima M. Al Adwani - King Khalid Hospital, Tabuk, Kingdom of Saudi Arabia
Arlu M. Casuyon Pahilanga - King Khalid Hospital, Tabuk, Kingdom of Saudi Arabia
Sharifa Alatawi - King Khalid Hospital, Tabuk, Kingdom of Saudi Arabia
Raslan Nakhla - King Khalid Hospital, Tabuk, Kingdom of Saudi Arabia
Fatma M. Al Adwani - King Khalid Hospital, Tabuk, Kingdom of Saudi Arabia
Rosita Gasmin Aromin - King Khalid Hospital, Najran, Kingdom of Saudi Arabia
Evangelina Balon Ubalde - King Khalid Hospital, Najran, Kingdom of Saudi Arabia
Hanan Hanafy Diab - King Khalid Hospital, Najran, Kingdom of Saudi Arabia
Nahla A. Kader - King Khalid Hospital, Najran, Kingdom of Saudi Arabia
Ibtesam Y. Hassan Assiry - King Khalid Hospital, Najran, Kingdom of Saudi Arabia
Fahad A. Sawan - King Fahad Central Hospital
Hassan E. Ammari - King Fahad Central Hospital
Alhasan M. Mashiakhy - King Fahad Central Hospital
Elaine B. Santiago - King Fahad Central Hospital
Christian M.S. Chua - King Fahad Central Hospital
Imee M. Dalis - King Fahad Central Hospital
Haider M. Arishi - King Fahad Central Hospital
Ruthelma Lozada - King Fahad Central Hospital
Ibrahim A.M. Al-Zaydani Asiri - Abha Maternity and Children Hospital, Assir, Kingdom of Saudi Arabia
Hala Ahmed - Abha Maternity and Children Hospital, Assir, Kingdom of Saudi Arabia
Al Jarie - King Khalid Hospital, Tabuk, Kingdom of Saudi Arabia
Ali S.M. Al-Qathani - Abha Maternity and Children Hospital, Assir, Kingdom of Saudi Arabia
Halima Y. Al-Alkami - Abha Maternity and Children Hospital, Assir, Kingdom of Saudi Arabia
Mervat AlDalaton - Abha Maternity and Children Hospital, Assir, Kingdom of Saudi Arabia
Siti J.B. Alih - Abha Maternity and Children Hospital, Assir, Kingdom of Saudi Arabia
Mohammed J. Alaliany - Abha Maternity and Children Hospital, Assir, Kingdom of Saudi Arabia
Najla J. Helali - King Abdulaziz Specialist Hospital, Taif, Kingdom of Saudi Arabia
Grace Sindayen - King Abdulaziz Specialist Hospital, Taif, Kingdom of Saudi Arabia
Annalyn A. Malificio - King Abdulaziz Specialist Hospital, Taif, Kingdom of Saudi Arabia
Haya B. Al Dossari - King Abdulaziz Specialist Hospital, Taif, Kingdom of Saudi Arabia
Abdulmajid G. Algethami - King Abdulaziz Specialist Hospital, Taif, Kingdom of Saudi Arabia
Dia Mohamed - King Abdulaziz Hospital
Leigh Yanne - King Abdulaziz Specialist Hospital, Taif, Kingdom of Saudi Arabia
Avigail Tan - King Abdulaziz Specialist Hospital, Taif, Kingdom of Saudi Arabia
Sheema Babu - King Abdulaziz Specialist Hospital, Taif, Kingdom of Saudi Arabia
Shatha M. Abduljabbar - King Abdulaziz Specialist Hospital, Taif, Kingdom of Saudi Arabia
Hala Rushdi - Hera General Hospital
Janice Fernandez - Hera General Hospital
Waleed M. Hussain - Hera General Hospital
Renuga D. Rajavel - Hera General Hospital
Syed Z. Bukhari - Hera General Hospital
Abdullah A. Turkistani - Hera General Hospital
Jeyashri J. Mushtaq - Hera General Hospital
Eida Albeladi - King Abdullah Medical Complex, Jeddah, Kingdom of Saudi Arabia
Sally Aboushoushah - King Abdullah Medical Complex, Jeddah, Kingdom of Saudi Arabia
Nahed Qushmaq - King Abdullah Medical Complex, Jeddah, Kingdom of Saudi Arabia
Leide Shyrine - King Saud Hospital, Qassim, Kingdom of Saudi Arabia
Jomol Philipose - King Saud Hospital, Qassim, Kingdom of Saudi Arabia
Mohamed Raees - King Abdulaziz Hospital
Nawal S. AbdulKhalik - King Saud Hospital, Qassim, Kingdom of Saudi Arabia
Marjory Madco - BaHa
Mohd Abdulghany - BaHa
Athena Manao - BaHa
Catherine Acostan - BaHa
Rania Safwat - BaHa
Muhammad Halwani - BaHa
Nahla A.H. Abdul Aal - BaHa
Anumol Thomas - King Khaled Hospital
Shaymaa M. Abdulatif - BaHa
Nelia C. Ariola - King Abdulaziz Hospital
Aisha H. Mutwalli - King Abdulaziz Hospital
Nelia Ariola - King Abdulaziz Hospital
Eatedal Bohlega - King Salman Hospital, Riyadh, Kingdom of Saudi Arabia
Saly Simon - King Salman Hospital, Riyadh, Kingdom of Saudi Arabia
Estelita Damlig - King Salman Hospital, Riyadh, Kingdom of Saudi Arabia
Sherin G. Elsherbini - King Salman Hospital, Riyadh, Kingdom of Saudi Arabia
Ilama T. Krishne - King Salman Hospital, Riyadh, Kingdom of Saudi Arabia
Sheela Abraham - King Salman Hospital, Riyadh, Kingdom of Saudi Arabia
Mohammed A. Ali Karrar - Yanbou General Hospital, Madina, Kingdom of Saudi Arabia
Nisreen A. Gosn - Yanbou General Hospital, Madina, Kingdom of Saudi Arabia
Abdulaziz A. Al Hindi - Yanbou General Hospital, Madina, Kingdom of Saudi Arabia
Rasha N. Jaha - Yanbou General Hospital, Madina, Kingdom of Saudi Arabia
Saeda M. AlQahtani - Khamis Mushayt General Hospital, Assir, Kingdom of Saudi Arabia
Ali O. Abdul Aziz - Assir Central Hospital, Assir, Kingdom of Saudi Arabia
Nadia L. Demaisip - Assir Central Hospital, Assir, Kingdom of Saudi Arabia
Elizabeth Laungayan Cortez - Assir Central Hospital, Assir, Kingdom of Saudi Arabia
Analen F. Cabato - Assir Central Hospital, Assir, Kingdom of Saudi Arabia
Jerlie M. Gonzales Celiz - Assir Central Hospital, Assir, Kingdom of Saudi Arabia
Mohammed A. Al Raey - King Abdulaziz Hospital
Saeed A. Al Darani - Assir Central Hospital, Assir, Kingdom of Saudi Arabia
Misbah R. Aziz - Assir Central Hospital, Assir, Kingdom of Saudi Arabia
Batool A. Manea - Assir Central Hospital, Assir, Kingdom of Saudi Arabia
Eslam Samy - Assir Central Hospital, Assir, Kingdom of Saudi Arabia
Solita Briones - King Fahad Specialist Hospital
Radhika Krishnan - King Fahad Specialist Hospital
Saman S.M. Raees - King Fahad Specialist Hospital
Kehkashan Tabassum - King Fahad Specialist Hospital
Khalid M. Ghalilah - King Fahad Hospital, Madina, Kingdom of Saudi Arabia
Mohamed Alradady - King Fahad Hospital, Madina, Kingdom of Saudi Arabia
Abdulrahim Al Qatri - King Fahad Hospital, Madina, Kingdom of Saudi Arabia
Mafaten Chaouali - King Fahad Hospital, Madina, Kingdom of Saudi Arabia
Magdy Elsisi - King Fahad Hospital, Madina, Kingdom of Saudi Arabia
Hajer A. Aldossary - Dammam Medical Complex, Dammam, Kingdom of Saudi Arabia
Shehab Al-Suliman - Dammam Medical Complex, Dammam, Kingdom of Saudi Arabia
Amina A. Al Talib - Dammam Medical Complex, Dammam, Kingdom of Saudi Arabia
Nadira Albaghly - Dammam Medical Complex, Dammam, Kingdom of Saudi Arabia
Mohammad E. Haqlre Mia - Dammam Medical Complex, Dammam, Kingdom of Saudi Arabia
Manal M. Al-Gethamy - Al Noor Specialist, Makkah, Kingdom of Saudi Arabia
Dhafer M. Alamri - Al Noor Specialist, Makkah, Kingdom of Saudi Arabia
Adnan S. Al-Saadi - Al Noor Specialist, Makkah, Kingdom of Saudi Arabia
Evelyn P. Ayugat - Al Jubail General Hospital, Al Jubail, Kingdom of Saudi Arabia
Nawaf A. Al Hazazi - Al Jubail General Hospital, Al Jubail, Kingdom of Saudi Arabia
Modi I. Al Hussain - Al Jubail General Hospital, Al Jubail, Kingdom of Saudi Arabia
Yvonne Caminade - King Feisal Hospital, Taif, Kingdom of Saudi Arabia
Ann J. Santos - King Feisal Hospital, Taif, Kingdom of Saudi Arabia
Mohamed H. Abdulwahab - King Feisal Hospital, Taif, Kingdom of Saudi Arabia
Bushra T.A. Al-Garni - King Feisal Hospital, Taif, Kingdom of Saudi Arabia
Publication Details: Journal of infection and public health, Vol.11(5), pp.677-684
Publisher: Elsevier Ltd
Identifiers: 9923051908331
Language: English
Resource Type: Journal article