Incidence of infections associated with the use of invasive devices in an ICU after application of the Improvement Science Method
Rev. Ciênc. Saúde
;
13(3): 66-73, 20230921.
Artigo
em Inglês
| LILACS
| ID: biblio-1511099
ABSTRACT
Objective:
To reduce the incidence density of ventilator-associated pneumonia (VAP), central line-associated bloodstream infection (CLABSI), and catheter-associated urinary tract infection (CAUTI) in the intensive care unit (ICU) using the Improvement Science method.Methods:
This was a single-center retrospective cohort study. A collaborative quality improvement team developed and implemented local changes to HAI-related processes and protocols. Pre-intervention, intervention, and post-intervention periods were compared. The study was conducted at the Adult ICU of a hospital in southern Brazil. Variables were analyzed using interrupted time series analysis with segmented linear regression, simple correlation, and hypothesis testing.Results:
There was a reduction in the incidence density of all infections. VAP was reduced from 27.2% to 7.2% (p < 0.001), CLABSI from 3.0% to 0.9% (p = 0.017), and CAUTI from 8.3% to 1.8% (p < 0.001). The ICU stay was also reduced from 6.7 to 6 days (p = 0.018).Conclusion:
There was an improvement in all the evaluated parameters. Ongoing monitoring of related indicators and adherence to implemented measures are essential to sustain improvements. Applying the Improvement Science methodology can reduce the incidence of HAIs in the ICU.Assuntos
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Limite:
Humanos
Idioma:
Inglês
Revista:
Rev. Ciênc. Saúde
Assunto da revista:
Cincias da Sa£de
/
Medicina
Ano de publicação:
2023
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
University of Southern Santa Catarina/BR
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