Hostname: page-component-cd9895bd7-8ctnn Total loading time: 0 Render date: 2024-12-21T14:40:03.673Z Has data issue: false hasContentIssue false

Effect of Standardized Surveillance of Intensive Care Unit–Acquired Infections on Ventilator-Associated Pneumonia Incidence

Published online by Cambridge University Press:  10 May 2016

Thomas Bénet*
Affiliation:
Infection Control and Epidemiology Unit, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon, France Epidemiology and Public Health Group, Centre National de la Recherche Scientifique Unité Mixte de Recherche 5558, University of Lyon 1, Lyon, France
René Ecochard
Affiliation:
Epidemiology and Public Health Group, Centre National de la Recherche Scientifique Unité Mixte de Recherche 5558, University of Lyon 1, Lyon, France Department of Biostatistics, Hospices Civils de Lyon, Lyon, France
Nicolas Voirin
Affiliation:
Infection Control and Epidemiology Unit, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon, France Epidemiology and Public Health Group, Centre National de la Recherche Scientifique Unité Mixte de Recherche 5558, University of Lyon 1, Lyon, France
Anaïs Machut
Affiliation:
Centre de Coordination de la Lutte contre les Infections Nosocomiales Sud-Est, Saint-Genis Laval, France
Alain Lepape
Affiliation:
Centre de Coordination de la Lutte contre les Infections Nosocomiales Sud-Est, Saint-Genis Laval, France Intensive Care Unit, Lyon-Sud Hospital, Hospices Civils de Lyon, Pierre-Bénite, France
Anne Savey
Affiliation:
Centre de Coordination de la Lutte contre les Infections Nosocomiales Sud-Est, Saint-Genis Laval, France
Philippe Vanhems
Affiliation:
Infection Control and Epidemiology Unit, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon, France Epidemiology and Public Health Group, Centre National de la Recherche Scientifique Unité Mixte de Recherche 5558, University of Lyon 1, Lyon, France
*
MPH, Service d’Hygiène, Epidémiologie, et Prévention, Hôpital Edouard Herriot, Hospices Civils de Lyon, 5 place d’Arsonval, 69437 Lyon cedex 03, France (thomas.benet@chu-lyon.fr).

Abstract

In a multicenter surveillance of intensive care unit (ICU)–acquired infections, adjusted ventilator-associated pneumonia (VAP) incidence diminished by −1.0% per year (95% confidence interval [CI], −1.8 to −0.2; P = .02) in ICUs with continuous surveillance but increased by +16.1% (95% CI, 0.5%–34.1%; P = .04) in the year following surveillance disruption, suggesting a preventive effect of surveillance on VAP.

Infect Control Hosp Epidemiol 2014;35(10):1290–1293

Type
Concise Communication
Copyright
© 2014 by The Society for Healthcare Epidemiology of America. All rights reserved.

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Chastre, J, Fagon, JY. Ventilator-associated pneumonia. Am J Respir Crit Care Med 2002;165:867903.Google Scholar
2. Umscheid, CA, Mitchell, MD, Doshi, JA, Agarwal, R, Williams, K, Brennan, PJ. Estimating the proportion of healthcare-associated infections that are reasonably preventable and the related mortality and costs. Infect Control Hosp Epidemiol 2011;32:101114.Google Scholar
3. Haley, RW, Culver, DH, White, JW, et al. The efficacy of infection surveillance and control programs in preventing nosocomial infections in US hospitals. Am J Epidemiol 1985;121:182205.Google Scholar
4. Gastmeier, P, Geffers, C, Sohr, D, Dettenkofer, M, Daschner, F, Rüden, H. Five years working with the German nosocomial infection surveillance system (Krankenhaus Infektions Surveillance System). Am J Infect Control 2003;31:316321.CrossRefGoogle ScholarPubMed
5. Carlet, J, Astagneau, P, Brun-Buisson, C, et al; French National Program for Prevention of Healthcare-Associated Infections and Antimicrobial Resistance. French national program for prevention of healthcare-associated infections and antimicrobial resistance, 1992–2008: positive trends, but perseverance needed. Infect Control Hosp Epidemiol 2009;30:737745.Google Scholar
6. Vanhems, P, Baratin, D, Voirin, N, et al. Reduction of urinary tract infections acquired in an intensive care unit during a 10-year surveillance program. Eur J Epidemiol 2008;23:641645.Google Scholar
7. Bénet, T, Allaouchiche, B, Argaud, L, Vanhems, P. Impact of surveillance of hospital-acquired infections on the incidence of ventilator-associated pneumonia in intensive care units: a quasi-experimental study. Crit Care 2012;16:R161.Google Scholar
8. Vanhems, P, Lepape, A, Savey, A, Jambou, P, Fabry, J. Nosocomial pulmonary infection by antimicrobial-resistant bacteria of patients hospitalized in intensive care units: risk factors and survival. J Hosp Infect 2000;45:98106.CrossRefGoogle ScholarPubMed
9. Januel, JM, Harbarth, S, Allard, R, et al. Estimating attributable mortality due to nosocomial infections acquired in intensive care units. Infect Control Hosp Epidemiol 2010;31:388394.Google Scholar
10. Pingleton, SK, Fagon, JY, Leeper, KV Jr. Patient selection for clinical investigation of ventilator-associated pneumonia: criteria for evaluating diagnostic techniques. Chest 1992;102:553S556S.Google Scholar