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Metadados | Descrição | Idioma |
---|---|---|
Autor(es): dc.contributor | Universidade Estadual Paulista (Unesp) | - |
Autor(es): dc.creator | Fortaleza, Carlos Magno Castelo Branco [UNESP] | - |
Autor(es): dc.creator | Filho, Sebastião Pires Ferreira [UNESP] | - |
Autor(es): dc.creator | Silva, Marina de Oliveira [UNESP] | - |
Autor(es): dc.creator | Queiroz, Sandra Mara [UNESP] | - |
Autor(es): dc.creator | Cavalcante, Ricardo de Souza [UNESP] | - |
Data de aceite: dc.date.accessioned | 2022-02-22T00:43:41Z | - |
Data de disponibilização: dc.date.available | 2022-02-22T00:43:41Z | - |
Data de envio: dc.date.issued | 2021-06-25 | - |
Data de envio: dc.date.issued | 2021-06-25 | - |
Data de envio: dc.date.issued | 2020-09-01 | - |
Fonte completa do material: dc.identifier | http://dx.doi.org/10.1016/j.bjid.2020.08.004 | - |
Fonte completa do material: dc.identifier | http://hdl.handle.net/11449/205187 | - |
Fonte: dc.identifier.uri | http://educapes.capes.gov.br/handle/11449/205187 | - |
Descrição: dc.description | Background: Infection control interventions can be erroneously interpreted if outcomes are assessed in short periods. Also, statistical methods usually applied to compare outcomes before and after interventions are not appropriate for analyzing time series. Aims: To analyze the impact of a bundle directed at reducing the incidence of ventilator-associated pneumonia (VAP) and other device-associated infections in two medical-surgical intensive care units (ICU) in Brazil. Methods: Our study had a quasi-experimental design. Interrupted time series analyses (ITS) was performed assessing monthly rates of overall healthcare-associated infections (HCAI), VAP, laboratory-confirmed central line associated bloodstream infections (CLABSI) and catheter-associated urinary tract infections (CAUTI), from January 2007 through June 2019. Moreover, multivariate ITS was adjusted for seasonality in Poisson regression models. An intervention based on a bundle for VAP prevention was introduced in August 2010. Findings: The intervention was followed by sustained reduction in overall HCAI, VAP and CLABSI in both ICU. Continuous post-intervention trends towards reduction were detected for overall HCAI and VAP. Conclusion: Interventions aimed at preventing one specific site of infection may have sustained impact on other HCAI, which can be documented using time series analyses. | - |
Descrição: dc.description | Fundação de Amparo à Pesquisa do Estado de Alagoas | - |
Descrição: dc.description | Universidade do Estado de São Paulo(UNESP) Faculdade de Medicina de Botucatu Department of Infectious Diseases | - |
Descrição: dc.description | Universidade do Estado de São Paulo(UNESP) Faculdade de Medicina de Botucatu Department of Infectious Diseases | - |
Descrição: dc.description | Fundação de Amparo à Pesquisa do Estado de Alagoas: 2015/06521-8 | - |
Formato: dc.format | 373-379 | - |
Idioma: dc.language | en | - |
Relação: dc.relation | Brazilian Journal of Infectious Diseases | - |
???dc.source???: dc.source | Scopus | - |
Palavras-chave: dc.subject | Bundle | - |
Palavras-chave: dc.subject | Central line-associated bloodstream infections | - |
Palavras-chave: dc.subject | Interrupted time series | - |
Palavras-chave: dc.subject | Ventilator-associated pneumonia | - |
Título: dc.title | Sustained reduction of healthcare-associated infections after the introduction of a bundle for prevention of ventilator-associated pneumonia in medical-surgical intensive care units | - |
Tipo de arquivo: dc.type | livro digital | - |
Aparece nas coleções: | Repositório Institucional - Unesp |
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