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Original Article09-12-2022
Success factors of a collaborative project to reduce healthcare-associated infections in intensive care units in Northeastern Brazil
- Ladjane Santos Wolmer de Melo
, - Thaís Moreira Estevão ,
- Juliana Sousa de Castro Chaves ,
- Janaina Maria Silva Vieira ,
- Marialba de Morais Siqueira , [ ... ],
- Heloisa Ramos Lacerda
Abstract
Original ArticleSuccess factors of a collaborative project to reduce healthcare-associated infections in intensive care units in Northeastern Brazil
Revista Brasileira de Terapia Intensiva. 2022;34(3):327-334
DOI 10.5935/0103-507X.20220070-en
- Ladjane Santos Wolmer de Melo ,
- Thaís Moreira Estevão ,
- Juliana Sousa de Castro Chaves ,
- Janaina Maria Silva Vieira ,
- Marialba de Morais Siqueira ,
- Iêda Ludmer Guedes Alcoforado ,
- Cláudia Fernanda de Lacerda Vidal ,
- Heloisa Ramos Lacerda
Views118ABSTRACT
Objective:
To describe the implementation and results of the collaborative PROADI-SUS project by the Brazilian Ministry of Health to reduce healthcare-associated infections: ventilator-associated pneumonia, primary central line-associated bloodstream infection and catheter-associated urinary tract infections.
Methods:
This was a prospective observational study that investigated the implementation stages and outcomes during 18 months in five intensive care units in the city of Recife. Reductions in healthcare-associated infections in each unit were calculated using previous medians compared to those of the study period.
Results:
The goal of reducing the three healthcare-associated infections, i.e., 30% in 18 months, was achieved in at least one of the healthcare-associated infections and was also achieved for two healthcare-associated infections in two hospitals and three healthcare-associated infections in just one hospital; the latter reached the target of 36 months. Implementing the bundles and monitoring the results by the professionals were considered essential actions by the local management teams. In addition, the acquisition of supplies and their availability alongside the beds, signage, checklists, staff awareness, adaptation, team building, training and celebration of achievements were assessed as being relevant for reducing healthcare-associated infections.
Conclusion:
The collaborative approach reduced healthcare-associated infections, despite partial adherence to the bundles. The hypothesis is that success is related to the project methodology and motivated multidisciplinary teams, especially nursing teams.
Keywords:Health evaluationHealthcare-associated pneumoniaImplementation scienceInfectionsintensive care unitsOutcome and process assessment (Health Care)Outcome assessment (Health Care)Patient safetyProgram developmentQuality improvementRespiration, artificialSee moreViews118
Abstract
Original ArticleSuccess factors of a collaborative project to reduce healthcare-associated infections in intensive care units in Northeastern Brazil
Revista Brasileira de Terapia Intensiva. 2022;34(3):327-334
DOI 10.5935/0103-507X.20220070-en
- Ladjane Santos Wolmer de Melo ,
- Thaís Moreira Estevão ,
- Juliana Sousa de Castro Chaves ,
- Janaina Maria Silva Vieira ,
- Marialba de Morais Siqueira ,
- Iêda Ludmer Guedes Alcoforado ,
- Cláudia Fernanda de Lacerda Vidal ,
- Heloisa Ramos Lacerda
Views118ABSTRACT
Objective:
To describe the implementation and results of the collaborative PROADI-SUS project by the Brazilian Ministry of Health to reduce healthcare-associated infections: ventilator-associated pneumonia, primary central line-associated bloodstream infection and catheter-associated urinary tract infections.
Methods:
This was a prospective observational study that investigated the implementation stages and outcomes during 18 months in five intensive care units in the city of Recife. Reductions in healthcare-associated infections in each unit were calculated using previous medians compared to those of the study period.
Results:
The goal of reducing the three healthcare-associated infections, i.e., 30% in 18 months, was achieved in at least one of the healthcare-associated infections and was also achieved for two healthcare-associated infections in two hospitals and three healthcare-associated infections in just one hospital; the latter reached the target of 36 months. Implementing the bundles and monitoring the results by the professionals were considered essential actions by the local management teams. In addition, the acquisition of supplies and their availability alongside the beds, signage, checklists, staff awareness, adaptation, team building, training and celebration of achievements were assessed as being relevant for reducing healthcare-associated infections.
Conclusion:
The collaborative approach reduced healthcare-associated infections, despite partial adherence to the bundles. The hypothesis is that success is related to the project methodology and motivated multidisciplinary teams, especially nursing teams.
Keywords:Health evaluationHealthcare-associated pneumoniaImplementation scienceInfectionsintensive care unitsOutcome and process assessment (Health Care)Outcome assessment (Health Care)Patient safetyProgram developmentQuality improvementRespiration, artificialSee more
- Ladjane Santos Wolmer de Melo
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Review Article01-20-2019
Ventilator-associated tracheobronchitis: an update
- Jorge Ibrain Figueira Salluh,
- Vicente Cés de Souza-Dantas ,
- Ignacio Martin-Loeches,
- Thiago Costa Lisboa,
- Ligia Sarmet Cunha Farah Rabello, [ ... ],
- Pedro Póvoa
Abstract
Review ArticleVentilator-associated tracheobronchitis: an update
Revista Brasileira de Terapia Intensiva. 2019;31(4):541-547
DOI 10.5935/0103-507X.20190079
- Jorge Ibrain Figueira Salluh,
- Vicente Cés de Souza-Dantas ,
- Ignacio Martin-Loeches,
- Thiago Costa Lisboa,
- Ligia Sarmet Cunha Farah Rabello,
- Saad Nseir ,
- Pedro Póvoa
Views65ABSTRACT
Ventilator-associated lower respiratory tract infection is one of the most frequent complications in mechanically ventilated patients. Ventilator-associated tracheobronchitis has been considered a disease that does not warrant antibiotic treatment by the medical community for many years. In the last decade, several studies have shown that tracheobronchitis could be considered an intermediate process that leads to ventilator-associated pneumonia. Furthermore, ventilator-associated tracheobronchitis has a limited impact on overall mortality but shows a significant association with increased patient costs, length of stay, antibiotic use, and duration of mechanical ventilation. Although we still need clear evidence, especially concerning treatment modalities, the present study on ventilator-associated tracheobronchitis highlights that there are important impacts of including this condition in clinical management and epidemiological and infection surveillance.
Keywords:critical careHealthcare-associated pneumoniamortalityNosocomial infectionpneumoniaPneumonia, ventilator-associatedVentilator-associated tracheobronchitisSee moreViews65Abstract
Review ArticleVentilator-associated tracheobronchitis: an update
Revista Brasileira de Terapia Intensiva. 2019;31(4):541-547
DOI 10.5935/0103-507X.20190079
- Jorge Ibrain Figueira Salluh,
- Vicente Cés de Souza-Dantas ,
- Ignacio Martin-Loeches,
- Thiago Costa Lisboa,
- Ligia Sarmet Cunha Farah Rabello,
- Saad Nseir ,
- Pedro Póvoa
Views65ABSTRACT
Ventilator-associated lower respiratory tract infection is one of the most frequent complications in mechanically ventilated patients. Ventilator-associated tracheobronchitis has been considered a disease that does not warrant antibiotic treatment by the medical community for many years. In the last decade, several studies have shown that tracheobronchitis could be considered an intermediate process that leads to ventilator-associated pneumonia. Furthermore, ventilator-associated tracheobronchitis has a limited impact on overall mortality but shows a significant association with increased patient costs, length of stay, antibiotic use, and duration of mechanical ventilation. Although we still need clear evidence, especially concerning treatment modalities, the present study on ventilator-associated tracheobronchitis highlights that there are important impacts of including this condition in clinical management and epidemiological and infection surveillance.
Keywords:critical careHealthcare-associated pneumoniamortalityNosocomial infectionpneumoniaPneumonia, ventilator-associatedVentilator-associated tracheobronchitisSee more
Healthcare-associated pneumonia Archives - Critical Care Science (CCS)
