"Adiós Bacteriemias": a multi-country quality improvement collaborative project to reduce the incidence of CLABSI in Latin American ICUs

Autores
Arrieta, Jafet; Orrego, Carola; Macchiavello, Dolores; Mora, Nuria; Delgado, Pedro; Giuffré, Carolina; Garcia Elorrio, Ezequiel; Rodriguez, Viviana
Año de publicación
2019
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Quality Problem: The incidence of central line-associated bloodstream infections (CLABSI) in Latin America has been estimated at 4.9 episodes per 1000 central line (CL) days, compared to a pooled incidence of 0.9 in the United States. CLABSI usually result from not adhering to standardized health procedures and can be prevented using evidence-based practices. Initial Assessment: The first phase of the ?Adiós Bacteriemias? Collaborative was implemented in 39 intensive care units (ICUs) from Latin America from September 2012 to September 2013 with a 56% overall reduction in the incidence of CLABSI. Choice of Solution: Bundles of care for the processes of insertion and maintenance of CLs have proven to be effective in the reduction of CLABSI across different settings. Implementation: Building on the results of the first phase, we implemented a second phase of the ?Adiós Bacteriemias? Collaborative between June 2014-July 2015. We adapted the Breakthrough Series (BTS) Collaborative model to guide the adoption of bundles of care for CLABSI prevention through virtual learning sessions and continuous feedback. Evaluation: Eighty-three ICUs from five Latin American countries actively reported process and outcome measures. The overall reduction in the CLABSI incidence rate was 22% (incidence rate 0.78; 95% CI 0.65, 0.95), from 2.58 episodes per 1000 CL days at baseline to 2.02 episodes per 1000 CL days (P < 0.01) during the intervention period. Lessons Learned: Adiós Bacteriemias was effective in reducing the incidence of CLABSI and improving the adherence to good practices for CL insertion and maintenance processes in participating ICUs in Latin America.
Fil: Arrieta, Jafet. Harvard University. Harvard School of Public Health; Estados Unidos
Fil: Orrego, Carola. Fundacion Avedis Donabedian; España
Fil: Macchiavello, Dolores. Instituto Alexander Fleming; Argentina
Fil: Mora, Nuria. Fundacion Avedis Donabedian; España
Fil: Delgado, Pedro. Harvard University. Harvard School of Public Health; Estados Unidos
Fil: Giuffré, Carolina. Hospital Británico de Buenos Aires; Argentina
Fil: Garcia Elorrio, Ezequiel. Hospital Alemán; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Rodriguez, Viviana. Hospital Alemán; Argentina
Materia
BUNDLES OF CARE
COLLABORATIVE
HEALTH-CARE ASSOCIATED INFECTIONS
INTENSIVE CARE
MULTI-COUNTY
QUALITY IMPROVEMENT
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/155676
Acceder
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oai_identifier_str oai:ri.conicet.gov.ar:11336/155676
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling "Adiós Bacteriemias": a multi-country quality improvement collaborative project to reduce the incidence of CLABSI in Latin American ICUsArrieta, JafetOrrego, CarolaMacchiavello, DoloresMora, NuriaDelgado, PedroGiuffré, CarolinaGarcia Elorrio, EzequielRodriguez, VivianaBUNDLES OF CARECOLLABORATIVEHEALTH-CARE ASSOCIATED INFECTIONSINTENSIVE CAREMULTI-COUNTYQUALITY IMPROVEMENThttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Quality Problem: The incidence of central line-associated bloodstream infections (CLABSI) in Latin America has been estimated at 4.9 episodes per 1000 central line (CL) days, compared to a pooled incidence of 0.9 in the United States. CLABSI usually result from not adhering to standardized health procedures and can be prevented using evidence-based practices. Initial Assessment: The first phase of the ?Adiós Bacteriemias? Collaborative was implemented in 39 intensive care units (ICUs) from Latin America from September 2012 to September 2013 with a 56% overall reduction in the incidence of CLABSI. Choice of Solution: Bundles of care for the processes of insertion and maintenance of CLs have proven to be effective in the reduction of CLABSI across different settings. Implementation: Building on the results of the first phase, we implemented a second phase of the ?Adiós Bacteriemias? Collaborative between June 2014-July 2015. We adapted the Breakthrough Series (BTS) Collaborative model to guide the adoption of bundles of care for CLABSI prevention through virtual learning sessions and continuous feedback. Evaluation: Eighty-three ICUs from five Latin American countries actively reported process and outcome measures. The overall reduction in the CLABSI incidence rate was 22% (incidence rate 0.78; 95% CI 0.65, 0.95), from 2.58 episodes per 1000 CL days at baseline to 2.02 episodes per 1000 CL days (P < 0.01) during the intervention period. Lessons Learned: Adiós Bacteriemias was effective in reducing the incidence of CLABSI and improving the adherence to good practices for CL insertion and maintenance processes in participating ICUs in Latin America.Fil: Arrieta, Jafet. Harvard University. Harvard School of Public Health; Estados UnidosFil: Orrego, Carola. Fundacion Avedis Donabedian; EspañaFil: Macchiavello, Dolores. Instituto Alexander Fleming; ArgentinaFil: Mora, Nuria. Fundacion Avedis Donabedian; EspañaFil: Delgado, Pedro. Harvard University. Harvard School of Public Health; Estados UnidosFil: Giuffré, Carolina. Hospital Británico de Buenos Aires; ArgentinaFil: Garcia Elorrio, Ezequiel. Hospital Alemán; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Rodriguez, Viviana. Hospital Alemán; ArgentinaOxford University Press2019-11info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/155676Arrieta, Jafet; Orrego, Carola; Macchiavello, Dolores; Mora, Nuria; Delgado, Pedro; et al.; "Adiós Bacteriemias": a multi-country quality improvement collaborative project to reduce the incidence of CLABSI in Latin American ICUs; Oxford University Press; International Journal For Quality In Health Care; 31; 9; 11-2019; 704-7111353-4505CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://academic.oup.com/intqhc/advance-article/doi/10.1093/intqhc/mzz051/5516473info:eu-repo/semantics/altIdentifier/doi/10.1093/intqhc/mzz051info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-29T09:50:10Zoai:ri.conicet.gov.ar:11336/155676instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-29 09:50:11.113CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv "Adiós Bacteriemias": a multi-country quality improvement collaborative project to reduce the incidence of CLABSI in Latin American ICUs
title "Adiós Bacteriemias": a multi-country quality improvement collaborative project to reduce the incidence of CLABSI in Latin American ICUs
spellingShingle "Adiós Bacteriemias": a multi-country quality improvement collaborative project to reduce the incidence of CLABSI in Latin American ICUs
Arrieta, Jafet
BUNDLES OF CARE
COLLABORATIVE
HEALTH-CARE ASSOCIATED INFECTIONS
INTENSIVE CARE
MULTI-COUNTY
QUALITY IMPROVEMENT
title_short "Adiós Bacteriemias": a multi-country quality improvement collaborative project to reduce the incidence of CLABSI in Latin American ICUs
title_full "Adiós Bacteriemias": a multi-country quality improvement collaborative project to reduce the incidence of CLABSI in Latin American ICUs
title_fullStr "Adiós Bacteriemias": a multi-country quality improvement collaborative project to reduce the incidence of CLABSI in Latin American ICUs
title_full_unstemmed "Adiós Bacteriemias": a multi-country quality improvement collaborative project to reduce the incidence of CLABSI in Latin American ICUs
title_sort "Adiós Bacteriemias": a multi-country quality improvement collaborative project to reduce the incidence of CLABSI in Latin American ICUs
dc.creator.none.fl_str_mv Arrieta, Jafet
Orrego, Carola
Macchiavello, Dolores
Mora, Nuria
Delgado, Pedro
Giuffré, Carolina
Garcia Elorrio, Ezequiel
Rodriguez, Viviana
author Arrieta, Jafet
author_facet Arrieta, Jafet
Orrego, Carola
Macchiavello, Dolores
Mora, Nuria
Delgado, Pedro
Giuffré, Carolina
Garcia Elorrio, Ezequiel
Rodriguez, Viviana
author_role author
author2 Orrego, Carola
Macchiavello, Dolores
Mora, Nuria
Delgado, Pedro
Giuffré, Carolina
Garcia Elorrio, Ezequiel
Rodriguez, Viviana
author2_role author
author
author
author
author
author
author
dc.subject.none.fl_str_mv BUNDLES OF CARE
COLLABORATIVE
HEALTH-CARE ASSOCIATED INFECTIONS
INTENSIVE CARE
MULTI-COUNTY
QUALITY IMPROVEMENT
topic BUNDLES OF CARE
COLLABORATIVE
HEALTH-CARE ASSOCIATED INFECTIONS
INTENSIVE CARE
MULTI-COUNTY
QUALITY IMPROVEMENT
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Quality Problem: The incidence of central line-associated bloodstream infections (CLABSI) in Latin America has been estimated at 4.9 episodes per 1000 central line (CL) days, compared to a pooled incidence of 0.9 in the United States. CLABSI usually result from not adhering to standardized health procedures and can be prevented using evidence-based practices. Initial Assessment: The first phase of the ?Adiós Bacteriemias? Collaborative was implemented in 39 intensive care units (ICUs) from Latin America from September 2012 to September 2013 with a 56% overall reduction in the incidence of CLABSI. Choice of Solution: Bundles of care for the processes of insertion and maintenance of CLs have proven to be effective in the reduction of CLABSI across different settings. Implementation: Building on the results of the first phase, we implemented a second phase of the ?Adiós Bacteriemias? Collaborative between June 2014-July 2015. We adapted the Breakthrough Series (BTS) Collaborative model to guide the adoption of bundles of care for CLABSI prevention through virtual learning sessions and continuous feedback. Evaluation: Eighty-three ICUs from five Latin American countries actively reported process and outcome measures. The overall reduction in the CLABSI incidence rate was 22% (incidence rate 0.78; 95% CI 0.65, 0.95), from 2.58 episodes per 1000 CL days at baseline to 2.02 episodes per 1000 CL days (P < 0.01) during the intervention period. Lessons Learned: Adiós Bacteriemias was effective in reducing the incidence of CLABSI and improving the adherence to good practices for CL insertion and maintenance processes in participating ICUs in Latin America.
Fil: Arrieta, Jafet. Harvard University. Harvard School of Public Health; Estados Unidos
Fil: Orrego, Carola. Fundacion Avedis Donabedian; España
Fil: Macchiavello, Dolores. Instituto Alexander Fleming; Argentina
Fil: Mora, Nuria. Fundacion Avedis Donabedian; España
Fil: Delgado, Pedro. Harvard University. Harvard School of Public Health; Estados Unidos
Fil: Giuffré, Carolina. Hospital Británico de Buenos Aires; Argentina
Fil: Garcia Elorrio, Ezequiel. Hospital Alemán; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Rodriguez, Viviana. Hospital Alemán; Argentina
description Quality Problem: The incidence of central line-associated bloodstream infections (CLABSI) in Latin America has been estimated at 4.9 episodes per 1000 central line (CL) days, compared to a pooled incidence of 0.9 in the United States. CLABSI usually result from not adhering to standardized health procedures and can be prevented using evidence-based practices. Initial Assessment: The first phase of the ?Adiós Bacteriemias? Collaborative was implemented in 39 intensive care units (ICUs) from Latin America from September 2012 to September 2013 with a 56% overall reduction in the incidence of CLABSI. Choice of Solution: Bundles of care for the processes of insertion and maintenance of CLs have proven to be effective in the reduction of CLABSI across different settings. Implementation: Building on the results of the first phase, we implemented a second phase of the ?Adiós Bacteriemias? Collaborative between June 2014-July 2015. We adapted the Breakthrough Series (BTS) Collaborative model to guide the adoption of bundles of care for CLABSI prevention through virtual learning sessions and continuous feedback. Evaluation: Eighty-three ICUs from five Latin American countries actively reported process and outcome measures. The overall reduction in the CLABSI incidence rate was 22% (incidence rate 0.78; 95% CI 0.65, 0.95), from 2.58 episodes per 1000 CL days at baseline to 2.02 episodes per 1000 CL days (P < 0.01) during the intervention period. Lessons Learned: Adiós Bacteriemias was effective in reducing the incidence of CLABSI and improving the adherence to good practices for CL insertion and maintenance processes in participating ICUs in Latin America.
publishDate 2019
dc.date.none.fl_str_mv 2019-11
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/155676
Arrieta, Jafet; Orrego, Carola; Macchiavello, Dolores; Mora, Nuria; Delgado, Pedro; et al.; "Adiós Bacteriemias": a multi-country quality improvement collaborative project to reduce the incidence of CLABSI in Latin American ICUs; Oxford University Press; International Journal For Quality In Health Care; 31; 9; 11-2019; 704-711
1353-4505
CONICET Digital
CONICET
url http://hdl.handle.net/11336/155676
identifier_str_mv Arrieta, Jafet; Orrego, Carola; Macchiavello, Dolores; Mora, Nuria; Delgado, Pedro; et al.; "Adiós Bacteriemias": a multi-country quality improvement collaborative project to reduce the incidence of CLABSI in Latin American ICUs; Oxford University Press; International Journal For Quality In Health Care; 31; 9; 11-2019; 704-711
1353-4505
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/https://academic.oup.com/intqhc/advance-article/doi/10.1093/intqhc/mzz051/5516473
info:eu-repo/semantics/altIdentifier/doi/10.1093/intqhc/mzz051
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
application/pdf
dc.publisher.none.fl_str_mv Oxford University Press
publisher.none.fl_str_mv Oxford University Press
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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score 13.070432

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