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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.

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