Ten years of KISS: The most important requirements for success

Gastmeier, Petra; Sohr, Dorit; Schwab, Frank J.; Behnke, Michael; Zuschneid, Irina; Brandt, Christian; Dettenkofer, Markus; Chaberny, Iris F.; Rüden, H.; Geffers, Christine

doi:10.1016/s0195-6701(08)60005-5

Cited by 128 publications

(68 citation statements)

References 17 publications

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“…9,25 Recently, other countries have also successfully applied feedback of infection surveillance data to achieve significant reductions in rates of nosocomial infection. 39,40 The hospitals of developed industrialized countries might consider adding process surveillance and its feedback to their current use of surveillance data on nosocomial infection rates.…”

Section: Discussionmentioning

confidence: 99%

Impact of International Nosocomial Infection Control Consortium (INICC) Strategy on Central Line–Associated Bloodstream Infection Rates in the Intensive Care Units of 15 Developing Countries

Rosenthal¹,

Maki²,

Rodrigues

et al. 2010

Infect. Control Hosp. Epidemiol.

145

117

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background. The International Nosocomial Infection Control Consortium (INICC) was established in 15 developing countries to reduce infection rates in resource-limited hospitals by focusing on education and feedback of outcome surveillance (infection rates) and process surveillance (adherence to infection control measures). We report a time-sequence analysis of the effectiveness of this approach in reducing rates of central line-associated bloodstream infection (CLABSI) and associated deaths in 86 intensive care units with a minimum of 6-month INICC membership.methods. Pooled CLABSI rates during the first 3 months (baseline) were compared with rates at 6-month intervals during the first 24 months in 53,719 patients (190,905 central line-days). Process surveillance results at baseline were compared with intervention period data.results. During the first 6 months, CLABSI incidence decreased by 33% (from 14.5 to 9.7 CLABSIs per 1,000 central line-days). Over the first 24 months there was a cumulative reduction from baseline of 54% (from 16.0 to 7.4 CLABSIs per 1,000 central line-days; relative risk, 0.46 [95% confidence interval, 0.33-0.63];). The number of deaths in patients with CLABSI decreased by 58%. During the P ! .001 intervention period, hand hygiene adherence improved from 50% to 60% ( ); the percentage of intensive care units that used P ! .001 maximal sterile barriers at insertion increased from 45% to 85% ( ), that adopted chlorhexidine for antisepsis increased from 7% P ! .001 to 27% ( ), and that sought to remove unneeded catheters increased from 37% to 83% ( ); and the duration of central P p .018 P p .004 line placement decreased from 4.1 to 3.5 days ( ). P ! .001 conclusions. Education, performance feedback, and outcome and process surveillance of CLABSI rates significantly improved infection control adherence, reducing the CLABSI incidence by 54% and the number of CLABSI-associated deaths by 58% in INICC hospitals during the first 2 years.

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Section: Discussionmentioning

confidence: 99%

Impact of International Nosocomial Infection Control Consortium (INICC) Strategy on Central Line–Associated Bloodstream Infection Rates in the Intensive Care Units of 15 Developing Countries

Rosenthal¹,

Maki²,

Rodrigues

et al. 2010

Infect. Control Hosp. Epidemiol.

145

117

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“…The authors acknowledge that other explanations, such as a national effort to reduce HAIs, may have also influenced these results. 24 Other well described national HAI surveillance programs include the Krankenhaus Infektions Surveillance System (KISS) in Germany, 25 the UK, 26 Spain, 27,28 France, 29 Scotland, 30 and the Netherlands. 31 In Germany, Gastmeier demonstrated significant reductions in HAI of 20-30% over a 3-year period in hospitals participating in the Krankenhaus Infektions Surveillance System program.…”

Section: International Hai Surveillance Programs and Impactmentioning

confidence: 99%

Healthcare-associated infections in Australia: time for national surveillance

Russo

Cheng

Richards

et al. 2015

Aust. Health Review

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Objective. Healthcare-associated infection (HAI) surveillance programs are critical for infection prevention. Australia does not have a comprehensive national HAI surveillance program. The purpose of this paper is to provide an overview of established international and Australian statewide HAI surveillance programs and recommend a pathway for the development of a national HAI surveillance program in Australia.Methods. This study examined existing HAI surveillance programs through a literature review, a review of HAI surveillance program documentation, such as websites, surveillance manuals and data reports and direct contact with program representatives.Results. Evidence from international programs demonstrates national HAI surveillance reduces the incidence of HAIs. However, the current status of HAI surveillance activity in Australian states is disparate, variation between programs is not well understood, and the quality of data currently used to compose national HAI rates is uncertain.Conclusions. There is a need to develop a well-structured, evidence-based national HAI program in Australia to meet the increasing demand for validated reliable national HAI data. Such a program could be leveraged off the work of existing Australian and international programs. What is known about the topic?There is a large volume of literature demonstrating the effectiveness of national HAI surveillance programs in reducing the incidence of HAIs. Although some of the larger states of Australia have individual programs, a formalised national program does not exist. A well structured national HAI program in Australia would improve the understanding of the epidemiology of HAIs in Australia and provide high quality data for performance monitoring and ensuring that HAI prevention interventions are targeted appropriately. What does this paper add? This paper reviews well established international HAI surveillance programs and highlights the benefits and limitations of these programs, and identifies the gaps that currently exist in Australia. The paper then maps out a pathway towards the development of a national program. What are the implications for practitioners? This paper will act as a guide for future research and policy activities required for the establishment of a national HAI surveillance program in Australia.

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“…SSI were registered and recorded at the German Nosocomial Infection Surveillance System (Krankenhaus Infections Surveillance System, KISS) [19]. The participation on this surveillance was approved by the Institutional Board on the Ethics of Clinical Studies.…”

Section: Patient Selectionmentioning

confidence: 99%