Open and closed models of intensive care unit have different influences on infectious complications in a tertiary care center: A retrospective data analysis

Karim El-Kersh, Juan Guardiola, Rodrigo Cavallazzi, Timothy L. Wiemken, Jesse Roman, Mohamed Saad

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

Infectious complications in the intensive care unit (ICU) are associated with higher morbidity, mortality, and increased health care use. Here, we report the results of implementing 2 different models (open vs closed) on infectious complications in the ICU. The closed ICU model was associated with 52% reduction in ventilator-associated pneumonia rate (P = .038) and 25% reduction in central line-associated bloodstream infection rate (P = .631). We speculate that a closed ICU model allows clinical leadership centralization that further facilitates standardized care delivery that translates into fewer infectious complications.

Original languageEnglish (US)
Pages (from-to)1744-1746
Number of pages3
JournalAmerican Journal of Infection Control
Volume44
Issue number12
DOIs
StatePublished - Dec 1 2016
Externally publishedYes

Keywords

  • CLABSI
  • Infection
  • VAP

ASJC Scopus subject areas

  • Epidemiology
  • Health Policy
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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