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

11 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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