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

doi:10.1016/j.ajic.2016.04.240

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

Am J Infect Control. 2016 Dec 1;44(12):1744-1746. doi: 10.1016/j.ajic.2016.04.240. Epub 2016 Jul 7.

Authors

Karim El-Kersh¹, Juan Guardiola², Rodrigo Cavallazzi², Timothy L Wiemken³, Jesse Roman², Mohamed Saad²

Affiliations

¹ Department of Internal Medicine, Division of Pulmonary, Critical Care, and Sleep Disorders Medicine, University of Louisville, Louisville, KY. Electronic address: [email protected].
² Department of Internal Medicine, Division of Pulmonary, Critical Care, and Sleep Disorders Medicine, University of Louisville, Louisville, KY.
³ Department of Internal Medicine, Division of Infectious Diseases, University of Louisville, Louisville, KY.

PMID: 27397908
DOI: 10.1016/j.ajic.2016.04.240

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.

Keywords: CLABSI; Infection; VAP.

MeSH terms

Catheter-Related Infections / epidemiology*
Critical Care / methods*
Intensive Care Units
Pneumonia, Ventilator-Associated / epidemiology*
Prevalence
Retrospective Studies
Tertiary Care Centers