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El-Kersh K, Guardiola J, Cavallazzi R, et al. 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;44(12):1744-1746doi: 10.1016/j.ajic.2016.04.240.
El-Kersh, K., Guardiola, J., Cavallazzi, R., Wiemken, T. L., Roman, J., & Saad, M. (2016). Open and closed models of intensive care unit have different influences on infectious complications in a tertiary care center: A retrospective data analysis. American journal of infection control, 44(12), 1744-1746. https://doi.org/10.1016/j.ajic.2016.04.240
El-Kersh, Karim, et al. "Open and closed models of intensive care unit have different influences on infectious complications in a tertiary care center: A retrospective data analysis." American journal of infection control vol. 44,12 (2016): 1744-1746. doi: https://doi.org/10.1016/j.ajic.2016.04.240
El-Kersh K, Guardiola J, Cavallazzi R, Wiemken TL, Roman J, Saad M. 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 01;44(12):1744-1746. doi: 10.1016/j.ajic.2016.04.240. Epub 2016 Jul 07. PMID: 27397908.
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Am J Infect Control. 2016 Dec 01;44(12):1744-1746. doi: 10.1016/j.ajic.2016.04.240. Epub 2016 Jul 07.

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

American journal of infection control

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

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.

Copyright © 2016 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

Keywords: CLABSI; Infection; VAP

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