Observational studyRevista Brasileira de terapia intensiva2022
Success factors of a collaborative project to reduce healthcare-associated infections in intensive care units in Northeastern Brazil.
Observational study in Revista Brasileira de terapia intensiva, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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The trial behind it
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Evaluation of health technology implementation in the Brazilian public health system: a systematic review.BMC health services research · 2025Pooled it
- Institutional volume and postoperative efficiency as determinants of in-hospital mortality after coronary artery bypass grafting: a multilevel analysis in São Paulo, Brazil.Critical care science · 2026Article
- Fighting antimicrobial resistance in Brazil: strengthening diagnostic stewardship, antimicrobial stewardship, and policies for a healthier future.Frontiers in public health · 2025Review
- The burden of healthcare-associated infections in Brazil: multi-hospital point prevalence using a matched case-control study.Sao Paulo medical journal = Revista paulista de medicina · 2025Article
- Motivational drivers for health professionals in a large quality improvement collaborative project in Brazil: a qualitative study.BMC health services research · 2024Article
- Daily Chlorhexidine Bath for Health Care Associated Infection Prevention (CLEAN-IT): protocol for a multicenter cluster randomized crossover open-label trial.Critical care science · 2024Article
- VATICAN (Ventilator-Associated Tracheobronchitis Initiative to Conduct Antibiotic Evaluation): protocol for a multicenter randomized open-label trial of watchful waiting versus antimicrobial therapy for ventilator-associated tracheobronchitis.Critical care science · 2024Article
- A National Implementation Project to Prevent Healthcare-Associated Infections in Intensive Care Units: A Collaborative Initiative Using the Breakthrough Series Model.Open forum infectious diseases · 2023Article
- Tackling healthcare-associated infections in Brazilian intensive care units: we need more than collaboration.Revista Brasileira de terapia intensiva · 2022Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo describe the implementation and results of the collaborative PROADI-SUS project by the Brazilian Ministry of Health to reduce healthcare-associated infections: ventilator-associated pneumonia, primary central line-associated bloodstream infection and catheter-associated urinary tract infections.
methodsThis was a prospective observational study that investigated the implementation stages and outcomes during 18 months in five intensive care units in the city of Recife. Reductions in healthcare-associated infections in each unit were calculated using previous medians compared to those of the study period.
resultsThe goal of reducing the three healthcare-associated infections, i.e., 30% in 18 months, was achieved in at least one of the healthcare-associated infections and was also achieved for two healthcare-associated infections in two hospitals and three healthcare-associated infections in just one hospital; the latter reached the target of 36 months. Implementing the bundles and monitoring the results by the professionals were considered essential actions by the local management teams. In addition, the acquisition of supplies and their availability alongside the beds, signage, checklists, staff awareness, adaptation, team building, training and celebration of achievements were assessed as being relevant for reducing healthcare-associated infections.
conclusionThe collaborative approach reduced healthcare-associated infections, despite partial adherence to the bundles. The hypothesis is that success is related to the project methodology and motivated multidisciplinary teams, especially nursing teams.
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