Abstract

This article is one of ten reviews selected from the Annual Update in Intensive Care and Emergency Medicine 2015 and co-published as a series in Critical Care. Other articles in the series can be found online at http://ccforum.com/series/annualupdate2015. Further information about the Annual Update in Intensive Care and Emergency Medicine is available from http://www.springer.com/series/8901.

Highlights

  • Over the last few decades, a dramatic worldwide increase in infection rates by multidrug-resistant (MDR) pathogens has occurred, which is acknowledged as a public health crisis [1]

  • Previous programs in Spanish Intensive Care Unit (ICU) The Spanish Society of Intensive Care Medicine and Coronary Care Units (SEMICYUC) and the Spanish Society of Intensive Care Nursing (SEEIUC) have recently completed their role as technical lead for two programs aimed at reducing ICU-acquired infections, namely catheter-related bloodstream infections [“Zero Bacteremia”] and ventilator-associated pneumonia (VAP) [“Zero VAP”]

  • Secondary objectives are to study the epidemiology of MDR infections in Spanish ICUs, to be able to distinguish imported from ICU-acquired cases, to promote and strengthen safety assurance in participating units, and to create a network of ICUs implementing safe, and evidence-based practices

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Summary

Introduction

Over the last few decades, a dramatic worldwide increase in infection rates by multidrug-resistant (MDR) pathogens has occurred, which is acknowledged as a public health crisis [1]. Previous programs in Spanish ICUs The Spanish Society of Intensive Care Medicine and Coronary Care Units (SEMICYUC) and the Spanish Society of Intensive Care Nursing (SEEIUC) have recently completed their role as technical lead for two programs aimed at reducing ICU-acquired infections, namely catheter-related bloodstream infections [“Zero Bacteremia”] and ventilator-associated pneumonia (VAP) [“Zero VAP”]. Both projects were developed within a framework of “Zero Tolerance”. Because acquiring an infection may be the result of errors in patient-care, all three programs were designed to reduce and prevent these by incorporating an integral patient safety program [16]

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