TY - JOUR T1 - Impact of removing sinks from an intensive care unit on isolations by gram-negative non-fermenting bacilli in patients with invasive mechanical ventilation JO - Medicina Clínica (English Edition) T2 - AU - de-las-Casas-Cámara,Gonzalo AU - Giráldez-García,Carolina AU - Adillo-Montero,Maria Isabel AU - Muñoz-Egea,María Carmen AU - Martín-Ríos,María Dolores SN - 23870206 M3 - 10.1016/j.medcle.2018.06.014 DO - 10.1016/j.medcle.2018.06.014 UR - https://www.elsevier.es/en-revista-medicina-clinica-english-edition--462-articulo-impact-removing-sinks-from-an-S2387020619300762 AB - Introduction and objectiveContamination of sinks, even due to their underuse, is associated with the transmission of non-fermenting gram-negative bacilli (NFGNB) to patients in Augmented Care Units. After previous monitoring with environmental and patient samples, we now explore the impact of removing sinks from ICU cubicles on incidental isolations related to health care in bronchoaspirate samples of patients with invasive mechanical ventilation (IMV). Material and methodsQuasi-experimental study, before-and-after, pre-intervention annuities April 2014–2016 and post-intervention April 2016–2017. Incidence densities per 1000 days of IMV were studied, comparing by the exact method based on the binomial distribution and estimating the incidence density ratio. ResultsThe incidence densities per 1000 days of IMV of isolations by NFGNB in bronchoaspirate samples of the pre and post-intervention periods were 11.28 and 1.9, respectively. This implies a post-intervention incidence density 5.90 times lower than before (95% CI: 1.49–51.05, p=0.003). ConclusionsDespite of the limitations of the design, the removal of sinks showed a reduction of the isolations. ER -