Table 2. Changes in incidence of MRSA in three different phases of intervention.
Immediate intervention impact | Pre- intervention trend | Change in trend | ||||||
Phase 2 vs Phase 1 | Phase 3 vs Phase 2 | Phase 3 vs Phases 1 & 21 | ||||||
IRR (95% CI)2;p-value | Percent change(95% CI)3 | IRR (95% CI)2;p-value | Percent change(95% CI)3 | IRR (95% CI)2;p-value | Percent change(95% CI)3 | IRR (95% CI)2;p-value | Percent change(95% CI)3 | |
Incidence rate of hospital-acquiredMRSA per 1000 admissions | 0.637 (0.560, 0.724);p<0.001 | −36.3%(−44.0%, −27.6%) | 0.726 (0.625, 0.842);p<0.001 | −27.4%(−37.5%, −15.8%) | NS | NS | NS | NS |
Incidence rate of hospital-acquiredMRSA per 1000 patient-days | 0.696 (0.612, 0.791);p<0.001 | −30.4%(−38.8%, −20.9%) | 0.759 (0.654, 0.881);p<0.001 | −24.1%(−34.6%, −11.9%) | NS | NS | NS | NS |
Incidence rate of hospital-acquiredMRSA per 1000 MRSA-positive-days | 0.804 (0.652, 0.990);p = 0.040 | −19.6%(−34.8%, −1.0%) | 0.781 (0.615, 0.990);p = 0.041 | −21.9%(−38.5%, −1.0%) | 1.006 (1.002, 1.011);p = 0.007 | 0.6%(0.2%, 1.1%) | 0.982 (0.971, 0.992);p = 0.001 | −1.8%(−2.9%, −0.8%) |
Note. Phase 1: baseline observation period; phase 2: launch of the first intervention - hand hygiene campaign; phase 3: continuation of phase 2 plus launch of the second intervention - contact precautions;
Insignificant change in trend in Phase 2 vs Phase 1 was found for all models, implying the same slope within Phases 1 and 2;
IRR denotes incidence rate ratio obtained from segmented Poisson regression, and CI denotes confidence intervals;
Percentage change in incidence rate obtained from (IRR−1)×100%; NS, not significant.