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Table 3 Adjusted incidence rate ratios (aIRR) of intervention versus baseline periods for the outcome CLABSI with any pathogen stratified by incidence densities (ID) of CLABSI at baseline < or ≥ 0.8 CLABSI/1000 CL-days according to study group (post-hoc analysis)

From: Central-line associated bloodstream infections in intensive care units before and after implementation of daily antiseptic bathing with chlorhexidine or octenidine: a post-hoc analysis of a cluster-randomised controlled trial

Outcome/group

Chlorhexidine

Octenidine

Routine care (control arm)

aIRR (95% CI)

P value

P value (Type III)

aIRR (95% CI)

P value

P value (Type III)

aIRR (95% CI)

P value

P value (Type III)

CLABSI with any pathogen

         

 ICUs with incidence density of CLABSI at baseline < 0.8 CLABSI/1,000 CL days

n = 11 ICUs

  

n = 13 ICUs

  

n = 12 ICUs

  

  Baseline period

1 = reference

  

1 = reference

  

1 = reference

  

  Intervention period

0.88 (0.42–1.86)

0.7390

0.7373

2.59 (1.61–4.17)

 < .0001

0.0383*

0.67 (0.3–1.52)

0.3390

0.3626

  Mechanical ventilation use (per 1%)

1.01 (0.99–1.03)

0.4830

0.4275

1.01 (0.98–1.04)

0.3760

0.3927

0.99 (0.96–1.03)

0.7080

0.7800

  Length of stay (per 1 day)

0.74 (0.53–1.04)

0.0830

0.1320

1.05 (0.65–1.68)

0.8520

0.8602

1.13 (0.93–1.38)

0.2070

0.3666

 ICUs with incidence density of CLABSI at baseline ≥ 0.8 CLABSI/1000 CL days

n = 13 ICUs

  

n = 11 ICUs

  

n = 12 ICUs

  

  Baseline period

1 = reference

  

1 = reference

  

1 = reference

  

  Intervention period

0.61 (0.42–0.88)

0.0080

0.0226*

0.98 (0.58–1.64)

0.9380

0.9365

1.06 (0.63–1.78)

0.8210

0.8242

  Mechanical ventilation use (per 1%)

1.02 (1–1.03)

0.0160

0.0912

1 (0.99–1.02)

0.8200

0.8405

1.01 (0.99–1.02)

0.4090

0.4278

  Length of stay (per 1 day)

0.95 (0.85–1.06)

0.3540

0.3631

1.09 (1.02–1.17)

0.0100

0.2590

1.14 (1.02–1.27)

0.0250

0.0505

  1. CLABSI central line associated bloodstream infection. 95% CI 95% confidence interval, aIRR adjusted incidence rate ratios. Separate GEE models were based on monthly aggregated data, negative binomial distribution, accounted for clustering effects and were calculated with the log number of CL days as offset variable. Parameters considered in all models were mechanical ventilation use and length of stay. *P values (type III test) < 0.05 were considered significant