HISTORY OF INICC
Ø INICC, International Nosocomial Infection Control Consortium, evolves from itinerant information work and training that started in the 90’s by Dr. Victor D. Rosenthal (VDR).
Ø In 1993, Dr. Víctor Rosenthal joins the group of medical doctors in charge of drafting the National Infection Control Guidelines of the Infectious Diseases Society of Argentina (SADI).
Ø Meanwhile, nosocomial infections are measured by means of the methodology based on the CDC, Centers for Disease Control and Prevention, in the US.
Ø In 1993, when comparing rates with their American counterpart, he notices a difference of 5 to 1 above the American standard.
Ø In 1998, five years after the SADI guidelines were published, he notices that, at the health-care centers where he works as an infectious diseases doctor, Guidelines are not applied: “regulations on their own do not bring about changes in healthcare-workers’ behavior,” he said. From this fact is that the idea of implementing Process Surveillance to monitor compliance with Infection Control Guidelines evolves.
Ø On the other hand, healthcare workers claim that infections in patients are caused by risk factors. So, in addition, he implements Outcome Surveillance, which would allow the detection of specific risk factors.
Ø Facing the negative resistance directors and managers had towards the applying of this methodology, Dr. Rosenthal initiates the measurement of extra mortality, extra cost and other costs related to the extension of the length of hospital stay. Such was the birth of the concept of Cost-effectiveness of Nosocomial Infection Control, which would now generate the interest of healthcare facilities managers.
Ø Between 1998 and 2000 VDR forms a group of three hospitals in Buenos Aires, which were pioneers in the application of the new methodology: systematic recollection of processes and results epidemiologic vigilance data. That was the origin of the actual international database and, starting from which the possibility of establishing INICC developed standards for limited- resourced countries.
Ø Since 1999, there are significant improvements in the first results of the implementation of Outcome and Process Surveillance; that is, compliance with the Guidelines is associated to the reduction of NI.
Ø Then this methodology is applied by VDR in the three hospitals with encouraging results, and results are published in peer reviewed journals and presented in scientific meetings.
Ø In 2002, Dr. Rosenthal is invited to give a presentation on this topic in Colombia, Mexico, Chile, Brazil, Peru and Turkey. In all of these countries, healthcare workers asked to be trained in this methodology, whereas the Health Department of Bogota, Colombia, and the Under Secretary for Innovation and Quality of Mexico require his assistance and counseling.
Ø This is the year in which INICC emerges as an International Network, with the participation of Mexico, the first country to report data from its hospitals and healthcare centers.
Ø In 2002, the cosmopolite aspect of INICC reflects in its structure: the Countries Coordination, in charge of presidents and directors of Scientific Societies of the participant countries and an Expert International Assessors Group, accompany the President, thus forming a real International Scientific Community.
Ø In 2003, training and information activities intensify around the world, in response to increasing requests received as the Infection Control Program is made known. The INICC methodology is disseminated and continues to be made increasingly known worldwide. Brazil, Colombia, Peru and Turkey join INICC.
Ø In 2004, India and Morocco join INICC.
Ø In 2005, the Joint Commission International invites INICC to present data and share their presentation with representatives of IFIC and WHO, two organizations that offer INICC to work in alliance with them to support Infection Control and Surveillance in hospitals of limited-resource countries.
Ø That same year, Dr Rosenthal starts to work as a WHO Infection Control Guidelines reviewer. The Philippines and Croatia join INICC.
Ø In 2006, INICC’s first multicentric study is published in the peer reviewed journal “Annals of Internal Medicine”, placing itself as the world standard for the developing countries. This year the INICC Board is established. Pakistan, Kosova and Macedonia join INICC.
Ø In 2007, FLIN, Foundation Against Nosocomial Infections, is set up with the aim to support INICC’s scientific activities. Uruguay, El Salvador, Costa Rica, Lebanon, Nigeria and Cuba join INICC.
Ø In 2008, following its development, China, Panama, Tunisia and Venezuela join INICC.
Ø In 2009, Greece, Lithuania and Vietnam also join this boosting organization.
Ø In 2010 INICC is joined by the Kingdom of Saudi Arabia, Bulgaria, Egypt, Jordan, Malaysia, Poland, Puerto Rico, Dominican Republic, Singapore, Sri Lanka, Sudan, and Thailand.
Ø In November 2010 the protocol for the surveillance of surgical site infections is designed and from July 2011 it is implemented together with the surveillance of device-associated infections.
Ø In 2011 Slovakia and Serbia join INICC.
Ø In 2012, INICC is joined by Czech Republic, Bolivia, Ecuador, Iran and Romania.
Ø In 2013, INICC launch its online application, called “INICC Online System”.
Ø In 2013, INICC is joined by Botswana, Guatemala, Mongolia and Uruguay.
Ø In 2014, INICC is joined by Cyprus, Indonesia, Kenya, Kuwait, Libya, Nepal, Nicaragua, Qatar, Paraguay, Russia, Sultanate of Oman, Ukraine, United Arab Emirates and Yemen.
Ø In 2015, INICC is joined by more hospitals from Egypt, Iran, Kingdom of Saudi Arabia, Colombia, Turkey, and India..
Ø In 2016, INICC is joined by Bahrain, Palestine, and Papua New Guinea. Ø In 2017, INICC is joined by Paraguay, and more centers from Argentina, Brazil, Cuba, India, Indonesia, Mexico, Mongolia, Poland and Philippines. Ø At present, 1,998 investigators participate actively in INICC, reporting their data from 460 healthcare centers in 423 cities of 69 countries in Africa, Latin America, South-East Asia, Europe, Eastern Mediterranean, and Western Pacific.
Ø In 2017, INICC is joined by Paraguay, and more centers from Argentina, Brazil, Cuba, India, Indonesia, Mexico, Mongolia, Poland and Philippines. Ø At present, 1,998 investigators participate actively in INICC, reporting their data from 460 healthcare centers in 423 cities of 69 countries in Africa, Latin America, South-East Asia, Europe, Eastern Mediterranean, and Western Pacific.
Ø At present, 1,998 investigators participate actively in INICC, reporting their data from 460 healthcare centers in 423 cities of 69 countries in Africa, Latin America, South-East Asia, Europe, Eastern Mediterranean, and Western Pacific.