At each member hospital, researchers received training about surveillance procedures from the INICC Chairman (VDR).
Each month the completed surveillance forms from participating hospital were sent to INICC headquarters in Buenos Aires.
When discrepancies were encountered, the INICC contacted the hospital research teams via electronic mail; the judgement of the principal investigator and ICP of the participating hospital was final.
Each month, the INICC team prepared individual reports for each participating hospital.
In INICC member hospitals, surveillance is conducted by the use of forms specially designed to gather patient data, including patients with and without DAIs.
External adjudication applied by the INICC results in increased accuracy regarding infections reported.
They had ongoing assistance from a support team at the INICC headquarters in Buenos Aires who answered relevant queries--further checked by the INICC Chairman--within 24 hours of reception.
Every month, the participating hospitals sent completed surveillance forms to the INICC office in Buenos Aires where the validity of each case was checked against recorded symptoms (fever, blood pressure) and cultures.
Adjudication is a unique feature of INICC outcome surveillance and is considered essential not only for maximizing the accuracy of surveillance data, but also, for assessing on an ongoing basis the capacity of the ICP and principal investigator at each hospital to accurately identify DAIs.
On a monthly basis, the INICC Headquarters team prepared and sent to each participating hospital a report on their institutional rates of device-associated infection, bacterial profile, bacterial resistance, length of stay, and mortality in their ICU or ICUs.
In contrast, the form used by INICC is designed to continuously prompt the surveillance officer to suspect DAIs because the form provides an overview of what is happening each day to every patient in the ICU in terms of vital signs, exposure to invasive devices, the results of cultures, and antibiotic therapy given.