A systematic review of central-line-associated bloodstream infection (CLABSI) diagnostic reliability and error

Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
Emily N LarsenJoan Webster

Abstract

To establish the reliability of the application of National Health and Safety Network (NHSN) central-line-associated bloodstream infection (CLABSI) criteria within established reporting systems internationally. Diagnostic-test accuracy systematic review. We conducted a search of Medline, SCOPUS, the Cochrane Library, CINAHL (EbscoHost), and PubMed (NCBI). Cohort studies were eligible for inclusion if they compared publicly reported CLABSI rates and were conducted by independent and expertly trained reviewers using NHSN/Centers for Disease Control (or equivalent) criteria. Two independent reviewers screened, extracted data, and assessed risk of bias using the QUADAS 2 tool. Sensitivity, specificity, negative and positive predictive values were analyzed. A systematic search identified 1,259 publications; 9 studies were eligible for inclusion (n = 7,160 central lines). Publicly reported CLABSI rates were more likely to be underestimated (7 studies) than overestimated (2 studies). Specificity ranged from 0.70 (95% confidence interval [CI], 0.58-0.81) to 0.99 (95% CI, 0.99-1.00) and sensitivity ranged from 0.42 (95% CI, 0.15-0.72) to 0.88 (95% CI, 0.77-0.95). Four studies, which included a consecutive series of patients (whole cohor...Continue Reading

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Citations

Feb 7, 2021·Antimicrobial Resistance and Infection Control·I E HeijtingUNKNOWN Working Group on Neonatal Infectious Diseases of the Section of Neonatology of the Dutch Paediatric Society
Mar 6, 2021·Computers in Biology and Medicine·Azade TabaieRishikesan Kamaleswaran
Oct 5, 2021·Frontiers in Pediatrics·Azade TabaieRishikesan Kamaleswaran

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