Case vignettes to evaluate the accuracy of identifying healthcare-associated infections by surveillance persons

The Journal of Hospital Infection
C SchröderC Geffers

Abstract

National surveillance systems depend on accurate and reproducible diagnosis of infections. To investigate the effect of accuracy of diagnosing healthcare-associated infections (HCAIs) on HCAI rates in a national healthcare-associated surveillance system. Data from the validation process from the intensive care unit (ICU) surveillance component of the German Krankenhaus Infektions Surveillance System (KISS; Hospital Infection Surveillance System) were used to calculate the accuracy of diagnosing HCAI for each individual surveillance person (SP) responsible for surveillance of HCAI in the ICU of his or her hospital. Multivariate analyses were performed to identify factors that were attributed to surveillance accuracy. A total of 189 SPs responsible for surveillance in 218 ICUs assessed 30 case vignettes. The chance of belonging to the group of SPs with high accuracy was increased by being a physician (odds ratio: 3.14; P = 0.02) and by being an external SP (odds ratio: 4.69; P ≤ 0.01). ICU HCAI rates depend on the sensitivity of the ICU's SP [incidence rate ratio (IRR): 1.28 (1.07, 1.53); P ≤ 0.01]. High sensitivity increases healthcare-associated urinary tract infection rates [IRR: 1.33 (1.02, 1.75); P = 0.03] and bloodstream in...Continue Reading

References

Jun 5, 1998·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·T G EmoriR P Gaynes
Dec 5, 2008·The Journal of Hospital Infection·Petra GastmeierChristine Geffers
Jul 17, 2010·The Journal of Hospital Infection·M D MasiaUNKNOWN Italian Study Group of Hospital Hygiene (GISIO)

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Citations

Dec 31, 2019·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Stephanie M van RoodenMaaike S M van Mourik

Feb 1, 2020·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
Jun 4, 2016·Current Opinion in Infectious Diseases·Petra Gastmeier, Michael Behnke
Jan 11, 2020·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Peter BischoffChristine Geffers
Mar 8, 2018·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Maaike S M van MourikMarc J M Bonten
Jul 5, 2021·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·Stephanie M van RoodenUNKNOWN PRAISE network
Jul 5, 2021·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·Michael BehnkeUNKNOWN PRAISE network
Jul 5, 2021·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·Maaike S M van MourikUNKNOWN PRAISE network

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