Increasing the Reliability of Fully Automated Surveillance for Central Line-Associated Bloodstream Infections

Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
Rachael E SnydersKeith F Woeltje

Abstract

To increase reliability of the algorithm used in our fully automated electronic surveillance system by adding rules to better identify bloodstream infections secondary to other hospital-acquired infections. Intensive care unit (ICU) patients with positive blood cultures were reviewed. Central line-associated bloodstream infection (CLABSI) determinations were based on 2 sources: routine surveillance by infection preventionists, and fully automated surveillance. Discrepancies between the 2 sources were evaluated to determine root causes. Secondary infection sites were identified in most discrepant cases. New rules to identify secondary sites were added to the algorithm and applied to this ICU population and a non-ICU population. Sensitivity, specificity, predictive values, and kappa were calculated for the new models. Of 643 positive ICU blood cultures reviewed, 68 (10.6%) were identified as central line-associated bloodstream infections by fully automated electronic surveillance, whereas 38 (5.9%) were confirmed by routine surveillance. New rules were tested to identify organisms as central line-associated bloodstream infections if they did not meet one, or a combination of, the following: (I) matching organisms (by genus and sp...Continue Reading

References

Jan 1, 2004·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Michael ClimoEdward Wong
Apr 20, 2006·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Ralf-Peter VonbergP Gastmeier
Jul 11, 2007·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Jonas MarschallDavid K Warren
Aug 21, 2008·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Keith F WoeltjeThomas C Bailey
Dec 17, 2009·American Journal of Infection Control·Jonathan R EdwardsTeresa C Horan
Oct 21, 2011·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Keith F WoeltjeJoshua A Doherty
Aug 8, 2012·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Crystal H SonKent A Sepkowitz
Aug 12, 2014·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Keith F WoeltjeWilliam E Trick

❮ Previous
Next ❯

Citations

May 16, 2017·Current Opinion in Infectious Diseases·Meander E SipsMaaike S M van Mourik
Jun 4, 2016·Current Opinion in Infectious Diseases·Petra Gastmeier, Michael Behnke
Jul 10, 2018·Journal of the American Medical Informatics Association : JAMIA·Robert W GrundmeierSusan E Coffin
Apr 14, 2017·Surgical Infections·Kenrick D CatoElaine Larson

❮ Previous
Next ❯

Related Concepts

Related Feeds

Bioinformatics in Biomedicine

Bioinformatics in biomedicine incorporates computer science, biology, chemistry, medicine, mathematics and statistics. Discover the latest research on bioinformatics in biomedicine here.

Related Papers

Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
Keith F WoeltjeThomas C Bailey
Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
Matthew F NiednerMarlene R Miller
Journal of Burn Care & Research : Official Publication of the American Burn Association
Amanda Venable, Sharmila Dissanaike
Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
Tal MannKeith S Kaye
© 2021 Meta ULC. All rights reserved