Reaching consensus on a home infusion central line-associated bloodstream infection surveillance definition via a modified Delphi approach
Reaching consensus on a home infusion central line-associated bloodstream infection surveillance definition via a modified Delphi approach
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DOI：
10.1016/j.ajic.2019.12.015
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发表时间：
2020-09-01
影响因子：
4.9
通讯作者：
Cosgrove, Sara E.
中科院分区：
文献类型：
--
作者：
Keller, Sara;Salinas, Alejandra;Cosgrove, Sara E.
背景：需要对家庭输液中中心线相关血流感染（CLABSI）监测定义达成共识，以标准化测量和基准CLABSI，为推动改进举措提供数据。方法：召集包括家庭输液治疗、传染病和卫生保健流行病学在内的各个领域的专家，执行3步修正德尔菲法，以获取输入并就候选家庭输液CLABSI定义达成共识。结果：分子标准被参与者确定为涉及以下2项之一：(1)从血培养中分离出公认的病原体，病原体与其他部位的感染无关，或(2)以下体征或症状之一：38摄氏度（100.4华氏度）的发烧，寒战或低血压（收缩压）
Background: A consensus on a central line-associated bloodstream infection (CLABSI) surveillance definition in home infusion is needed to standardize measurement and benchmark CLABSI to provide data to drive improvement initiativesMethods: Experts across fields including home infusion therapy, infectious diseases, and healthcare epidemiology convened to perform a 3-step modified Delphi approach to obtain input and achieve consensus on a candidate home infusion CLABSI definition.Results: The numerator criterionwas identified by participants as involving one of the 2 following: (1) recognized pathogen isolated from blood culture and pathogen is not related to infection at another site, or (2) one of the following signs or symptoms: fever of 38 degrees C (100.4 degrees F), chills, or hypotension (systolic blood pressure