Variations in identification of healthcare-associated infections.
Variations in identification of healthcare-associated infections.
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DOI：
10.1086/670999
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发表时间：
2013-07
影响因子：
4.5
通讯作者：
Lautenbach E
中科院分区：
文献类型：
--
作者：
Keller SC;Linkin DR;Fishman NO;Lautenbach E
很少有人知道那些执行医疗相关感染（HAI）监测的人是否对疾病控制和预防中心的国家医疗安全网络（NHSN）制定的HAI定义有不同的解释。我们的主要目标是使用临床小插曲来描述这些解释的变化。我们还描述了响应变化的预测因子。横断面研究。美国的美国卫生保健流行病学协会（SHEA）研究网络的美国成员样本。受访者评估6个临床小插曲中的每一个是否符合NHSN定义的HAI标准。还收集了个人和机构一级的数据。调查分发给来自126家医院的143名SHEA研究网络成员。总共获得了113份回复，代表至少61家独特的医院（30名受访者没有确定医院）; 79.2%（106份非缺失回复中的84份）是感染预防专家，79.4%（102份非缺失回复中的81份）在学术医院工作。在6个小插曲中，受访者正确描述小插曲的比例低至27.3%。结合所有6个小插曲，正确回答的平均百分比为61.1%（95%置信区间，57.7%-63.8%）。正确回答的百分比与临床背景（即护理或医生学位）的存在相关，但与医院规模或感染预防和控制部门的特点无关。在本次感染预防专家和医院流行病学家的调查中，HAI定义的应用存在很大的异质性。我们的数据表明，需要更好地澄清这些定义，特别是在比较各机构的HAI率时。
Little is known about whether those performing healthcare-associated infection (HAI) surveillance vary in their interpretations of HAI definitions developed by the Centers for Disease Control and Prevention’s National Healthcare Safety Network (NHSN). Our primary objective was to characterize variations in these interpretations using clinical vignettes. We also describe predictors of variation in responses. Cross-sectional study. United States. A sample of US-based members of the Society for Healthcare Epidemiology of America (SHEA) Research Network. Respondents assessed whether each of 6 clinical vignettes met criteria for an NHSN-defined HAI. Individual- and institutional-level data were also gathered. Surveys were distributed to 143 SHEA Research Network members from 126 hospitals. In total, 113 responses were obtained, representing at least 61 unique hospitals (30 respondents did not identify a hospital); 79.2% (84 of 106 nonmissing responses) were infection preventionists, and 79.4% (81 of 102 nonmissing responses) worked at academic hospitals. Among the 6 vignettes, the proportion of respondents correctly characterizing the vignettes was as low as 27.3%. Combining all 6 vignettes, the mean percentage of correct responses was 61.1% (95% confidence interval, 57.7%–63.8%). Percentage of correct responses was associated with presence of a clinical background (ie, nursing or physician degrees) but not with hospital size or infection prevention and control department characteristics. Substantial heterogeneity exists in the application of HAI definitions in this survey of infection preventionists and hospital epidemiologists. Our data suggest a need to better clarify these definitions, especially when comparing HAI rates across institutions.
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影响因子：
4.9
作者：
Niedner, Matthew F.
通讯作者：
Niedner, Matthew F.
影响因子：
3
作者：
Stone PW;Glied SA;McNair PD;Matthes N;Cohen B;Landers TF;Larson EL
通讯作者：
Larson EL
影响因子：
4.5
作者：
Leal, Jenine;Gregson, Daniel B.;Laupland, Kevin B.
通讯作者：
Laupland, Kevin B.
DOI：
10.1086/650169
发表时间：
2010-02-15
期刊：
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
影响因子：
--
作者：
Lautenbach E;Saint S;Henderson DK;Harris AD
通讯作者：
Harris AD
影响因子：
6.9
作者：
Masia, M. D.;Barchitta, M.;Agodi, A.
通讯作者：
Agodi, A.