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A systematic review of variability in the reporting of extracorporeal membrane oxygenation-associated infections and recommendations for standardization.
Sweet, Lauren M; Marcus, Joseph E.
Afiliação
  • Sweet LM; Infectious Diseases Service, Department of Medicine, Brooke Army Medical Center, Joint Base San Antonio-Fort Sam Houston, Houston, TX; Department of Medicine, Uniformed Services University, Bethesda, MD. Electronic address: lauren.m.sweet2.mil@health.mil.
  • Marcus JE; Infectious Diseases Service, Department of Medicine, Brooke Army Medical Center, Joint Base San Antonio-Fort Sam Houston, Houston, TX; Department of Medicine, Uniformed Services University, Bethesda, MD. Electronic address: joseph.e.marcus3.mil@health.mil.
Am J Infect Control ; 52(10): 1209-1214, 2024 Oct.
Article em En | MEDLINE | ID: mdl-38761852
ABSTRACT

BACKGROUND:

Extracorporeal membrane oxygenation (ECMO) utilization has surged in recent years, particularly amidst the COVID-19 pandemic, yet standardization of ECMO-associated infection (EAI) reporting remains lacking.

METHODS:

This systematic review assessed 60 studies from 2018 to 2023 in PubMed, which used key words related to EAIs. Adherence to reporting data elements that may bias reporting, including the use of standardized rates of infections per 1,000 patient days, describing the use of antimicrobial prophylaxis, infection control, and culture practices, describing the definitions for infection by site, and listing pathogens by infection site were evaluated by study.

RESULTS:

Our review revealed considerable heterogeneity in data elements and infection definitions. While 51 (85%) studies reported definition by site, only 17 (28%) reported infection control practices, and only 5 (8%) studies adhered to all the identified essential reporting elements. Variation in infection rates was also evident across the definitions, with studies using their own definition having the greatest variability in reported infection rates. Microbiological differences by geographic region further underscored the need for standardized reporting and challenges with generalizability in the EAI literature.

CONCLUSIONS:

Our findings underscore the imperative for consensus on ECMO infection definitions and transparent reporting practices to facilitate meaningful comparisons and advance patient care protocols.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Oxigenação por Membrana Extracorpórea / Infecção Hospitalar / Notificação de Doenças Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Oxigenação por Membrana Extracorpórea / Infecção Hospitalar / Notificação de Doenças Idioma: En Ano de publicação: 2024 Tipo de documento: Article