Central line-associated bloodstream infection surveillance outside the intensive care unit: a multicenter survey.
Infect Control Hosp Epidemiol
; 33(9): 869-74, 2012 Sep.
Article
en En
| MEDLINE
| ID: mdl-22869259
ABSTRACT
OBJECTIVE:
The success of central line-associated bloodstream infection (CLABSI) prevention programs in intensive care units (ICUs) has led to the expansion of surveillance at many hospitals. We sought to compare non-ICU CLABSI (nCLABSI) rates with national reports and describe methods of surveillance at several participating US institutions. DESIGN ANDSETTING:
An electronic survey of several medical centers about infection surveillance practices and rate data for non-ICU patients.PARTICIPANTS:
Ten tertiary care hospitals.METHODS:
In March 2011, a survey was sent to 10 medical centers. The survey consisted of 12 questions regarding demographics and CLABSI surveillance methodology for non-ICU patients at each center. Participants were also asked to provide available rate and device utilization data.RESULTS:
Hospitals ranged in size from 238 to 1,400 total beds (median, 815). All hospitals reported using Centers for Disease Control and Prevention (CDC) definitions. Denominators were collected by different means counting patients with central lines every day (5 hospitals), indirectly estimating on the basis of electronic orders ([Formula see text]), or another automated method ([Formula see text]). Rates of nCLABSI ranged from 0.2 to 4.2 infections per 1,000 catheter-days (median, 2.5). The national rate reported by the CDC using 2009 data from the National Healthcare Surveillance Network was 1.14 infections per 1,000 catheter-days.CONCLUSIONS:
Only 2 hospitals were below the pooled CLABSI rate for inpatient wards; all others exceeded this rate. Possible explanations include differences in average central line utilization or hospital size in the impact of certain clinical risk factors notably absent from the definition and in interpretation and reporting practices. Further investigation is necessary to determine whether the national benchmarks are low or whether the hospitals surveyed here represent a selection of outliers.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Hospitales Urbanos
/
Cateterismo Venoso Central
/
Infección Hospitalaria
/
Control de Infecciones
/
Infecciones Relacionadas con Catéteres
/
Centros de Atención Terciaria
/
Hospitales Universitarios
Tipo de estudio:
Clinical_trials
/
Risk_factors_studies
/
Screening_studies
Límite:
Humans
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Infect Control Hosp Epidemiol
Asunto de la revista:
DOENCAS TRANSMISSIVEIS
/
ENFERMAGEM
/
EPIDEMIOLOGIA
/
HOSPITAIS
Año:
2012
Tipo del documento:
Article
País de afiliación:
Estados Unidos