> Detailanzeige

Dantes, Raymund B.; Abbo, Lilian M.; Anderson, Deverick; Hall, Lisa; Han, Jennifer H.; Harris, Anthony D.; Leekha, Surbhi; Milstone, Aaron M.; Morgan, Daniel J.; Safdar, Nasia; Schweizer, Marin L.; Sengupta, Sharmila; Seo, Susan K.; Rock, Clare

Hospital epidemiologists’ and infection preventionists’ opinions regarding hospital-onset bacteremia and fungemia as a potential healthcare-associated infection metric

Literatur-
verwaltung

Zur
Merkliste

Lösche von
Merkliste

Per Whatsapp teilen

Schließen

Merkliste



Sie können Bookmarks mittels Listen verwalten, loggen Sie sich dafür bitte in Ihr SLUB Benutzerkonto ein.
  • Medientyp: E-Artikel
  • Titel: Hospital epidemiologists’ and infection preventionists’ opinions regarding hospital-onset bacteremia and fungemia as a potential healthcare-associated infection metric
  • Beteiligte: Dantes, Raymund B.; Abbo, Lilian M.; Anderson, Deverick; Hall, Lisa; Han, Jennifer H.; Harris, Anthony D.; Leekha, Surbhi; Milstone, Aaron M.; Morgan, Daniel J.; Safdar, Nasia; Schweizer, Marin L.; Sengupta, Sharmila; Seo, Susan K.; Rock, Clare
  • Erschienen: Cambridge University Press (CUP), 2019
  • Erschienen in: Infection Control & Hospital Epidemiology
  • Sprache: Englisch
  • DOI: 10.1017/ice.2019.40
  • ISSN: 0899-823X; 1559-6834
  • Entstehung:
  • Anmerkungen:
  • Beschreibung: <jats:title>Abstract</jats:title><jats:sec id="S0899823X19000400_as1"><jats:title>Objective:</jats:title><jats:p>To ascertain opinions regarding etiology and preventability of hospital-onset bacteremia and fungemia (HOB) and perspectives on HOB as a potential outcome measure reflecting quality of infection prevention and hospital care.</jats:p></jats:sec><jats:sec id="S0899823X19000400_as2"><jats:title>Design:</jats:title><jats:p>Cross-sectional survey.</jats:p></jats:sec><jats:sec id="S0899823X19000400_as3"><jats:title>Participants:</jats:title><jats:p>Hospital epidemiologists and infection preventionist members of the Society for Healthcare Epidemiology of America (SHEA) Research Network.</jats:p></jats:sec><jats:sec id="S0899823X19000400_as4"><jats:title>Methods:</jats:title><jats:p>A web-based, multiple-choice survey was administered via the SHEA Research Network to 133 hospitals.</jats:p></jats:sec><jats:sec id="S0899823X19000400_as5"><jats:title>Results:</jats:title><jats:p>A total of 89 surveys were completed (67% response rate). Overall, 60% of respondents defined HOB as a positive blood culture on or after hospital day 3. Central line-associated bloodstream infections and intra-abdominal infections were perceived as the most frequent etiologies. Moreover, 61% thought that most HOB events are preventable, and 54% viewed HOB as a measure reflecting a hospital’s quality of care. Also, 29% of respondents’ hospitals already collect HOB data for internal purposes. Given a choice to publicly report central-line–associated bloodstream infections (CLABSIs) and/or HOB, 57% favored reporting either HOB alone (22%) or in addition to CLABSI (35%) and 34% favored CLABSI alone.</jats:p></jats:sec><jats:sec id="S0899823X19000400_as6"><jats:title>Conclusions:</jats:title><jats:p>Among the majority of SHEA Research Network respondents, HOB is perceived as preventable, reflective of quality of care, and potentially acceptable as a publicly reported quality metric. Further studies on HOB are needed, including validation as a quality measure, assessment of risk adjustment, and formation of evidence-based bundles and toolkits to facilitate measurement and improvement of HOB rates.</jats:p></jats:sec>