Central line-associated bloodstream infection surveillance outside the intensive care unit: A multicenter survey Journal Article
| Authors: | Son, C. H; Daniels, T. L.; Eagan, J. A.; Edmond, M. B.; Fishman, N. O.; Fraser, T. G.; Kamboj, M.; Maragakis, L. L.; Mehta, S. A.; Perl, T. M.; Phillips, M. S.; Price, C. S.; Talbot, T. R.; Wilson, S. J.; Sepkowitz, K. A. |
| Article Title: | Central line-associated bloodstream infection surveillance outside the intensive care unit: A multicenter survey |
| 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 and Setting: 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 (n=4), or another automated method (n=1). 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. © 2012 by The Society for Healthcare Epidemiology of America. All rights reserved. |
| Keywords: | controlled study; united states; quality control; demography; health survey; risk factor; hospital; health care utilization; intensive care unit; hospital patient; tertiary health care; catheter infection; infection control; catheter-related infections; hospitals, urban; health care surveys; cross infection; disease surveillance; catheterization, central venous; computerized provider order entry; hospitals, university; tertiary care centers |
| Journal Title: | Infection Control and Hospital Epidemiology |
| Volume: | 33 |
| Issue: | 9 |
| ISSN: | 0899-823X |
| Publisher: | The Society for Healthcare Epidemiology of America |
| Date Published: | 2012-01-01 |
| Start Page: | 869 |
| End Page: | 874 |
| Language: | English |
| DOI: | 10.1086/667378 |
| PROVIDER: | scopus |
| PUBMED: | 22869259 |
| PMCID: | PMC3670413 |
| DOI/URL: | |
| Notes: | --- - "Export Date: 4 September 2012" - "CODEN: ICEPE" - "Source: Scopus" |
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