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https://www.readbyqxmd.com/read/27881213/impact-and-limitations-of-the-2015-national-health-and-safety-network-case-definition-on-catheter-associated-urinary-tract-infection-rates
#1
Ana Cecilia Bardossy, Rachna Jayaprakash, Anjali C Alangaden, Patricia Starr, Odaliz Abreu-Lanfranco, Katherine Reyes, Marcus J Zervos, George J Alangaden
Application of the new 2015 NHSN definition of catheter-associated urinary tract infection (CAUTI) in intensive care units reduced CAUTI rates by ~50%, primarily due to exclusion of candiduria. This significant reduction in CAUTI rates resulting from the changes in the definition must be considered when evaluating effectiveness of CAUTI prevention programs. Infect Control Hosp Epidemiol 2016;1-3.
November 24, 2016: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/27879565/surgical-wound-infection-rates-and-risk-factors-in-spinal-fusion-in-a-university-teaching-hospital-in-madrid-spain
#2
Ana Isabel Hijas-Gómez, Rosa María Egea-Gámez, Javier Martínez-Martín, Rafael Conrado González-Díaz, José Isaac Losada-Viñas, Gil Rodríguez-Caravaca
STUDY DESIGN: Prospective cohort study. OBJECTIVE: To study risk factors linked to spinal fusion surgical wound infection (SWI) incidence and compare the incidence to rates in Madrid Region, Spain and USA as a whole. SUMMARY OF BACKGROUND DATA: Surgical wound infection (SWI) is one of the complications posed by spinal surgery. Indeed, spinal surgery has a higher infection rate than do other orthopaedic surgeries such as total hip or knee arthroplasty...
November 22, 2016: Spine
https://www.readbyqxmd.com/read/27858954/how-often-do-clinically-diagnosed-catheter-associated-urinary-tract-infections-in-nursing-homes-meet-standardized-criteria
#3
Chelsie E Armbruster, Katherine Prenovost, Harry L T Mobley, Lona Mody
OBJECTIVES: To determine the relationship between clinically diagnosed catheter-associated urinary tract infection (CAUTI) and standardized criteria and to assess microorganism-level differences in symptom burden in a cohort of catheterized nursing home (NH) residents. DESIGN: Post hoc analysis of a prospective longitudinal study. SETTING: Twelve NHs in southeast Michigan. PARTICIPANTS: NH residents with indwelling urinary catheters (n = 233; 90% white, 52% male, mean age 73...
November 14, 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27852357/a-multifaceted-approach-to-reduction-of-catheter-associated-urinary-tract-infections-in-the-intensive-care-unit-with-an-emphasis-on-stewardship-of-culturing
#4
Katherine M Mullin, Christopher S Kovacs, Cynthia Fatica, Colette Einloth, Elizabeth A Neuner, Jorge A Guzman, Eric Kaiser, Venu Menon, Leticia Castillo, Marc J Popovich, Edward M Manno, Steven M Gordon, Thomas G Fraser
BACKGROUND Catheter-associated urinary tract infections (CAUTIs) are among the most common hospital-acquired infections (HAIs). Reducing CAUTI rates has become a major focus of attention due to increasing public health concerns and reimbursement implications. OBJECTIVE To implement and describe a multifaceted intervention to decrease CAUTIs in our ICUs with an emphasis on indications for obtaining a urine culture. METHODS A project team composed of all critical care disciplines was assembled to address an institutional goal of decreasing CAUTIs...
November 17, 2016: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/27825395/invasiveness-index-as-a-predictor-of-surgical-site-infection-after-spinal-fusion-revision-fusion-or-laminectomy
#5
Brian L Hollenbeck, Kevin J McGuire, Andrew P White, David S Yassa, Sharon B Wright
OBJECTIVE To evaluate invasiveness index as a potential predictor of spine surgical site infection (SSI) after spinal fusion, revision fusion, or laminectomy. DESIGN Retrospective cohort study. SETTING Single, large, academic medical center. PATIENTS Adults undergoing spinal fusion, revision fusion, or laminectomy. METHODS Data were obtained from electronic hospital databases; cases of SSI were extracted from the infection control database using National Healthcare Safety Network (NHSN) definitions. For each case, an invasiveness index, determined by surgical approach, procedure, and number of spine levels treated, was calculated using current procedural terminology (CPT) billing codes...
November 9, 2016: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/27774608/hemovigilance-in-massachusetts-and-the-adoption-of-statewide-hospital-blood-bank-reporting-using-the-national-healthcare-safety-network
#6
Melissa Cumming, Anthony Osinski, Lynne O'Hearn, Pamela Waksmonski, Michele Herman, Deborah Gordon, Elzbieta Griffiths, Kim Knox, Eileen McHale, Karen Quillen, Jorge Rios, Patricia Pisciotto, Lynne Uhl, Alfred DeMaria, Chester Andrzejewski
A collaboration that grew over time between local hemovigilance stakeholders and the Massachusetts Department of Public Health (MDPH) resulted in the change from a paper-based method of reporting adverse reactions and monthly transfusion activity for regulatory compliance purposes to statewide adoption of electronic reporting via the National Healthcare Safety Network (NHSN). The NHSN is a web-based surveillance system that offers the capacity to capture transfusion-related adverse events, incidents, and monthly transfusion statistics from participating facilities...
October 23, 2016: Transfusion
https://www.readbyqxmd.com/read/27742143/international-nosocomial-infection-control-consortium-report-data-summary-of-50-countries-for-2010-2015-device-associated-module
#7
Víctor Daniel Rosenthal, Hail M Al-Abdely, Amani Ali El-Kholy, Safa A Aziz AlKhawaja, Hakan Leblebicioglu, Yatin Mehta, Vineya Rai, Nguyen Viet Hung, Souha Sami Kanj, Mona Foda Salama, Estuardo Salgado-Yepez, Naheed Elahi, Rayo Morfin Otero, Anucha Apisarnthanarak, Braulio Matias De Carvalho, Bat Erdene Ider, Dale Fisher, Maria Carmen S G Buenaflor, Michael M Petrov, Ana Marcela Quesada-Mora, Farid Zand, Vaidotas Gurskis, Tanja Anguseva, Aamer Ikram, Daisy Aguilar de Moros, Wieslawa Duszynska, Nepomuceno Mejia, Florin George Horhat, Vladislav Belskiy, Vesna Mioljevic, Gabriela Di Silvestre, Katarina Furova, Gloria Y Ramos-Ortiz, May Osman Gamar Elanbya, Hindra Irawan Satari, Umesh Gupta, Tarek Dendane, Lul Raka, Humberto Guanche-Garcell, Bijie Hu, Denis Padgett, Kushlani Jayatilleke, Najla Ben Jaballah, Eleni Apostolopoulou, Walter Enrique Prudencio Leon, Alejandra Sepulveda-Chavez, Hector Miguel Telechea, Andrew Trotter, Carlos Alvarez-Moreno, Luis Kushner-Davalos
BACKGROUND: We report the results of International Nosocomial Infection Control Consortium (INICC) surveillance study from January 2010-December 2015 in 703 intensive care units (ICUs) in Latin America, Europe, Eastern Mediterranean, Southeast Asia, and Western Pacific. METHODS: During the 6-year study period, using Centers for Disease Control and Prevention National Healthcare Safety Network (CDC-NHSN) definitions for device-associated health care-associated infection (DA-HAI), we collected prospective data from 861,284 patients hospitalized in INICC hospital ICUs for an aggregate of 3,506,562 days...
December 1, 2016: American Journal of Infection Control
https://www.readbyqxmd.com/read/27717603/burden-spectrum-and-impact-of-healthcare-associated-infection-at-a-south-african-children-s-hospital
#8
A Dramowski, A Whitelaw, M F Cotton
BACKGROUND: In most African countries the prevalence and effects of paediatric healthcare-associated infection (HCAI) and human immunodeficiency virus (HIV) infection are unknown. AIM: To investigate the burden, spectrum, risk factors, and impact of paediatric HCAI by prospective clinical surveillance at a South African referral hospital. METHODS: Continuous prospective clinical and laboratory HCAI surveillance using Centers for Disease Control and Prevention (CDC)/National Healthcare Safety Network (NHSN) definitions was conducted at Tygerberg Children's Hospital, South Africa, from May 1(st) to October 31(st) in 2014 and 2015...
December 2016: Journal of Hospital Infection
https://www.readbyqxmd.com/read/27692786/rates-of-catheter-associated-urinary-tract-infection-in-tertiary-care-hospitals-in-3-arabian-gulf-countries-a-6-year-surveillance-study
#9
Wafa Al Nasser, Aiman El-Saed, Amina Al-Jardani, Abdulhakeem Althaqafi, Huda Alansari, Jameela Alsalman, Zaina Al Maskari, Ayman El Gammal, Seif S Al-Abri, Hanan H Balkhy
BACKGROUND: The true burden of catheter-associated urinary tract infections (CAUTIs) remains largely unknown because of a lack of national and regional surveillance reports in Gulf Cooperation Council (GCC) countries. The purpose of this study was to estimate location-specific CAUTI rates in the GCC region and to compare them with published reports from the U.S. National Healthcare Safety Network (NHSN) and the International Nosocomial Infection Control Consortium (INICC). METHODS: CAUTI rates and urinary catheter utilization between 2008 and 2013 were calculated using NHSN methodology pooled from 6 hospitals in 3 GCC countries: Saudi Arabia, Oman, and Bahrain...
December 1, 2016: American Journal of Infection Control
https://www.readbyqxmd.com/read/27669549/reducing-blood-stream-infection-in-patients-on-hemodialysis-incorporating-patient-engagement-into-a-quality-improvement-activity
#10
Lynda K Ball, Cheryl A George, Linda Duval, Niloufar Nellie F Hedrick
Introduction Infection in our immunocompromised patients is the second leading cause of death, according to the Centers for Disease Control and Prevention (CDC). In an effort to improve quality of care, engage patients in their own care, and reduce morbidity and mortality secondary to infection, the Network designed a joint quality improvement/patient engagement activity to decrease bloodstream infection (BSI) rates. Methods Dialysis facilities were ranked utilizing 2014 National Healthcare Safety Network (NHSN) data...
October 2016: Hemodialysis International
https://www.readbyqxmd.com/read/27666285/inappropriate-clostridium-difficile-testing-and-consequent-overtreatment-and-inaccurate-publicly-reported-metrics
#11
Sean G Kelly, Michael Yarrington, Teresa R Zembower, Sarah H Sutton, Christina Silkaitis, Michael Postelnick, Anessa Mikolajczak, Maureen K Bolon
BACKGROUND The nationally reported metric for Clostridium difficile infection (CDI) relies solely on laboratory testing, which can result in overreporting due to asymptomatic C. difficile colonization. OBJECTIVE To review the clinical scenarios of cases of healthcare facility-onset CDI (HO-CDI) and to determine the appropriateness of C. difficile testing on the basis of presence of symptomatic diarrhea in order to identify areas for improvement. DESIGN Retrospective cohort study. SETTING Northwestern Memorial Hospital, a large, tertiary academic hospital in Chicago, Illinois...
December 2016: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/27661850/effect-of-hand-antisepsis-agent-selection-and-population-characteristics-on-surgical-site-infection-pathogens
#12
Brad S Oriel, Qi Chen, Kevin Wong, Kamal M F Itani
BACKGROUND: Selection of a pre-operative hand antisepsis agent has not been studied in relation to surgical site infection (SSI) culture data. In our hospital, we introduced an alcohol-based hand rub (ABR) in 2012 as an alternative to traditional aqueous surgical scrubs (TSS). It was the goal of this study to review any effect of this implementation on SSI pathogen characteristics. In addition, we sought to compare our SSI culture data with available National Healthcare Safety Network (NHSN) data...
September 23, 2016: Surgical Infections
https://www.readbyqxmd.com/read/27609629/clabsi-risk-factors-in-the-nicu-potential-for-prevention-a-picnic-study
#13
Maya Dahan, Shauna O'Donnell, Julie Hebert, Milagros Gonzales, Bonita Lee, A Uma Chandran, Samantha Woolsey, Sandra Escoredo, Heather Chinnery, Caroline Quach
OBJECTIVE Central-line-associated bloodstream infections (CLABSI) are an important cause of morbidity and mortality in neonates. We aimed to determine whether intra-abdominal pathologies are an independent risk factor for CLABSI. METHODS We performed a retrospective matched case-control study of infants admitted to the neonatal intensive care units (NICUs) of the Montreal Children's Hospital (Montreal) and the Royal Alexandra Hospital, Edmonton, Canada. CLABSI cases that occurred between April 2009 and March 2014 were identified through local infection control databases...
December 2016: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/27460495/what-is-the-real-rate-of-surgical-site-infection
#14
Jolyn S Taylor, Claire A Marten, Kimberly A Potts, Lynn M Cloutier, Katherine E Cain, Shauna L Fenton, Tara N Tatum, Deepthi A James, Keith N Myers, Cheryl A Hubbs, Jennifer K Burzawa, Shital Vachhani, Alpa M Nick, Larissa A Meyer, Linda S Graviss, Kathy M Ware, Anne K Park, Thomas A Aloia, Diane C Bodurka, Charles F Levenback, Kathleen M Schmeler
PURPOSE: Surgical site infections (SSIs) are associated with patient morbidity and increased health care costs. Although several national organizations including the University HealthSystem Consortium (UHC), the National Surgical Quality Improvement Program (NSQIP), and the National Healthcare Safety Network (NHSN) monitor SSI, there is no standard reporting methodology. METHODS: We queried the UHC, NSQIP, and NHSN databases from July 2012 to June 2014 for SSI after gynecologic surgery at our institution...
July 26, 2016: Journal of Oncology Practice
https://www.readbyqxmd.com/read/27430647/is-there-room-for-prevention-examining-the-effect-of-outpatient-facility-type-on-the-risk-of-surgical-site-infection
#15
Rishi Parikh, Daniel Pollock, Jyotirmay Sharma, Jonathan Edwards
OBJECTIVE We compared risk for surgical site infection (SSI) following surgical breast procedures among 2 patient groups: those whose procedures were performed in ambulatory surgery centers (ASCs) and those whose procedures were performed in hospital-based outpatient facilities. DESIGN Cohort study using National Healthcare Safety Network (NHSN) SSI data for breast procedures performed from 2010 to 2014. METHODS Unconditional multivariate logistic regression was used to examine the association between facility type and breast SSI, adjusting for American Society of Anesthesiologists (ASA) Physical Status Classification, patient age, and duration of procedure...
October 2016: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/27418295/improving-risk-adjustment-above-current-centers-for-disease-control-and-prevention-methodology-using-electronically-available-comorbid-conditions
#16
Sarah S Jackson, Surbhi Leekha, Lisa Pineles, Laurence S Magder, Kerri A Thom, Yuan Wang, Anthony D Harris
OBJECTIVE To identify comorbid conditions associated with surgical site infection (SSI) among patients undergoing renal transplantation and improve existing risk adjustment methodology used by the Centers for Disease Control and Prevention National Healthcare Safety Network (NHSN). PATIENTS Patients (≥18 years) who underwent renal transplantation at University of Maryland Medical Center January 1, 2010-December 31, 2011. METHODS Trained infection preventionists reviewed medical records to identify surgical site infections that developed within 30 days after transplantation, using NHSN criteria...
October 2016: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/27350547/reducing-hospital-acquired-infections-among-the-neurologically-critically-ill
#17
John J Halperin, Stephen Moran, Doriann Prasek, Ann Richards, Charlene Ruggiero, Christina Maund
BACKGROUND: Hospital-acquired infections (HAIs) result in excess morbidity, mortality, and resource consumption. Immobilized, ventilator-dependent ICU patients are at the highest risk of HAI. METHODS: Despite broad implementation of relevant bundles, HAI incidence in our neuro ICU remained high, particularly catheter-associated urinary tract infections (CAUTIs) and ventilator-associated events (VAEs). We reviewed the administrative data and nosocomial infection markers (NIMs) for all neurology and cranial neurosurgery patients admitted to our neuro ICU between January 2011 and May 2014, identified and implemented interventions, and measured effects using National Healthcare Safety Network (NHSN)-defined CAUTIs and VAEs...
October 2016: Neurocritical Care
https://www.readbyqxmd.com/read/27213039/assessing-the-magnitude-and-trends-in-hospital-acquired-infections-in-canadian-hospitals-through-sequential-point-prevalence-surveys
#18
Geoffrey Taylor, Denise Gravel, Anne Matlow, Joanne Embree, Nicole LeSaux, Lynn Johnston, Kathryn N Suh, Michael John, John Embil, Elizabeth Henderson, Virginia Roth, Alice Wong
BACKGROUND: Healthcare acquired infections (HAI) are an important public health problem in developed countries, but comprehensive data on trends over time are lacking. Prevalence surveys have been used as a surrogate for incidence studies and can be readily repeated. METHODS: The Canadian Nosocomial Infection Surveillance Program conducted prevalence surveys in 2002 and 2009 in a large network of major Canadian acute care hospitals. NHSN definitions of HAI were used...
2016: Antimicrobial Resistance and Infection Control
https://www.readbyqxmd.com/read/27199462/antibiotic-stewardship-programs-in-u-s-acute-care-hospitals-findings-from-the-2014-national-healthcare-safety-network-annual-hospital-survey
#19
Lori A Pollack, Katharina L van Santen, Lindsey M Weiner, Margaret A Dudeck, Jonathan R Edwards, Arjun Srinivasan
BACKGROUND: The National Action Plan to Combat Antibiotic Resistant Bacteria calls for all US hospitals to improve antibiotic prescribing as a key prevention strategy for resistance and Clostridium difficile Antibiotic stewardship programs (ASPs) will be important in this effort but implementation is not well understood. METHODS: We analyzed the 2014 National Healthcare Safety Network Annual Hospital Survey to describe ASPs in US acute care hospitals as defined by the Center for Disease Control and Prevention's (CDC) Core Elements for Hospital ASPs...
August 15, 2016: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/27158091/hospital-acquired-staphylococcus-aureus-primary-bloodstream-infection-a-comparison-of-events-that-do-and-do-not-meet-the-central-line-associated-bloodstream-infection-definition
#20
Christopher S Kovacs, Cynthia Fatica, Robert Butler, Steven M Gordon, Thomas G Fraser
BACKGROUND: This study was done to describe the incidence and outcomes of primary hospital-acquired bloodstream infection (HABSI) secondary to Staphylococcus aureus (SA) that did and did not meet the National Healthcare Safety Network's (NHSN's) definition for central line-associated bloodstream infection (CLABSI). METHODS: Consecutive hospitalized patients during a 48-month study period with an SA HABSI were categorized according to those who did and did not meet the NHSN's definitions for CLABSI and non-CLABSI...
May 5, 2016: American Journal of Infection Control
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