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JOURNAL ARTICLE
Victor Daniel Rosenthal, Ruijie Yin, Zhilin Jin, Safaa Abdulaziz Alkhawaja, Maria Adelia Zuñiga Chavarria, Estuardo Salgado, Amani El-Kholy, Julio C Zuniga Moya, Priyanka Patil, Gita Nadimpalli, Rao Nadimpalli Pattabhiramarao, Dolatsinh Zala, Isabel Villegas Mota, Bat-Erdene Ider, Nellie Tumu, Wieslawa Duszynska, Le Thi Thu Nguyet, Pravin K Nair, Ziad A Memish
BACKGROUND: Surgical site infection (SSI) prevalence is higher in low and middle-income countries (LMICs) than in high-income counterparts. This study covers 116 INICC member hospitals in 75 cities across 25 Latin American, Asian, Eastern European, and Middle Eastern countries, including Argentina, Bahrain, Brazil, Colombia, Costa Rica, Dominican Republic, Ecuador, Egypt, Honduras, India, Kosovo, Kuwait, Lebanon, Mexico, Mongolia, Pakistan, Papua New Guinea, Philippines, Poland, Romania, Saudi Arabia, Thailand, Turkey, Venezuela, and Vietnam...
April 9, 2024: American Journal of Infection Control
#2
JOURNAL ARTICLE
Waleed Abdulmotalib Mazi, Mylene Bondad, Maryam Althumali, Turki Alzahrani
BACKGROUND: The urinary catheter usually leads to a catheter-associated urinary tract infection (CAUTI) contributing to further morbidity and mortality. There is very limited data on the CAUTI incidence rate in high-dependency units (HDUs) in the Kingdom of Saudi Arabia. The institutional CAUTI incidence rate in HDU was six times higher compared to the United States National Healthcare Safety Network (US-NHSN) in 2021. OBJECTIVE: To reduce 50% CAUTI incidence rate by the end of 2022...
June 2024: Infection prevention in practice
#3
JOURNAL ARTICLE
Nadine Shehab, Liora Alschuler, Sean McILvenna, Zabrina Gonzaga, Andrew Laing, David deRoode, Raymund B Dantes, Kristina Betz, Shuai Zheng, Sheila Abner, Elizabeth Stutler, Rick Geimer, Andrea L Benin
OBJECTIVE: This article presents the National Healthcare Safety Network (NHSN)'s approach to automation for public health surveillance using digital quality measures (dQMs) via an open-source tool (NHSNLink) and piloting of this approach using real-world data in a newly established collaborative program (NHSNCoLab). The approach leverages Health Level Seven Fast Healthcare Interoperability Resources (FHIR) application programming interfaces to improve data collection and reporting for public health and patient safety beginning with common, clinically significant, and preventable patient harms, such as medication-related hypoglycemia, healthcare facility-onset Clostridioides difficile infection, and healthcare-associated venous thromboembolism...
April 2, 2024: Journal of the American Medical Informatics Association: JAMIA
#4
JOURNAL ARTICLE
Jay Krishnan, Erin B Gettler, Melissa Campbell, Ibukunoluwa C Kalu, Jessica Seidelman, Becky Smith, Sarah Lewis
OBJECTIVE: To evaluate the comparative epidemiology of hospital-onset bloodstream infection (HOBSI) and central line-associated bloodstream infection (CLABSI). DESIGN AND SETTING: Retrospective observational study of HOBSI and CLABSI across a three-hospital healthcare system from 01/01/2017 to 12/31/2021. METHODS: HOBSIs were identified as any non-commensal positive blood culture event on or after hospital day 3. CLABSIs were identified based on National Healthcare Safety Network (NHSN) criteria...
March 20, 2024: Infection Control and Hospital Epidemiology
#5
JOURNAL ARTICLE
Joel L Chavez Ortiz, Isabel Griffin, Sophia V Kazakova, Phylicia B Stewart, Ian Kracalik, Sridhar V Basavaraju
BACKGROUND: Transfusion-related errors are largely preventable but may lead to blood product wastage and adverse reactions, resulting in patient harm. In the United States, the incidence of transfusion-related errors is poorly understood nationally. We used data from the National Healthcare Safety Network (NHSN) Hemovigilance Module to describe and quantify transfusion-related errors, as well as associated transfusion-related adverse reactions and blood product wastage. METHODS: During 2014-2022, data from the NHSN Hemovigilance Module were used to analyze errors, including near misses (errors with no transfusion), incidents (errors with transfusion), and associated serious adverse reactions (severe, life-threatening, or death)...
March 12, 2024: Transfusion
#6
JOURNAL ARTICLE
Mark K Fung, James P AuBuchon, Laura D Stephens
BACKGROUND: Correct classification of transfusion reactions is important not only for effective patient care and donor management but also for accurate tracking of events in hemovigilance systems. We compared the ability of a generative artificial intelligence (AI) system to correctly diagnose hypothetical clinical situations as transfusion reactions in comparison to previous studies reporting the accuracy of transfusion medicine (TM) specialists in assessing these cases. METHODS: An AI system was requested to assess 36 case scenarios to provide a diagnosis, severity, and imputability of the transfusion reactions using the CDC National Healthcare Safety Network (NHSN) criteria...
February 24, 2024: Transfusion
#7
JOURNAL ARTICLE
Erin N O'Leary, Melinda M Neuhauser, Anita McLees, Margaret Paek, Jamie Tappe, Arjun Srinivasan
BACKGROUND: In 2014, the Centers for Disease Control and Prevention (CDC) released the Core Elements of Hospital Antibiotic Stewardship Programs (ASPs) and began monitoring uptake through the National Healthcare Safety Network (NHSN) Annual Hospital Survey. In 2019, CDC updated the Core Elements and in 2022 released the Priorities for Hospital Core Element Implementation. We describe Core Element uptake from 2014 to 2021, provide a snapshot of specific ASP practices in acute care hospitals in 2021, and describe how we plan to monitor stewardship moving forward...
February 2024: Open Forum Infectious Diseases
#8
JOURNAL ARTICLE
Lu Meng, Jeneita Bell, Minn Soe, Jonathan Edwards, Hoody Lymon, Kira Barbre, Hannah Reses, Avni Patel, Emily Wong, Margaret Dudeck, Cam-Van Huynh, Theresa Rowe, Heather Dubendris, Andrea Benin
The simultaneous circulation of seasonal influenza virus and SARS-CoV-2 variants will likely pose unique challenges to public health during the future influenza seasons. Persons who are undergoing treatment in healthcare facilities may be particularly at risk. It is important for healthcare personnel to protect themselves and patients by receiving vaccines. The purpose of this study is to assess coverage of the seasonal influenza vaccine and COVID-19 monovalent booster among healthcare personnel working at acute care hospitals in the United States during the 2021-22 influenza season and to examine the demographic and facility characteristics associated with coverage...
January 9, 2024: Preventive Medicine
#9
JOURNAL ARTICLE
Stephani Amanda Lukasewicz Ferreira, Arateus Crysham Franco Meneses, Tiago Andres Vaz, Otavio Luiz da Fontoura Carvalho, Camila Hubner Dalmora, Daiane Pressotto Vanni, Isabele Ribeiro Berti, Rodrigo Pires Dos Santos
BACKGROUND: Surveillance of hospital-acquired infections (HAIs) is the foundation of infection control. Machine learning (ML) has been demonstrated to be a valuable tool for HAI surveillance. We compared manual surveillance with a supervised, semiautomated, ML method, and we explored the types of infection and features of importance depicted by the model. METHODS: From July 2021 to December 2021, a semiautomated surveillance method based on the ML random forest algorithm, was implemented in a Brazilian hospital...
January 11, 2024: Infection Control and Hospital Epidemiology
#10
JOURNAL ARTICLE
Neeta Gade, Ranga Burri, Akkilagunta Sujiv, Meena Mishra, B E Pradeep, Harish Debaje, Tejswini Sable, Amandeep Kaur
INTRODUCTION: Device-associated healthcare infections are among the prevailing threats to patient safety worldwide. They constitute the third most common adverse event during healthcare delivery, resulting in heightened morbidity, mortality, and healthcare costs. Patients in intensive care units (ICUs) are at increased risk for device-associated healthcare infections. Focused active surveillance is a crucial measure for assessing the prevalence of healthcare-associated infections and controlling the transmission of pathogens, ultimately contributing to the establishment of quality outcome indicators...
December 2023: Curēus
#11
JOURNAL ARTICLE
Victor D Rosenthal, Ruijie Yin, Patricio Nercelles, Sara E Rivera-Molina, Somani Jyoti, Reshma Dongol, Daisy Aguilar-De-Moros, Nellie Tumu, Johana Alarcon-Rua, Juan P Stagnaro, Safaa Alkhawaja, Luisa F Jimenez-Alvarez, Yuliana A Cano-Medina, Sandra L Valderrama-Beltran, Claudia M Henao-Rodas, Maria A Zuniga-Chavarria, Amani El-Kholy, Hala Mounir Agha, Suneeta Sahu, Siksha O Anusandhan, Mahuya Bhattacharyya, Mohit Kharbanda, Aruna Poojary, Pravin K Nair, Sheila N Myatra, Rajesh Chawla, Kavita Sandhu, Yatin Mehta, Prasad Rajhans, Farid Zand, Mohammad Abdellatif-Daboor, Chian-Wern Tai, Chin S Gan, Mohd-Basri Mat Nor, Guadalupe Aguirre-Avalos, Blanca E Hernandez-Chena, Alejandro Sassoe-Gonzalez, Isabel Villegas-Mota, Mary C Aleman-Bocanegra, Ider Bat-Erdene, Nilton Y Carreazo, Alex Castaneda-Sabogal, Jarosław Janc, Vladislav Belskiy, Sona Hlinkova, Dincer Yildizdas, Merve Havan, Alper Koker, Hulya Sungurtekin, Ener C Dinleyici, Ertugrul Guclu, Lili Tao, Ziad A Memish, Zhilin Jin
BACKGROUND: Reporting on the International Nosocomial Infection Control Consortium study results from 2015 to 2020, conducted in 630 intensive care units across 123 cities in 45 countries spanning Africa, Asia, Eastern Europe, Latin America, and the Middle East. METHODS: Prospective intensive care unit patient data collected via International Nosocomial Infection Control Consortium Surveillance Online System. Centers for Disease Control and Prevention/National Health Care Safety Network definitions applied for device-associated health care-associated infections (DA-HAI)...
January 6, 2024: American Journal of Infection Control
#12
Ashley Iannone, Melissa Cumming, Anthony Osinski, Christina Brandeburg, Jordan Schultz, Amanda Slider, Bentley Rodrigue, Lynne O'Hearn, Michele Herman, Eileen McHale, Jorge Rios, Lynne Uhl, Chester Andrzejewski, Alfred DeMaria
BACKGROUND: Use of the National Healthcare Safety Network (NHSN) has been essential to the success of the Massachusetts Hemovigilance Program and has allowed for the timely identification of signals and trends over a defined population that correlate with national and international hemovigilance (HV) data. Here, we outline how the NHSN system is used for monitoring HV data in Massachusetts and encourage adoption of NHSN for nationwide HV surveillance. STUDY DESIGN AND METHODS: A collaboration that grew over time between local HV 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 compliance with state requirements to replacement with statewide adoption of reporting via NHSN...
December 30, 2023: Transfusion
#13
JOURNAL ARTICLE
Hunter Doyle, Abby L Valek, Theresa Murillo, Ashley M Ayres, Julie Slaughter, Madeline L Berg, Graham M Snyder
OBJECTIVE: To describe a novel attribution metric estimating the causal source location of healthcare-associated Clostridioides difficile and compare it with the current US National Healthcare Safety Network (NHSN) surveillance reporting standard. DESIGN: Quality improvement study. SETTING: Two acute care facilities. METHODS: A novel attribution metric assigned days of attribution to locations where patients were located for 14 days before and the day of their C...
2023: Antimicrob Steward Healthc Epidemiol
#14
JOURNAL ARTICLE
Camden Gardner, Ilan Rubinfeld, Arielle Hodari Gupta, Jeffrey L Johnson
Background: Regionalization of surgical care shifts higher acuity patients to larger centers. Hospital-associated infections (HAIs) are important quality measures with financial implications. In our ongoing efforts to eliminate HAIs, we examined the potential role for inter-hospital transfer in our cases of HAI across a multihospital system. Hypothesis: Surgical patients transferred to a regional multihospital system have a higher risk of National Healthcare Safety Network (NHSN)-labeled HAIs. Patients and Methods: The analysis cohort of adult surgical inpatients was filtered from a five-hospital health system administration registry containing encounters from 2014 to 2021...
December 20, 2023: Surgical Infections
#15
JOURNAL ARTICLE
Ruchita Lohiya, Vijayshri Deotale
INTRODUCTION: Because the risk of health-care associated infections (HAIs) is high in intensive care units, and HAIs are one of the causes of morbidity and mortality and affects the overall quality of health care, the continuous monitoring of HAIs in intensive care patients is essential. AIM AND OBJECTIVES: This descriptive cross-sectional study was carried out over a period of five years in a tertiary-care teaching hospital. The aim of the study was to investigate the main and specific types of health-care associated Infections and determine the microbiological profile and antimicrobial susceptibility rates of isolates in patients with HAI...
2023: GMS Hygiene and Infection Control
#16
JOURNAL ARTICLE
Aidyn G Salmanov, Iryna P Netskar, Valerii V Kostikov, Volodymyr Artyomenko, Svitlana M Korniyenko, Victor O Rud, Orusia A Kovalyshyn
OBJECTIVE: Aim: To determine prevalence of Aerobic Vaginitis (AV) after gynecologic surgery, risk factors and antimicrobial resistance of responsible pathogens, and adverse pregnancy outcomes in Ukraine. PATIENTS AND METHODS: Materials and Methods: Multicenter retrospective cohort study was conducted from January 2020 to December 2022 in fifteen medical clinics from eight regions of Ukraine. Smears were analyzed using Donders' classification method and Dong's modified AV diagnosis for Gram stains...
2023: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
#17
JOURNAL ARTICLE
Michelle Swetky, Marie Wilson, Peggy Douglas, Amanda Milstein, Sandra Olson, Masumi Ueda Oshima, Frank Tverdek, Salma Walji, Catherine Liu, Steven A Pergam
Nearly half the patients identified as having healthcare facility-onset Clostridioides difficile infections (HO-CDI) on a hematopoietic cell transplant (HCT) unit had an alternative clinical explanation for diarrhea, including conditioning regimen toxicity or other medications. Our study supports that targeted diagnostic stewardship interventions should be explored and that additional risk-adjustments considered for facilities with oncology HCT (ONC-HCT) wards in the National Healthcare Safety Network (NHSN) LabID CDI standardized infection ratio (SIR) model...
December 5, 2023: American Journal of Infection Control
#18
JOURNAL ARTICLE
Durgesh Rai, Pravin Kumar, Poonam Gupta, Pardeep K Verma
BACKGROUND AND AIMS: There is a huge load of central line-associated bloodstream infection (CLABSI) being reported in developing countries, with increased mortality and healthcare costs. Effective surveillance is a must to reduce the incidence of CLABSI. The current criteria (Centre for Disease Control and Prevention/National Healthcare Safety Network [CDC/NHSN]) for CLABSI surveillance have their own shortcomings. For diagnosing CLABSI, current CDC/NHSN CLABSI surveillance criteria are laborious and time consuming with low predictive power...
2023: Journal of Anaesthesiology, Clinical Pharmacology
#19
JOURNAL ARTICLE
Seema Rohra, Aruna Poojary, Priyanka Patil, Sheeba John, Runu Michael, Sneha Johnson, Pritam Pardeshi
INTRODUCTION: Clostridioides difficile (CD) is a significant cause of morbidity and mortality. While considerable data is available in the developed world regarding Clostridioides difficile infection (CDI), Indian data is sparse especially using the standardized surveillance systems. AIM AND OBJECTIVES OF THE STUDY: To identify the incidence, risk factors, and mortality rate associated with CDI in a tertiary care hospital based on the Laboratory-Identified (LabID) event criteria of the Centers for Disease Control and Prevention (CDC) National Health Surveillance Network (NHSN)...
2023: Indian Journal of Medical Microbiology
#20
JOURNAL ARTICLE
Jeneita Bell, Lu Meng, Kira Barbre, Emily Haanschoten, Hannah E Reses, Minn Soe, Jonathan Edwards, Jason Massey, Gnanendra Reddy Tugu Yagama Reddy, Austin Woods, Matthew J Stuckey, David T Kuhar, Kayla Bolden, Heather Dubendris, Emily Wong, Theresa Rowe, Megan C Lindley, Elizabeth J Kalayil, Andrea Benin
The Advisory Committee on Immunization Practices recommends that health care personnel (HCP) receive an annual influenza vaccine and that everyone aged ≥6 months stay up to date with recommended COVID-19 vaccination. Health care facilities report vaccination of HCP against influenza and COVID-19 to CDC's National Healthcare Safety Network (NHSN). During January-June 2023, NHSN defined up-to-date COVID-19 vaccination as receipt of a bivalent COVID-19 mRNA vaccine dose or completion of a primary series within the preceding 2 months...
November 10, 2023: MMWR. Morbidity and Mortality Weekly Report
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