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

Autor:	Dantes RB; Division of Hospital Medicine, Department of Medicine,Emory University School of Medicine,Atlanta, Georgia., Abbo LM; Division of Infectious Diseases, Department of Medicine,Jackson Health System and University of Miami Miller School of Medicine,Miami,Florida., Anderson D; Duke Center for Antimicrobial Stewardship and Infection Prevention,Duke University School of Medicine,Durham,North Carolina., Hall L; School of Public Health,University of Queensland,Brisbane,Australia., Han JH; Division of Infectious Diseases, Department of Medicine, Perelman School of Medicine,University of Pennsylvania,Philadelphia,Pennsylvania., Harris AD; Department of Epidemiology and Public Health,University of Maryland School of Medicine,Baltimore,Maryland., Leekha S; Department of Epidemiology and Public Health,University of Maryland School of Medicine,Baltimore,Maryland., Milstone AM; Division of Pediatric Infectious Diseases, Department of Pediatrics,Johns Hopkins University School of Medicine,Baltimore,Maryland., Morgan DJ; Department of Epidemiology and Public Health,University of Maryland School of Medicine,Baltimore,Maryland., Safdar N; University of Wisconsin-Madison,Madison,Wisconsin., Schweizer ML; Iowa City Veterans Affairs Health Care System,Iowa City,Iowa., Sengupta S; Department of Microbiology and Infection Control,Medanta-The Medicity Hospital,Gurgaon, Haryana,India., Seo SK; Infectious Disease Service, Department of Medicine,Memorial Sloan Kettering Cancer Center,New York,New York., Rock C; Division of Pediatric Infectious Diseases, Department of Pediatrics,Johns Hopkins University School of Medicine,Baltimore,Maryland.
Jazyk:	angličtina
Zdroj:	Infection control and hospital epidemiology [Infect Control Hosp Epidemiol] 2019 May; Vol. 40 (5), pp. 536-540. Date of Electronic Publication: 2019 Apr 01.
DOI:	10.1017/ice.2019.40
Abstrakt:	Objective: 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. Design: Cross-sectional survey. Participants: Hospital epidemiologists and infection preventionist members of the Society for Healthcare Epidemiology of America (SHEA) Research Network. Methods: A web-based, multiple-choice survey was administered via the SHEA Research Network to 133 hospitals. Results: 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. Conclusions: 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.
Databáze:	MEDLINE
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