这意味着仅48.4%的CLABSI病例符合 CRBSI的标准。 无独有偶,鉴于美国NHSN关于CLABSI的特异性、敏感性并未经过严格评价,亦有学者质疑CLABSI定义的可靠性,甚至提出CLABSI的定义是否是 皇帝的新装。尤其对于外科ICU,患者病情的复杂性、感染病灶的隐匿性导致了CLABSI诊断过程中的重重困惑。以下共同...
Eight tests were positive: two from patients with a device during collection, identifying Bartonella quintana and Ureaplasma urealyticum鈥攂oth not excluded from the NHSN definition. Other positives included two cases of Borrelia hermsii, Paracoccus spp., Leptospira spp., Legionella spp., and coagulase...
METHODS. Infection prevention staff at Omaha's Veterans Affairs Medical Center interviewed hospital staff and performed a retrospective chart review of patients with CLABSI (based on the NHSN definition) amid the COVID-19 pandemic. RESULTS. The first case of CLABSI in the outbreak was detected in...
Project Our objective was to apply the 2013 NHSN CLABSI definitions to Hem/Onc CLABSIs from 2012 to demonstrate the impact of a definition change on CLABSI rates in this population. Using our existing infection control databases, patients were categorized by primary diagnosis as well as whether ...
Impact of 2015 NHSN definition changes on ICU CLABSI at a large healthcare systemMcmullen, Kathleen M
CLABSI surveillance began in January 2009 for our outpatient BMT population utilizing the same NHSN definition used for inpatients. An analysis of data collected over 18 months prompted nursing staff to implement a plan to target reduction of CLABSIs. Interventions BMT Treatment Center nurses were ...
We prompted the LLM to determine if patients met the NHSN definition for CLABSI and provided the blood culture results that triggered the alert and the last 2 progress notes from the primary care team at the infection window end (within 3 days after the first positive test). We compared the...
IPs reviewed all nosocomial bacteremia and classified CLABSI using the NHSN definition. Line use data were collected using a simplified and validated weekly device use ratio. Quarterly feedback of the CLABSI rates by line type was provided to collaborators and stakeholders. Results The overall CLABSI...
In January 2015, NHSN updated surveillance procedures to include the implementation of the 14-day repeat infection timeframe (RIT), to clarify the definition of resolved versus continued infection. We describe the impact of the RIT on CLABSI surveillance at an academic, quaternary care pediatric ...