TY - JOUR
T1 - Factors related to the accurate application of NHSN surveillance definitions for CAUTI and CLABSI in Texas hospitals
T2 - A cross-sectional survey
AU - Adams, Jennifer
AU - Mauldin, Teri
AU - Yates, Karen
AU - Zumwalt, Christi
AU - Ashe, Tera
AU - Cervantes, Diana
AU - Tao, Meng Hua
N1 - Funding Information:
We would like to thank Brenda Bassett, Melissa Naivar, Enyinnaya Merengwa (the Texas Department of State Health Services Healthcare Safety Investigations Group Manager), the NHSN content experts, the Association for Professionals in Infection Control and Epidemiology (APIC) research committee, the APIC DFW chapter, and the other Texas IPC groups and their members for their participation.
Publisher Copyright:
© 2021 Association for Professionals in Infection Control and Epidemiology, Inc.
PY - 2022/1
Y1 - 2022/1
N2 - Previous studies indicate variability in the accurate application of National Healthcare Safety Network surveillance criteria with limited data on possible contributing factors. In this cross-sectional, convenience sampled web-based survey sent to members of Texas infection prevention and control organizations, training, experience, and time spent on surveillance was collected and assessed including 2 case studies. Our results indicate correct identification of catheter-associated urinary tract infection (CAUTI) and central line-associated bloodstream infection (CLABSI) criteria may be associated with 2019 National Healthcare Safety Network training (CAUTI: aOR = 0.17, 95% CI: 0.04, 0.80; CLABSI: aOR = 0.45, 95% CI: 0.045, 4.56) and increased years of infection prevention experience (CAUTI: aOR = 1.35, 95% CI: 0.42, 4.33; CLABSI: aOR = 1.23, 95% CI: 0.24, 6.38). Routinely performing more hours of surveillance may increase accuracy of CLABSI identification, but not CAUTI.
AB - Previous studies indicate variability in the accurate application of National Healthcare Safety Network surveillance criteria with limited data on possible contributing factors. In this cross-sectional, convenience sampled web-based survey sent to members of Texas infection prevention and control organizations, training, experience, and time spent on surveillance was collected and assessed including 2 case studies. Our results indicate correct identification of catheter-associated urinary tract infection (CAUTI) and central line-associated bloodstream infection (CLABSI) criteria may be associated with 2019 National Healthcare Safety Network training (CAUTI: aOR = 0.17, 95% CI: 0.04, 0.80; CLABSI: aOR = 0.45, 95% CI: 0.045, 4.56) and increased years of infection prevention experience (CAUTI: aOR = 1.35, 95% CI: 0.42, 4.33; CLABSI: aOR = 1.23, 95% CI: 0.24, 6.38). Routinely performing more hours of surveillance may increase accuracy of CLABSI identification, but not CAUTI.
KW - CAUTI
KW - CLABSI
KW - NHSN Surveillance
KW - National Healthcare Safety Network
UR - http://www.scopus.com/inward/record.url?scp=85112649016&partnerID=8YFLogxK
U2 - 10.1016/j.ajic.2021.07.007
DO - 10.1016/j.ajic.2021.07.007
M3 - Article
C2 - 34303723
AN - SCOPUS:85112649016
SN - 0196-6553
VL - 50
SP - 111
EP - 113
JO - American Journal of Infection Control
JF - American Journal of Infection Control
IS - 1
ER -