Validation of healthcare-associated infection surveillance in smaller Australian hospitals

被引：6

作者：

Hoskins, A. J. ^{[1
]}

Worth, L. J. ^{[1
,2
]}

Imam, N. ^{[1
]}

Johnson, S. A. ^{[1
]}

Bull, A. L. ^{[1
]}

Richards, M. J. ^{[1
,2
]}

Bennett, N. J. ^{[1
]}

机构：

[1] Doherty Inst Infect & Immun, Victorian Healthcare Associated Infect Surveillan, 792 Elizabeth St, Melbourne, Vic 3000, Australia

[2] Univ Melbourne, Dept Med, Melbourne, Vic, Australia

来源：

JOURNAL OF HOSPITAL INFECTION | 2018年 / 99卷 / 01期

关键词：

Surveillance; Validation; Healthcare-associated infections; Australia; Small hospitals; Staphylococcus aureus; Vancomycin-resistant enterococci;

D O I：

10.1016/j.jhin.2017.10.006

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

A validation study was conducted in smaller (< 100 acute beds) Victorian hospitals to evaluate case detection for Staphylococcus aureus bloodstream (SAB), meticillin-resistant S. aureus (MRSA) and vancomycin-resistant enterococci (VRE) infections. Overall, 142 infections were identified in 20 hospitals. For routine surveillance of SAB events, sensitivity was 74.4% and specificity was 100.0%. For MRSA infections, sensitivity was 47.5% and specificity was 90.9%. All confirmed VRE infections were reported correctly. Of unreported SAB and MRSA infections, 80% (N = 16) and 83.9% (N = 26) were community-associated infections, respectively. Future programme refinements include targeted education to ensure appropriate application of case definitions, particularly those including community onset. (C) 2017 Published by Elsevier Ltd on behalf of The Healthcare Infection Society.

引用

页码：85 / 88

页数：4

共 11 条

[1]

Australian Commission on Safety and Quality in Health Care, 2014, SURV VAL GUID HEALTH

[2] Quality of data reported to a smaller-hospital pilot surveillance program [J].