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Preventability of hospital onset bacteremia and fungemia: A pilot study of a potential healthcare-associated infection outcome measure

Published online by Cambridge University Press:  18 February 2019

Raymund B. Dantes Open the ORCID record for Raymund B. Dantes [Opens in a new window] ,
Clare Rock ,
Aaron M. Milstone ,
Jesse T. Jacob ,
Sheri Chernetsky-Tejedor ,
Anthony D. Harris  and
Surbhi Leekha
Raymund B. Dantes*
Affiliation:
Division of Hospital Medicine, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
Clare Rock
Affiliation:
Division of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland
Aaron M. Milstone
Affiliation:
Division of Infectious Diseases, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland
Jesse T. Jacob
Affiliation:
Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia
Sheri Chernetsky-Tejedor
Affiliation:
Division of Hospital Medicine, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia
Anthony D. Harris
Affiliation:
University of Maryland School of Medicine, Baltimore, Maryland, for the CDC Prevention Epicenter Program
Surbhi Leekha
Affiliation:
University of Maryland School of Medicine, Baltimore, Maryland, for the CDC Prevention Epicenter Program
*
Author for correspondence: Raymund B. Dantes, Email: [email protected]
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Abstract

Hospital-onset bacteremia and fungemia (HOB), a potential measure of healthcare-associated infections, was evaluated in a pilot study among 60 patients across 3 hospitals. Two-thirds of all HOB events and half of nonskin commensal HOB events were judged as potentially preventable. Follow-up studies are needed to further develop this measure.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 40 , Issue 3 , March 2019 , pp. 358 - 361
Copyright
© 2019 by The Society for Healthcare Epidemiology of America. All rights reserved. 

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References

Centers for Disease Control and Prevention. National and State Healthcare Associated Infections Progress Report. In: Division of Healthcare Quality Promotion NCEZID. Atlanta, GA: Centers for Disease Control and Prevention; 2016.Google Scholar
Healthcare-associated infections in the United States, 2006-2016: a story of progress. Centers for Disease Control and Prevention website. https://www.cdc.gov/hai/surveillance/data-reports/data-summary-assessing-progress.html. Published 2018. Accessed July 17, 2018.Google Scholar
Leekha, S, Li, S, Thom, KA, et al. Comparison of total hospital-acquired bloodstream infections to central line-associated bloodstream infections and implications for outcome measures in infection control. Infect Control Hosp Epidemiol 2013;34:984–986.CrossRefGoogle ScholarPubMed
Rock, C, Thom, KA, Harris, AD, et al. A multicenter longitudinal study of hospital-onset bacteremia: time for a new quality outcome measure? Infect Control Hosp Epidemiol 2016;37:143–148.CrossRefGoogle ScholarPubMed
Pronovost, P, Needham, D, Berenholtz, S, et al. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med 2006;355:2725–2732.CrossRefGoogle ScholarPubMed
Blijlevens, NM, Donnelly, JP, De Pauw, BE.Mucosal barrier injury: biology, pathology, clinical counterparts and consequences of intensive treatment for haematological malignancy: an overview. Bone Marrow Transpl 2000;25:1269–1278.CrossRefGoogle ScholarPubMed
Linsenmeyer, K, Gupta, K, Strymish, JM, Dhanani, M, Brecher, SM, Breu, AC. Culture if spikes? Indications and yield of blood cultures in hospitalized medical patients. J Hosp Med 2016;11:336–340.CrossRefGoogle ScholarPubMed
Alahmadi, YM, Aldeyab, MA, McElnay, JC, et al. Clinical and economic impact of contaminated blood cultures within the hospital setting. J Hosp Infect 2011;77:233–236.CrossRefGoogle ScholarPubMed
Waltzman, ML, Harper, M. Financial and clinical impact of false-positive blood culture results. Clin Infect Dis 2001;33:296–299.CrossRefGoogle ScholarPubMed
Towns, ML, Jarvis, WR, Hsueh, PR. Guidelines on blood cultures. J Microbiol Immunol Infect 2010;43:347–349.CrossRefGoogle ScholarPubMed