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Validation of Surveillance in the Intensive Care Unit Component of the German Nosocomial Infections Surveillance System

Published online by Cambridge University Press:  02 January 2015

I. Zuschneid*
Affiliation:
Institute of Hygiene and Environmental Medicine, Charité-University Medicine Berlin, Berlin
C. Geffers
Affiliation:
Institute of Hygiene and Environmental Medicine, Charité-University Medicine Berlin, Berlin
D. Sohr
Affiliation:
Institute of Hygiene and Environmental Medicine, Charité-University Medicine Berlin, Berlin
C. Kohlhase
Affiliation:
Institute of Hygiene and Environmental Medicine, Charité-University Medicine Berlin, Berlin
M. Schumacher
Affiliation:
Institute of Medical Biometry and Medical Informatics, Albert Ludwigs University, Freiburg
H. Rüden
Affiliation:
Institute of Hygiene and Environmental Medicine, Charité-University Medicine Berlin, Berlin
P. Gastmeier
Affiliation:
Division of Hospital Epidemiology and Infection Control, Institute for Medical Microbiologyand Hospital Epidemiology, Medical School Hannover, Hannover, Germany
*
Robert Koch Institute, Department of Infectious Disease Epidemiology, Seestrasse 10, 13353 Berlin, Germany ([email protected])

Abstract

A validation study was performed for the intensive care unit component of the German nosocomial infections surveillance system (Krankenhaus Infektions Surveillance System [KISS]). A total of 286 reported infections and 1,195 medical records with no reported infection from 20 randomly selected KISS intensive care units were reviewed by trained physicians. The mean sensitivity was 66% (median, 81%), and the mean specificity was 99.4% (median, 99.6%).

Type
Concise Communication
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2007

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References

1.Emori, TG, Culver, DH, Horan, TC, et al.National nosocomial infections surveillance system (NNIS): description of surveillance methods. Am J Infect Control 1991;19:1935.Google Scholar
2.Widmer, AF, Sax, H, Pittet, D. Infection control and hospital epidemiology outside the United States. Infect Control Hosp Epidemiol 1999;20:1721.Google Scholar
3.Haley, RW, Culver, DH, White, JW, et al.The efficacy of infection surveillance and control programs in preventing nosocomial infections in US hospitals. Am J Epidemiol 1985;121:182205.Google Scholar
4.Dumigan, DG, Kohan, CA, Reed, CR, Jekel, JF, Fikrig, MK. Utilizing national nosocomial infection surveillance system data to improve urinary tract infection rates in three intensive-care units. Clin Perform Qual Health Care 1998;6:172178.Google Scholar
5.Monitoring hospital-acquired infections to promote patient safety—United States, 1990-1999. MMWR Morb Mortal Wkly Rep 2000;49:149153.Google Scholar
6.Zuschneid, I, Schwab, F, Geffers, C, Ruden, H, Gastmeier, P. Reducing central venous catheter-associated primary bloodstream infections in intensive care units is possible: data from the German nosocomial infection surveillance system. Infect Control Hosp Epidemiol 2003;24:501505.CrossRefGoogle ScholarPubMed
7.Gastmeier, P, Geffers, C, Sohr, D, Dettenkofer, M, Daschner, F, Ruden, H. Five years working with the German nosocomial infection surveillance system (Krankenhaus Infektions Surveillance System). Am J Infect Control 2003;31:316321.CrossRefGoogle ScholarPubMed
8.Garner, JS, Jarvis, WR, Emori, TG, Horan, TC, Hughes, JM. CDC definitions for nosocomial infections, 1988. Am J Infect Control 1988;16:128140.Google Scholar
9.Gastmeier, P, Geffers, C, Daschner, F, Rüden, H. Diagnostisches Training für die Surveillance nosokomialer Infektionen: was ist möglich und sinnvoll? Zentralbl Hyg Umweltmed 1998;201:153166.Google Scholar
10.Wenzel, RP, Osterman, CA, Townsend, TR, et al.Development of a state-wide program for surveillance and reporting of hospital-acquired infections. J Infect Dis 1979;140:741746.Google Scholar
11.Broderick, A, Mori, M, Nettleman, MD, Streed, SA, Wenzel, RP. Nosocomial infections: validation of surveillance and computer modeling to identify patients at risk. Am J Epidemiol 1990;131:734742.Google Scholar
12.Cardo, DM, Falk, PS, Mayhall, CG. Validation of surgical wound surveillance. Infect Control Hosp Epidemiol 1993;14:211215.Google Scholar
13.Eickhoff, TC, Brachman, PW, Bennett, JV, Brown, JF. Surveillance of nosocomial infections in community hospitals. I: Surveillance methods, effectiveness, and initial results. J Infect Dis 1969;120:305317.Google Scholar
14.Poulsen, KB, Meyer, M. Infection registration underestimates the risk of surgical wound infections. J Hosp Infect 1996;33:207215.Google Scholar
15.Emori, TG, Edwards, JR, Culver, DH, et al.Accuracy of reporting nosocomial infections in intensive-care-unit patients to the National Nosocomial Infections Surveillance System: a pilot study. Infect Control Hosp Epidemiol 1998;19:308316.CrossRefGoogle Scholar
16.Ehrenkranz, NJ, Shultz, JM, Richter, EL. Recorded criteria as a “gold standard” for sensitivity and specificity estimates of surveillance of nosocomial infection: a novel method to measure job performance. Infect Control Hosp Epidemiol 1995;16:697702.CrossRefGoogle ScholarPubMed
17.Haley, RW, Schaberg, DR, McClish, DK, et al.The accuracy of retrospective chart review in measuring nosocomial infection rates: results of validation studies in pilot hospitals. Am J Epidemiol 1980;111:516533.Google Scholar
18.Belio-Blasco, C, Torres-Fernandez-Gil, MA, Echeverria-Echarri, JL, Gomez-Lopez, LI. Evaluation of two retrospective active surveillance methods for the detection of nosocomial infection in surgical patients. Infect Control Hosp Epidemiol 2000;21:2427.Google Scholar
19.Blake, S, Cheatle, E, Mack, B. Surveillance: retrospective versus prospective. Am J Infect Control 1980;8:7578.Google Scholar
20.Morales, I. Overview about results of ICU validation studies. In: Program and abstracts of the HELICS Symposium. 2004. Available at: http://helics.univ-lyon1.fr/conference/7b.pdf. Accessed January 11, 2006.Google Scholar