Hospital epidemiologists' and infection preventionists' opinions regarding hospital-onset bacteremia and fungemia as a potential healthcare-associated infection metric

Raymund B Dantes; Lilian M Abbo; Deverick Anderson; Lisa Hall; Jennifer H Han; Anthony D Harris; Surbhi Leekha; Aaron M Milstone; Daniel J Morgan; Nasia Safdar; Marin L Schweizer; Sharmila Sengupta; Susan K Seo; Clare Rock

doi:10.1017/ice.2019.40

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Hospital epidemiologists' and infection preventionists' opinions regarding hospital-onset bacteremia and fungemia as a potential healthcare-associated infection metric

Journal article

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Hospital epidemiologists' and infection preventionists' opinions regarding hospital-onset bacteremia and fungemia as a potential healthcare-associated infection metric

Raymund B Dantes, Lilian M Abbo, Deverick Anderson, Lisa Hall, Jennifer H Han, Anthony D Harris, Surbhi Leekha, Aaron M Milstone, Daniel J Morgan, Nasia Safdar, …

Infection control and hospital epidemiology, Vol.40(5), pp.536-540

05/2019

DOI: 10.1017/ice.2019.40

PMCID: PMC6897303

PMID: 30932802

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https://www.ncbi.nlm.nih.gov/pmc/articles/6897303View

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Abstract

To ascertain opinions regarding etiology and preventability of hospital-onset bacteremia and fungemia (HOB) and perspectives on HOB as a potential outcome measure reflecting quality of infection prevention and hospital care. Cross-sectional survey. Hospital epidemiologists and infection preventionist members of the Society for Healthcare Epidemiology of America (SHEA) Research Network. A web-based, multiple-choice survey was administered via the SHEA Research Network to 133 hospitals. A total of 89 surveys were completed (67% response rate). Overall, 60% of respondents defined HOB as a positive blood culture on or after hospital day 3. Central line-associated bloodstream infections and intra-abdominal infections were perceived as the most frequent etiologies. Moreover, 61% thought that most HOB events are preventable, and 54% viewed HOB as a measure reflecting a hospital's quality of care. Also, 29% of respondents' hospitals already collect HOB data for internal purposes. Given a choice to publicly report central-line-associated bloodstream infections (CLABSIs) and/or HOB, 57% favored reporting either HOB alone (22%) or in addition to CLABSI (35%) and 34% favored CLABSI alone. Among the majority of SHEA Research Network respondents, HOB is perceived as preventable, reflective of quality of care, and potentially acceptable as a publicly reported quality metric. Further studies on HOB are needed, including validation as a quality measure, assessment of risk adjustment, and formation of evidence-based bundles and toolkits to facilitate measurement and improvement of HOB rates.

Infection Control Practitioners - psychology

Cross-Sectional Studies

Humans

Bacteremia - psychology

Fungemia - prevention & control

Health Knowledge, Attitudes, Practice

Cross Infection - psychology

Bacteremia - prevention & control

Hospitals

Cross Infection - microbiology

Surveys and Questionnaires

Epidemiologists - psychology

Fungemia - psychology

Quality of Health Care

Details

Title: Subtitle: Hospital epidemiologists' and infection preventionists' opinions regarding hospital-onset bacteremia and fungemia as a potential healthcare-associated infection metric
Creators: Raymund B Dantes - Division of Hospital Medicine, Department of Medicine,Emory University School of Medicine,Atlanta, Georgia
Lilian M Abbo - Division of Infectious Diseases, Department of Medicine,Jackson Health System and University of Miami Miller School of Medicine,Miami,Florida
Deverick Anderson - Duke Center for Antimicrobial Stewardship and Infection Prevention,Duke University School of Medicine,Durham,North Carolina
Lisa Hall - School of Public Health,University of Queensland,Brisbane,Australia
Jennifer H Han - Division of Infectious Diseases, Department of Medicine, Perelman School of Medicine,University of Pennsylvania,Philadelphia,Pennsylvania
Anthony D Harris - Department of Epidemiology and Public Health,University of Maryland School of Medicine,Baltimore,Maryland
Surbhi Leekha - Department of Epidemiology and Public Health,University of Maryland School of Medicine,Baltimore,Maryland
Aaron M Milstone - Division of Pediatric Infectious Diseases, Department of Pediatrics,Johns Hopkins University School of Medicine,Baltimore,Maryland
Daniel J Morgan - Department of Epidemiology and Public Health,University of Maryland School of Medicine,Baltimore,Maryland
Nasia Safdar - University of Wisconsin-Madison,Madison,Wisconsin
Marin L Schweizer - Iowa City Veterans Affairs Health Care System,Iowa City,Iowa
Sharmila Sengupta - Department of Microbiology and Infection Control,Medanta-The Medicity Hospital,Gurgaon, Haryana,India
Susan K Seo - Infectious Disease Service, Department of Medicine,Memorial Sloan Kettering Cancer Center,New York,New York
Clare Rock - Division of Pediatric Infectious Diseases, Department of Pediatrics,Johns Hopkins University School of Medicine,Baltimore,Maryland
Resource Type: Journal article
Publication Details: Infection control and hospital epidemiology, Vol.40(5), pp.536-540
DOI: 10.1017/ice.2019.40
PMID: 30932802
PMCID: PMC6897303
NLM abbreviation: Infect Control Hosp Epidemiol
ISSN: 0899-823X
eISSN: 1559-6834
Grant note: K24 AI079040 / NIAID NIH HHS
Language: English
Date published: 05/2019
Academic Unit: Epidemiology; General Internal Medicine; Internal Medicine
Record Identifier: 9984094554002771

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