Abstract：
BACKGROUND:ICD-9-CM coding alone has been proposed as a method of surveillance for health care-associated infections (HAIs). The accuracy of this method, however, relative to accepted infection control criteria is not known. METHODS:Retrospective analysis of patients at an academic medical center in 2005 who underwent surgical procedures or who were at risk for catheter-associated bloodstream infections or ventilator-associated pneumonia was performed. Patients previously identified with HAIs by Centers for Disease Control and Prevention's National Healthcare Safety Network surveillance methods were compared with those of the same risk group identified by secondary infection ICD-9-CM codes. Discordant cases identified by only coding were all rereviewed and adjusted prior to final analysis. When coding and surveillance were both negative, a sample of patients was used to estimate the proportion of false negatives in this group. RESULTS:The positive predictive values (PPVs) ranged from 0.14 to 0.51 with an aggregate of 0.23, even after adjustment for additional cases detected on subsequent medical record review. The negative predictive values (NPVs) ranged from 0.91 to 1.00, with an aggregate of 0.96. The estimates of the true variance of PPVs and NPVs across surgical procedures were small (0.0129, standard error, 0.009; 0.000145, standard error, 0.00019, respectively) and could be mostly explained by variation in prevalence of surgical site infections. CONCLUSION:Administrative coding alone appears to be a poor tool to be used as an infection control surveillance method. Its proposed use for routine HAI surveillance, public reporting of HAIs, interfacility comparisons, and nonpayment for performance should be seriously questioned.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Stevenson KB,Khan Y,Dickman J,Gillenwater T,Kulich P,Myers C,Taylor D,Santangelo J,Lundy J,Jarjoura D,Li X,Shook J,Mangino JEdoi
10.1016/j.ajic.2008.01.004subject
Has Abstractpub_date
2008-04-01 00:00:00pages
155-64issue
3eissn
0196-6553issn
1527-3296pii
S0196-6553(08)00087-4journal_volume
36pub_type
杂志文章abstract：BACKGROUND:Children in child care settings have a high infectious burden. They are frequently exposed to sanitizing and disinfecting agents, whose toxicities have not been studied in these settings. Current guidance on the preferred disinfection agents for child care is vague. METHODS:This article combines 2 different...
journal_title：American journal of infection control
pub_type： 杂志文章
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更新日期：2019-01-01 00:00:00
abstract：:Several authors have proposed the use of statistical process control charting methods for the surveillance of endemic rates of nosocomial infections. The principal goal of such a charting program is to recognize any increase of the endemic rate to an epidemic rate as soon as possible after the change occurs. However, ...
journal_title：American journal of infection control
pub_type： 杂志文章,评审
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更新日期：2000-08-01 00:00:00
abstract：:Systematic reviews have become a key strategy to identifying evidence-based practice guidelines in infection prevention. They are considered the highest level of evidence providing the most effective answers to practice questions. Infection preventionists need to become familiar with reading systematic reviews and lea...
journal_title：American journal of infection control
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journal_title：American journal of infection control
pub_type： 杂志文章
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journal_title：American journal of infection control
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journal_title：American journal of infection control
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abstract：BACKGROUND:The number and significance of tuberculin skin test reactions were compared with self-reported baseline values among house staff working in a public hospital. High-risk medical specialties, locations, and infection control practices were examined. METHODS:House staff interviews, tuberculin skin test applica...
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pub_type： 杂志文章
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更新日期：1996-02-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章,评审
doi：10.1016/j.ajic.2015.11.015
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journal_title：American journal of infection control
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journal_title：American journal of infection control
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abstract：:Of the 309 private dental practitioners in Fars, Iran, surveyed most, 77.7% believed they had a professional duty to treat HIV-positive patients, with 61.4% expressing some level of discomfort about treating these patients, and 75.1% believed they should be treated at a specialist practice. Gloves and masks were not a...
journal_title：American journal of infection control
pub_type： 杂志文章
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journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2007.05.013
更新日期：2008-03-01 00:00:00
abstract：:Urinary tract infections are one of the most common hospital-acquired infections, with 70%-80% resulting from catheter-associated urinary tract infections (CAUTIs). We undertook a qualitative study to assess patient perspectives of indwelling urinary catheters using a semistructured interview. We found that patient aw...
journal_title：American journal of infection control
pub_type： 杂志文章
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更新日期：2016-03-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章,评审
doi：10.1016/j.ajic.2006.05.219
更新日期：2006-06-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2017.03.036
更新日期：2017-10-01 00:00:00
abstract：:Nasal mucosa colonization by Staphylococcus aureus is a risk factor for hospital-acquired infections. This study examined the effectiveness of a decolonization strategy on orthopedic surgeons in a teaching hospital. S aureus colonization was detected in 43.2% of the surgeons, 25% of which were methicillin-resistant S ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2019.11.003
更新日期：2020-09-01 00:00:00
abstract：BACKGROUND:Multiple nosocomial outbreaks have been linked to contaminated water sources within the hospital. We report in this article a cluster of patients in a surgical intensive care unit who were colonized or infected with Stenotrophomonas maltophilia. METHODS:This study was conducted at an acute care academic hos...
journal_title：American journal of infection control
pub_type： 杂志文章
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更新日期：1999-02-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
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journal_title：American journal of infection control
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abstract：:One medical center in southern Taiwan faced an outbreak of nosocomial Legionnaires' disease; a total of 81 suspected cases were detected during an 8-month period. Baseline environmental surveillance showed that 80% of the distal sites in intensive care units (ICUs) were positive for Legionella pneumophila. Superheat-a...
journal_title：American journal of infection control
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doi：10.1016/j.ajic.2004.12.008
更新日期：2005-12-01 00:00:00
abstract：BACKGROUND:The reasons for gloving-up for surgery are to protect the surgical field from microorganisms on the surgeon's hands and protect the surgeon from the patient's microorganisms. This study measured the concentration of bacteria passing through glove punctures under surgical conditions. METHODS:Double-layered s...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2009.06.013
更新日期：2010-03-01 00:00:00
abstract：BACKGROUND:This study was conducted to determine risk factors for infectious complications after urodynamic study (UDS) in women, which can assist clinicians in identifying high-risk subjects who would benefit from antibiotic prophylaxis before UDS. METHODS:In this prospective cohort study, we studied 232 women who un...
journal_title：American journal of infection control
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doi：10.1016/j.ajic.2015.05.031
更新日期：2015-10-01 00:00:00
abstract：BACKGROUND:The aim of this study was to evaluate the performance of a focused multivector ultraviolet (FMUV) system employing shadowless delivery with a 90-second disinfection cycle for patient care equipment inside and outside the operating room (OR) suite without manual-chemical disinfection. METHODS:A 5-point multi...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2018.09.019
更新日期：2019-04-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
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更新日期：2016-12-01 00:00:00
abstract：:We performed 4 years of active screening for multidrug resistant organism (MDRO) colonization among patients with a history of overseas hospitalization. Thirteen (56.5%) of 23 cases were positive for MDROs, which highlights the importance of preemptive infection control to prevent the spread of MDROs in this populatio...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2016.06.040
更新日期：2016-11-01 00:00:00
abstract：BACKGROUND:Routine hand hygiene effectively removes methicillin-resistant Staphylococcus aureus (MRSA) and/or vancomycin resistant Enterococcus (VRE) from the ungloved hands of healthcare workers (HCWs) who are caring for patients under contact precautions, when exposure to bodily fluids is not expected. METHODS:HCWs'...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2018.01.013
更新日期：2018-07-01 00:00:00
abstract：:Antimicrobial resistance (AMR) continues to threaten global health. Although global and national AMR action plans are in place, infection prevention and control is primarily discussed in the context of health care facilities with home and everyday life settings barely addressed. As seen with the recent global SARS-CoV...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2020.04.011
更新日期：2020-09-01 00:00:00
