Abstract:
BACKGROUND:Valid data are a crucial aspect of infection prevention and control programs. The aim of this study was to examine the accuracy of routine reporting in the Iranian Nosocomial Infection Surveillance System in intensive care units. METHODS:A blinded retrospective review of general intensive care unit medical records was performed with a standard case-finding form. Infection control nurses (ICNs) were also interviewed to explore possible reasons for differences. RESULTS:The results of 951 events in 856 medical records were assessed. Sensitivity, specificity, and positive and negative predictive values of routine surveillance were 27.5%, 97.2%, 69%, and 85.3%, respectively. The results indicate 82.2%, 68.4%, 62.7%, and 57.3% under-reporting of surgical site infections, urinary tract infections, bloodstream infections, and pneumonia, respectively. Over-reporting of approximately 8%-15% was detected in 4 types of health care-associated infections (HAIs). Misinterpretation of HAI definition, high ICN workload, and inactivity of infection control link nurses were the main causes of inaccurate reporting. CONCLUSIONS:Under and over-reporting of HAIs are main challenges of HAIs reporting in Iran. Developing guidelines, empowering ICNs through specialized training and activating infection control link nurses are necessary to achieve more accurate data in the Iranian Nosocomial Infection Surveillance System.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Seifi A,Dehghan-Nayeri N,Rostamnia L,Varaei S,Akbari Sari A,Haghani H,Ghanbari Vdoi
10.1016/j.ajic.2018.12.028subject
Has Abstractpub_date
2019-08-01 00:00:00pages
951-955issue
8eissn
0196-6553issn
1527-3296pii
S0196-6553(19)30004-5journal_volume
47pub_type
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journal_title:American journal of infection control
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更新日期:1998-12-01 00:00:00
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更新日期:2006-03-01 00:00:00
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journal_title:American journal of infection control
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更新日期:2003-08-01 00:00:00
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journal_title:American journal of infection control
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更新日期:1980-11-01 00:00:00
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更新日期:2018-05-01 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.2007.04.277
更新日期:2008-02-01 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.2019.11.020
更新日期:2020-05-01 00:00:00
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更新日期:2017-06-01 00:00:00
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更新日期:2000-06-01 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:1982-11-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2015-04-01 00:00:00
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更新日期:2016-12-01 00:00:00
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pub_type: 杂志文章
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更新日期:2019-05-01 00:00:00
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更新日期:2020-07-28 00:00:00
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journal_title:American journal of infection control
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更新日期:2006-11-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2020-06-01 00:00:00
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journal_title:American journal of infection control
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更新日期:2010-06-01 00:00:00
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更新日期:2010-08-01 00:00:00
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journal_title:American journal of infection control
pub_type: 临床试验,杂志文章
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更新日期:2013-06-01 00:00:00