Faster and active surveillance of hospital-acquired infections: A model for settings with high sensitivity predictors

Yaowen Chung, Yu Sheng Lo, Wen Sen Lee, Min-Huei Hsu, Chien Tsai Liu

研究成果: 書貢獻/報告類型會議貢獻

摘要

Background: At present, passive alarm system from culture reports and announced from groups outbreak events make cases investigate delayed. Is there any predict factor can be used to suggest active high capture sensitivity surveillance and alarm outbreak early? Objectives: Is there any predict factor can be used to get active high capture sensitivity surveillance of hospital-acquired infections (HAI) in acute hospitals. Can it give alarm of outbreak early? Can it decrease the number for direct patient examination or chart review. Methods : We performed three months retrospective study to identify predictors(urine routine, device as catheter or cystoscope, antibiotics, culture, etc.) about major HAI (urinary tract infections), as defined by the Centers for Disease Control and Prevention (CDC) criteria in a medical center (733 beds). We compared patients list of predictor(s) positive collected from electronic medical record by medical information department members with confirmed nosocomial UTI cases list given from infection control department. Results: 5533 admission patients were screened. The overall prevalence of HAI was 2.5% (141/5533); 1.4% (77/5533) of patients was nosocomial UTI. At presence of urine routine examination and devices guarantees 100% capture sensitivity in detecting nosocomial UTI but requires an assessment of 2763 patients (49.9%) of the population. At presence of antibiotics and devices guarantees 98.7% capture sensitivity and requires an assessment of 1921 patients (34.7%) of the population, whereas presence of antibiotics and urine routine examination has 98.7% capture sensitivity but requires an assessment of 3019 patients (54.7%) of the population. Conclusion: A capture system based on daily list of newly order about antibiotics, devices, urine routine examination, urine culture, blood culture, infection control department of hospital can decide which high predict value criteria suggesting checklist from medical information department for infection control department member to perform active patient examination and decrease the number of direct patient examination and chart review, but still keep high capture sensitivity.
原文英語
主出版物標題Proceedings of the 2009 9th IEEE International Conference on Bioinformatics and BioEngineering, BIBE 2009
頁面443-448
頁數6
DOIs
出版狀態已發佈 - 2009
事件2009 9th IEEE International Conference on Bioinformatics and BioEngineering, BIBE 2009 - Taichung, 臺灣
持續時間: 六月 22 2009六月 24 2009

其他

其他2009 9th IEEE International Conference on Bioinformatics and BioEngineering, BIBE 2009
國家臺灣
城市Taichung
期間6/22/096/24/09

ASJC Scopus subject areas

  • Information Systems
  • Biomedical Engineering
  • Health Informatics

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  • 引用此

    Chung, Y., Lo, Y. S., Lee, W. S., Hsu, M-H., & Liu, C. T. (2009). Faster and active surveillance of hospital-acquired infections: A model for settings with high sensitivity predictors. 於 Proceedings of the 2009 9th IEEE International Conference on Bioinformatics and BioEngineering, BIBE 2009 (頁 443-448). [5211224] https://doi.org/10.1109/BIBE.2009.39