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

Raymund B. Dantes, Lilian 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

Research output: Contribution to journalArticle

Abstract

Objective: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.Design:Cross-sectional survey.Participants:Hospital epidemiologists and infection preventionist members of the Society for Healthcare Epidemiology of America (SHEA) Research Network.Methods:A web-based, multiple-choice survey was administered via the SHEA Research Network to 133 hospitals.Results: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.Conclusions: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.

Original languageEnglish (US)
JournalInfection control and hospital epidemiology
DOIs
StatePublished - Jan 1 2019

Fingerprint

Fungemia
Cross Infection
Bacteremia
Quality of Health Care
Epidemiologists
Epidemiology
Infection
Research
Intraabdominal Infections
Delivery of Health Care
Risk Adjustment

ASJC Scopus subject areas

  • Epidemiology
  • Microbiology (medical)
  • Infectious Diseases

Cite this

Hospital epidemiologists' and infection preventionists' opinions regarding hospital-onset bacteremia and fungemia as a potential healthcare-associated infection metric. / Dantes, Raymund B.; Abbo, Lilian; Anderson, Deverick; Hall, Lisa; Han, Jennifer H.; Harris, Anthony D.; Leekha, Surbhi; Milstone, Aaron M.; Morgan, Daniel J.; Safdar, Nasia; Schweizer, Marin L.; Sengupta, Sharmila; Seo, Susan K.; Rock, Clare.

In: Infection control and hospital epidemiology, 01.01.2019.

Research output: Contribution to journalArticle

Dantes, Raymund B. ; Abbo, Lilian ; Anderson, Deverick ; Hall, Lisa ; Han, Jennifer H. ; Harris, Anthony D. ; Leekha, Surbhi ; Milstone, Aaron M. ; Morgan, Daniel J. ; Safdar, Nasia ; Schweizer, Marin L. ; Sengupta, Sharmila ; Seo, Susan K. ; Rock, Clare. / Hospital epidemiologists' and infection preventionists' opinions regarding hospital-onset bacteremia and fungemia as a potential healthcare-associated infection metric. In: Infection control and hospital epidemiology. 2019.
@article{4439aafec01e414194d3e06218be4d1e,
title = "Hospital epidemiologists' and infection preventionists' opinions regarding hospital-onset bacteremia and fungemia as a potential healthcare-associated infection metric",
abstract = "Objective: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.Design:Cross-sectional survey.Participants:Hospital epidemiologists and infection preventionist members of the Society for Healthcare Epidemiology of America (SHEA) Research Network.Methods:A web-based, multiple-choice survey was administered via the SHEA Research Network to 133 hospitals.Results: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.Conclusions: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.",
author = "Dantes, {Raymund B.} and Lilian Abbo and Deverick Anderson and Lisa Hall and Han, {Jennifer H.} and Harris, {Anthony D.} and Surbhi Leekha and Milstone, {Aaron M.} and Morgan, {Daniel J.} and Nasia Safdar and Schweizer, {Marin L.} and Sharmila Sengupta and Seo, {Susan K.} and Clare Rock",
year = "2019",
month = "1",
day = "1",
doi = "10.1017/ice.2019.40",
language = "English (US)",
journal = "Infection Control and Hospital Epidemiology",
issn = "0899-823X",
publisher = "University of Chicago Press",

}

TY - JOUR

T1 - Hospital epidemiologists' and infection preventionists' opinions regarding hospital-onset bacteremia and fungemia as a potential healthcare-associated infection metric

AU - Dantes, Raymund B.

AU - Abbo, Lilian

AU - Anderson, Deverick

AU - Hall, Lisa

AU - Han, Jennifer H.

AU - Harris, Anthony D.

AU - Leekha, Surbhi

AU - Milstone, Aaron M.

AU - Morgan, Daniel J.

AU - Safdar, Nasia

AU - Schweizer, Marin L.

AU - Sengupta, Sharmila

AU - Seo, Susan K.

AU - Rock, Clare

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Objective: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.Design:Cross-sectional survey.Participants:Hospital epidemiologists and infection preventionist members of the Society for Healthcare Epidemiology of America (SHEA) Research Network.Methods:A web-based, multiple-choice survey was administered via the SHEA Research Network to 133 hospitals.Results: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.Conclusions: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.

AB - Objective: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.Design:Cross-sectional survey.Participants:Hospital epidemiologists and infection preventionist members of the Society for Healthcare Epidemiology of America (SHEA) Research Network.Methods:A web-based, multiple-choice survey was administered via the SHEA Research Network to 133 hospitals.Results: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.Conclusions: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.

UR - http://www.scopus.com/inward/record.url?scp=85063787601&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85063787601&partnerID=8YFLogxK

U2 - 10.1017/ice.2019.40

DO - 10.1017/ice.2019.40

M3 - Article

C2 - 30932802

AN - SCOPUS:85063787601

JO - Infection Control and Hospital Epidemiology

JF - Infection Control and Hospital Epidemiology

SN - 0899-823X

ER -