Feeding Back Surveillance Data To Prevent Hospital-Acquired Infections

Gaynes, Robert P.; Richards, Cheryl; Edwards, Jonathan R.; Emori, T. Grace; Horan, Teresa C.; Alonso-Echanove, Juan; Fridkin, Scott K.; Lawton, Rachel; Peavy, Guerry M.; Tolson, James S.

doi:10.3201/eid0702.010230

Cited by 201 publications

(122 citation statements)

References 15 publications

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“…En l'absence de PR, les taux d'infection postopératoires pour l'extraction d'une dent de sagesse vont de 0,9 à 5,9 % [27]. Ils sont similaires à ceux de la chirurgie articulaire (2 à 5 %) [28,29]. En présence de PR, la majorité des études n'a pas identifié davantage de complications infectieuses postopératoires en cas de maintien des anti-TNF par rapport aux groupes les ayant suspendu [10][11][12][13][14][15].…”

Section: Discussionunclassified

Évaluation du rapport bénéfice-risque de la suspension des anti-TNF alpha en chirurgie orale

Pannérec

Catros

Fricain

2014

Med Buccale Chir Buccale

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Section: Discussionunclassified

Évaluation du rapport bénéfice-risque de la suspension des anti-TNF alpha en chirurgie orale

Pannérec

Catros

Fricain

2014

Med Buccale Chir Buccale

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“…The authors acknowledge that other explanations, such as a national effort to reduce HAIs, may have also influenced these results. 24 Other well described national HAI surveillance programs include the Krankenhaus Infektions Surveillance System (KISS) in Germany, 25 the UK, 26 Spain, 27,28 France, 29 Scotland, 30 and the Netherlands. 31 In Germany, Gastmeier demonstrated significant reductions in HAI of 20-30% over a 3-year period in hospitals participating in the Krankenhaus Infektions Surveillance System program.…”

Section: International Hai Surveillance Programs and Impactmentioning

confidence: 99%

Healthcare-associated infections in Australia: time for national surveillance

Russo

Cheng

Richards

et al. 2015

Aust. Health Review

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Objective. Healthcare-associated infection (HAI) surveillance programs are critical for infection prevention. Australia does not have a comprehensive national HAI surveillance program. The purpose of this paper is to provide an overview of established international and Australian statewide HAI surveillance programs and recommend a pathway for the development of a national HAI surveillance program in Australia.Methods. This study examined existing HAI surveillance programs through a literature review, a review of HAI surveillance program documentation, such as websites, surveillance manuals and data reports and direct contact with program representatives.Results. Evidence from international programs demonstrates national HAI surveillance reduces the incidence of HAIs. However, the current status of HAI surveillance activity in Australian states is disparate, variation between programs is not well understood, and the quality of data currently used to compose national HAI rates is uncertain.Conclusions. There is a need to develop a well-structured, evidence-based national HAI program in Australia to meet the increasing demand for validated reliable national HAI data. Such a program could be leveraged off the work of existing Australian and international programs. What is known about the topic?There is a large volume of literature demonstrating the effectiveness of national HAI surveillance programs in reducing the incidence of HAIs. Although some of the larger states of Australia have individual programs, a formalised national program does not exist. A well structured national HAI program in Australia would improve the understanding of the epidemiology of HAIs in Australia and provide high quality data for performance monitoring and ensuring that HAI prevention interventions are targeted appropriately. What does this paper add? This paper reviews well established international HAI surveillance programs and highlights the benefits and limitations of these programs, and identifies the gaps that currently exist in Australia. The paper then maps out a pathway towards the development of a national program. What are the implications for practitioners? This paper will act as a guide for future research and policy activities required for the establishment of a national HAI surveillance program in Australia.

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“…5 For surveillance to be successful, two of the key elements are that data must be disseminated to health care providers, and a link must exist between monitored rates and preventive efforts, where health care providers relied on the data to alter their behaviour in ways that may have reduced hospital-acquired infection. 6 While surveillance of infectious diseases in Victoria would appear to be well coordinated, with central reporting and feedback of data to Government and other relevant bodies, this has not been the case for hospital-acquired infections.…”

mentioning

confidence: 99%

Infections after coronary artery bypass graft surgery in Victorian hospitals ‐ VICNISS Hospital Acquired Infection Surveillance

Russo

Bull

Bennett

et al. 2005

Australian and New Zealand Journal of Public Health

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Objective: To establish a surveillance program reporting surgical site infection rates after coronary artery bypass graft surgery (CABGS) in Victorian public hospitals. Methods: The VICNISS Coordinating Centre was established in 2002 to implement and co‐ordinate a standardised surveillance system for hospital‐acquired infections in acute care Victorian public hospitals. Using validated definitions and methodology from the Centers for Disease Control and Prevention's National Nosocomial Infection Surveillance (NNIS) program, data on risk‐adjusted surgical site infection (SSI) rates were collected and submitted to the Coordinating Centre for collation and reporting. Results: Six large Melbourne metropolitan hospitals contributed data for CABGS for the period 11 November 2002 to 30 June 2004, comprising a total of 3,482 patient records. Of 3,398 complete records, the aggregate SSI rates per 100 procedures for NNIS risk category 1 and 2 were 4.4 (95% CI 3.7‐5.3) and 6.0 (95% CI 4.5–7.8) respectively. The deep sternal SSI rates were 0.6 (95% CI 0.4‐1.3) and 0.5 (95% CI 0.5‐2.4 for patients in risk category 1 and 2 respectively. The most common pathogen identified was Staphylococcus aureus. Conclusion: This early data from VICNISS demonstrates similar CABGS SSI rates to those reported by NNIS in the USA, but higher than reported by the German Nosocomial Infection Surveillance System. Implications: The adoption of a statewide, co‐ordinated surveillance program using validated internationally accepted methodologies allows hospitals to benchmark their infection rates against aggregate local and international data and to examine infection prevention interventions.

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Feeding Back Surveillance Data To Prevent Hospital-Acquired Infections

Cited by 201 publications

References 15 publications

Évaluation du rapport bénéfice-risque de la suspension des anti-TNF alpha en chirurgie orale

Évaluation du rapport bénéfice-risque de la suspension des anti-TNF alpha en chirurgie orale

Healthcare-associated infections in Australia: time for national surveillance

Infections after coronary artery bypass graft surgery in Victorian hospitals ‐ VICNISS Hospital Acquired Infection Surveillance

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