caa a22 4500 388034122 CHVBK 20180307124959.0 cr unu---uuuuu 161130e199809 xx s 000 0 eng 10.1086/502447 doi S0195941700005853 pii (NATIONALLICENCE)cambridge-10.1086/502447 Simplified Surveillance for Nosocomial Bloodstream Infections [Elektronische Daten] Abstract Objective: To compare a surveillance definition of nosocomial bloodstream infections requiring only microbiology data to the Centers for Disease Control and Prevention's (CDC) current definition. Setting: Six teaching hospitals. Methods: We classified a representative sample of 73 positive blood cultures from six hospitals growing common skin contaminant isolates using a definition for bacteremia requiring only microbiology data and the CDC definition for primary bloodstream infection (National Nosocomial Infections Surveillance [NNIS] System review method). The classifications assigned during routine prospective surveillance also were noted, and the time required to classify isolates by the two methods was compared. Results: Among 65 blood cultures growing common skin contaminant isolates obtained from adults, the agreement rate between the microbiology data method and the NNIS review method was 91%. Agreement was significantly poorer for the eight blood cultures growing common skin contaminant isolates obtained from pediatric patients. The microbiology data method requires approximately 20 minutes less time per isolate than does routine surveillance. Conclusions: A definition based on microbiology data alone yields the same result as the CDC's definition in the large majority of instances. It is more resource-efficient than the CDC's current definition Copyright © The Society for Healthcare Epidemiology of America 1998 Yokoe Deborah S. Channing Laboratory and Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts Anderson Jane Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts Chambers Robert Department of Medicine, Brockton and West Roxbury Veterans' Administration Medical Center, West Roxbury, Massachusetts Connor Maureen Laboratory of Infectious Diseases, Dana-Farber Cancer Institute, Boston, Massachusetts Finberg Robert Laboratory of Infectious Diseases, Dana-Farber Cancer Institute, Boston, Massachusetts Hopkins Cyrus Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts Lichtenberg Deborah Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts Marino Susan Channing Laboratory and Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts McLaughlin Dorothy Departments of Pediatrics and Infection Control, Children's Hospital, Boston, Massachusetts O'Rourke Edward Departments of Pediatrics and Infection Control, Children's Hospital, Boston, Massachusetts Samore Matthew Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts Sands Kenneth Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts Strymish Judith Department of Medicine, Brockton and West Roxbury Veterans' Administration Medical Center, West Roxbury, Massachusetts Tamplin Elise Department of Medicine, Brockton and West Roxbury Veterans' Administration Medical Center, West Roxbury, Massachusetts Vallonde Nancy Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts Platt Richard Channing Laboratory and Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts Infection Control & Hospital Epidemiology Cambridge University Press 19/9(1998-09), 657-660 0899-823X 19:9<657 1998 19 ICE https://doi.org/10.1086/502447 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1086/502447 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Yokoe Deborah S. Channing Laboratory and Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts NATIONALLICENCE 700 1- Anderson Jane Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts NATIONALLICENCE 700 1- Chambers Robert Department of Medicine, Brockton and West Roxbury Veterans' Administration Medical Center, West Roxbury, Massachusetts NATIONALLICENCE 700 1- Connor Maureen Laboratory of Infectious Diseases, Dana-Farber Cancer Institute, Boston, Massachusetts NATIONALLICENCE 700 1- Finberg Robert Laboratory of Infectious Diseases, Dana-Farber Cancer Institute, Boston, Massachusetts NATIONALLICENCE 700 1- Hopkins Cyrus Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts NATIONALLICENCE 700 1- Lichtenberg Deborah Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts NATIONALLICENCE 700 1- Marino Susan Channing Laboratory and Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts NATIONALLICENCE 700 1- McLaughlin Dorothy Departments of Pediatrics and Infection Control, Children's Hospital, Boston, Massachusetts NATIONALLICENCE 700 1- O'Rourke Edward Departments of Pediatrics and Infection Control, Children's Hospital, Boston, Massachusetts NATIONALLICENCE 700 1- Samore Matthew Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts NATIONALLICENCE 700 1- Sands Kenneth Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts NATIONALLICENCE 700 1- Strymish Judith Department of Medicine, Brockton and West Roxbury Veterans' Administration Medical Center, West Roxbury, Massachusetts NATIONALLICENCE 700 1- Tamplin Elise Department of Medicine, Brockton and West Roxbury Veterans' Administration Medical Center, West Roxbury, Massachusetts NATIONALLICENCE 700 1- Vallonde Nancy Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts NATIONALLICENCE 700 1- Platt Richard Channing Laboratory and Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts NATIONALLICENCE 773 0- Infection Control & Hospital Epidemiology Cambridge University Press 19/9(1998-09), 657-660 0899-823X 19:9<657 1998 19 ICE CC0 http://creativecommons.org/publicdomain/zero/1.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-cambridge