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The Impact of 2015 NHSN Catheter-associated Urinary Tract Infection (CAUTI) Definition Change on Central Line-associated Bloodstream Infection (CLABSI) Rates and CLABSI Prevention Efforts at an Academic Medical Center

  • Sonali D. Advani (a1), Rachael A. Lee (a2), Martha Long (a3), Mariann Schmitz (a3) and Bernard C. Camins (a2)...
Abstract

The 2015 changes in the catheter-associated urinary tract infection definition led to an increase in central line-associated bloodstream infections (CLABSIs) and catheter-related candidemia in some health systems due to the change in CLABSI attribution. However, our rates remained unchanged in 2015 and further declined in 2016 with the implementation of new vascular-access guidelines.

Infect Control Hosp Epidemiol 2018;878–880

Copyright
Corresponding author
Address correspondence to Sonali Advani MD, MPH, Associate Hospital Epidemiologist, Yale-New Haven Hospital, Assistant Professor of Medicine, Section of Infectious Diseases, Yale University School of Medicine, 20 York St, HB 527, New Haven, CT 06510 (sonali.advani@yale.edu).
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PREVIOUS PRESENTATION. The data from this study were presented in part at the 55th Annual Meeting of the Infectious Diseases Society of America, IDWeek 2017 on October 5, 2017, in San Diego, California, as a poster presentation (abstract 474) in the session “HAI: Surveillance Plus Reporting.”

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1. Kennedy, EH, Greene, MT, Saint, S. Estimating hospital costs of catheter-associated urinary tract infection. J Hosp Med 2013;8:519522.
2. Higuera, F, Rangel-Frausto, MS, Rosenthal, VD, et al. Attributable cost and length of stay for patients with central venous catheter-associated bloodstream infection in Mexico City intensive care units: a prospective, matched analysis. Infect Control Hosp Epidemiol 2007;28:3135.
3. Rosenthal, VD, Guzman, S, Migone, O, Crnich, CJ. The attributable cost, length of hospital stay, and mortality of central line-associated bloodstream infection in intensive care departments in Argentina: a prospective, matched analysis. Am J Infect Control 2003;31:475480.
4. Vandijck, DM, Depaemelaere, M, Labeau, SO, et al. Daily cost of antimicrobial therapy in patients with intensive care unit–acquired, laboratory-confirmed bloodstream infection. Int J Antimicrob Agents 2008;31:161165.
5. National Healthcare Safety Network (NHSN) Patient Safety Component Manual. Centers for Disease Control and Prevention website. https://www.cdc.gov/nhsn/pdfs/pscmanual/pcsmanual_current.pdf. Published January 2017. Accessed July 1, 2017.
6. Advani, SD, Lee, RA, Schmitz, M, Camins, BC. Impact of changes to the National Healthcare Safety Network (NHSN) definition on catheter-associated urinary tract infection (CAUTI) rates in intensive care units at an academic medical center. Infect Control Hosp Epidemiol 2017;38:621623.
7. Bardossy, AC, Jayaprakash, R, Alangaden, AC, et al. Impact and limitations of the 2015 National Health and Safety Network case definition on catheter-associated urinary tract infection rates. Infect Control Hosp Epidemiol 2017;38:239241.
8. Fakih, MG, Groves, C, Bufalino, A, Sturm, LK, Hendrich, AL. Definitional change in NHSN CAUTI was associated with an increase in CLABSI events: evaluation of a large health system. Infect Control Hosp Epidemiol 2017;38:685689.
9. Boyce, JM, Nadeau, J, Dumigan, D, et al. Obtaining blood cultures by venipuncture versus from central lines: impact on blood culture contamination rates and potential effect on central line-associated bloodstream infection reporting. Infect Control Hosp Epidemiol 2013;34:10421047.
10. Garcia, RA, Spitzer, ED, Beaudry, J, et al. Multidisciplinary team review of best practices for collection and handling of blood cultures to determine effective interventions for increasing the yield of true-positive bacteremias, reducing contamination, and eliminating false-positive central line-associated bloodstream infections. Am J Infect Control 2015;43:12221237.
11. Drogari-Apiranthitou, M, Anyfantis, I, Galani, I, Kanioura, L, Daikos, GL, Petrikkos, G. Association between candiduria and candidemia: a clinical and molecular analysis of cases. Mycopathologia 2017;182:10451052.
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Infection Control & Hospital Epidemiology
  • ISSN: 0899-823X
  • EISSN: 1559-6834
  • URL: /core/journals/infection-control-and-hospital-epidemiology
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