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Comparison of metrics used to track central-line–associated bloodstream infections (CLABSIs) and catheter-associated urinary tract infections (CAUTIs) across a regional network

Published online by Cambridge University Press:  16 July 2021

Sonali D. Advani Open the ORCID record for Sonali D. Advani [Opens in a new window] ,
Becky A. Smith ,
Jessica Seidelman ,
Nicholas Turner ,
Deverick J. Anderson  and
Sarah S. Lewis
Sonali D. Advani*
Affiliation:
Division of Infectious Diseases, Duke University School of MedicineDurham, North Carolina Duke Infection Control Outreach Network, Durham, North Carolina
Becky A. Smith
Affiliation:
Division of Infectious Diseases, Duke University School of MedicineDurham, North Carolina Duke Infection Control Outreach Network, Durham, North Carolina
Jessica Seidelman
Affiliation:
Division of Infectious Diseases, Duke University School of MedicineDurham, North Carolina Duke Infection Control Outreach Network, Durham, North Carolina
Nicholas Turner
Affiliation:
Division of Infectious Diseases, Duke University School of MedicineDurham, North Carolina Duke Infection Control Outreach Network, Durham, North Carolina
Deverick J. Anderson
Affiliation:
Division of Infectious Diseases, Duke University School of MedicineDurham, North Carolina Duke Infection Control Outreach Network, Durham, North Carolina
Sarah S. Lewis
Affiliation:
Division of Infectious Diseases, Duke University School of MedicineDurham, North Carolina Duke Infection Control Outreach Network, Durham, North Carolina
*
Author for correspondence: Sonali Advani, E-mail: sonali.advani@duke.edu
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Abstract

The paradoxical relationship between standardized infection ratio and standardized utilization ratio for catheter-associated urinary tract infections (CAUTIs) in contrast to central-line–associated bloodstream infections (CLABSIs), in addition to CAUTI definition challenges, incentivizes hospitals to focus their prevention efforts on urine culture stewardship rather than catheter avoidance and care.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 43 , Issue 11 , November 2022 , pp. 1712 - 1714
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Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

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Footnotes

PREVIOUS PRESENTATION. These data were accepted to The Sixth Decennial International Conference on Healthcare-Associated Infections Abstracts in March 2020 for a virtual poster presentation as Abstract 484: Global Solutions to Antibiotic Resistance in Healthcare.

References

The NHSN standardized infection ratio (SIR): a guide to the SIR. Centers for Disease Control and Prevention website. https://www.cdc.gov/nhsn/pdfs/ps-analysis-resources/nhsn-sir-guide.pdf. Accessed June 18, 2018.Google Scholar
Pepe, DE, Maloney, M, Leung, V, et al. An evaluation of metrics for assessing catheter-associated urinary tract infections (CAUTIs): a statewide comparison. Infect Control Hosp Epidemiol 2020;41:481–483.Google ScholarPubMed
The NHSN Standardized Utilization Ratio (SUR): a guide to the SUR. Centers for Disease Control and Prevention website. https://www.cdc.gov/nhsn/pdfs/ps-analysis-resources/nhsn-sur-guide-508.pdf. Accessed July 18, 2018.Google Scholar
Hospital-Acquired Condition Reduction Program (HACRP). Centers for Medicare and Medicaid Services website. https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/HAC-Reduction-Program.html. Published 2018. Updated July 30, 2018. Accessed August 1, 2018.Google Scholar
Advani, SD, Fakih, MG. The evolution of catheter-associated urinary tract infection (CAUTI): is it time for more inclusive metrics? Infect Control Hosp Epidemiol 2019;40:681–685.Google ScholarPubMed
Wright, MO, Kharasch, M, Beaumont, JL, Peterson, LR, Robicsek, A. Reporting catheter-associated urinary tract infections: denominator matters. Infect Control Hosp Epidemiol 2011;32:635–640.Google ScholarPubMed
Fakih, MG, Huang, RH, Bufalino, A, et al. The case for a population standardized infection ratio (SIR): a metric that marries the device SIR to the standardized utilization ratio (SUR). Infect Control Hosp Epidemiol 2019;40:979–982.Google Scholar
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 January 1, 2017.Google Scholar
Mullin, KM, Kovacs, CS, Fatica, C, et al. A Multifaceted approach to reduction of catheter-associated urinary tract infections in the intensive care unit with an emphasis on “stewardship of culturing.” Infect Control Hosp Epidemiol 2017;38:186–188.Google ScholarPubMed
Fakih, MG, Advani, SD. Striving to reach the optimal measure for catheter-associated urinary tract infection (CAUTI): moving to catheter harm. Clin Infect Dis 2021;72(9):e424.Google ScholarPubMed
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;38:621–623.CrossRefGoogle Scholar
Hsu, HE, Wang, R, Jentzsch, MS, et al. The impact of measurement changes on evaluating hospital performance: the case of catheter-associated urinary tract infections. Infect Control Hosp Epidemiol 2019;40:1269–1271.Google ScholarPubMed
Abrantes-Figueiredo, JI, Ross, JW, Banach, DB. Device utilization ratios in infection prevention: process or outcome measure? Curr Infect Dis Rep 2018;20:8.Google ScholarPubMed