Hostname: page-component-cd9895bd7-hc48f Total loading time: 0 Render date: 2024-12-29T11:33:24.504Z Has data issue: false hasContentIssue false
  • English
  • Français

Impact and Limitations of the 2015 National Health and Safety Network Case Definition on Catheter-Associated Urinary Tract Infection Rates

Published online by Cambridge University Press:  24 November 2016

Ana Cecilia Bardossy ,
Rachna Jayaprakash ,
Anjali C. Alangaden ,
Patricia Starr ,
Odaliz Abreu-Lanfranco ,
Katherine Reyes ,
Marcus J. Zervos  and
George J. Alangaden
Ana Cecilia Bardossy*
Affiliation:
Division of Infectious Diseases, Henry Ford Health System, Detroit, Michigan
Rachna Jayaprakash
Affiliation:
Division of Infectious Diseases, Henry Ford Health System, Detroit, Michigan
Anjali C. Alangaden
Affiliation:
Division of Infectious Diseases, Henry Ford Health System, Detroit, Michigan
Patricia Starr
Affiliation:
Infection Control, Henry Ford Health System, Detroit, Michigan
Odaliz Abreu-Lanfranco
Affiliation:
Division of Infectious Diseases, Henry Ford Health System, Detroit, Michigan
Katherine Reyes
Affiliation:
Division of Infectious Diseases, Henry Ford Health System, Detroit, Michigan
Marcus J. Zervos
Affiliation:
Division of Infectious Diseases, Henry Ford Health System, Detroit, Michigan Wayne State University, School of Medicine, Detroit, Michigan.
George J. Alangaden
Affiliation:
Division of Infectious Diseases, Henry Ford Health System, Detroit, Michigan Wayne State University, School of Medicine, Detroit, Michigan.
*
Address correspondence to Ana Cecilia Bardossy, MD, Clinical Study Coordinator, Division of Infectious Disease, Henry Ford Health System, 2799 West Grand Blvd, CFP 302, Detroit, MI 48202 (cbardos1@hfhs.org).
Get access Rights & Permissions [Opens in a new window]

Abstract

Application of the new 2015 NHSN definition of catheter-associated urinary tract infection (CAUTI) in intensive care units reduced CAUTI rates by ~50%, primarily due to exclusion of candiduria. This significant reduction in CAUTI rates resulting from the changes in the definition must be considered when evaluating effectiveness of CAUTI prevention programs.

Infect Control Hosp Epidemiol 2017;38:239–241

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 38 , Issue 2 , February 2017 , pp. 239 - 241
Copyright
© 2016 by The Society for Healthcare Epidemiology of America. All rights reserved 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

1. Magill, SS, Edwards, JR, Bamberg, W, et al. Emerging Infections Program Healthcare-Associated Infections and Antimicrobial Use Prevalence Survey Team. Multistate point-prevalence survey of health care-associated infections. N Engl J Med 2014;370:1198–1208.Google Scholar
2. Weber, DJ, Sickbert-Bennett, EE, Gould, CV, et al. Incidence of catheter-associated and non-catheter-associated urinary tract infections in a healthcare system. Infect Control Hosp Epidemiol 2011;32:822–823.Google Scholar
3. Kennedy, EH, Greene, MT, Saint, S. Estimating hospital costs of catheter-associated urinary tract infection. J Hosp Med 2013;8:519–522.Google Scholar
4. Sutherland, T, Beloff, J, McGrath, C, Liu, X, et al. A single-center multidisciplinary initiative to reduce catheter-associated urinary tract infection rates: quality and financial implications. Health Care Manag (Frederick) 2015;34:218–224.Google Scholar
5. Allen-Bridson, K, Pollock, D, Gould, CV. Promoting prevention through meaningful measures: improving the Centers for Disease Control and Prevention’s National Healthcare Safety Network urinary tract infection surveillance definitions. Am J Infec Control 2015;43:1096–1098.Google Scholar
6. Dicks, KV, Baker, AW, Durkin, MJ, et al. the potential impact of excluding funguria from the surveillance definition of catheter-associated urinary tract infection. Infect Control Hosp Epidemiol 2015;36:467–469.Google Scholar
7. Tedja, R, Wentink, J, O’Horo, JC, Thompson, R, Sampathkumar, P. Catheter-associated urinary tract infections in intensive care unit patients. Infect Control Hosp Epidemiol 2015;36:1330–1334.Google Scholar
8. Neelakanta, A, Sharma, S, Kesani, VP, et al. Impact of changes in the NHSN catheter-associated urinary tract infection (CAUTI) surveillance criteria on the frequency and epidemiology of CAUTI in intensive care units (ICUs). Infect Control Hosp Epidemiol 2015;36:346–349.Google Scholar
9. Wald, HL, Bandle, B, Richard, AA, Min, SJ, Capezuti, E. Implementation of electronic surveillance of catheter use and catheter-associated urinary tract infection at Nurses Improving Care for Healthsystem Elders (NICHE) hospitals. Am J Infect Control 2014;42:S242–S249.Google Scholar
10. Hsu, HE, Shenoy, ES, Kelbaugh, D, et al. An electronic surveillance tool for catheter-associated urinary tract infection in intensive care units. Am J Infect Control 2015;43:592–599.Google Scholar