scholarly journals Response to “Potential Misclassification of Urinary Tract Related Bacteremia Upon Applying the 2015 Catheter-Associated Urinary Tract Infection Surveillance Definition From the National Healthcare Safety Network”

2016 ◽  
Vol 37 (9) ◽  
pp. 1121-1121
Author(s):  
Katherine Allen-Bridson ◽  
Daniel Pollock
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
National Healthcare ◽  
National Healthcare Safety Network ◽  
Infection Surveillance

Definitional Change in NHSN CAUTI Was Associated with an Increase in CLABSI Events: Evaluation of a Large Health System

2017 ◽  
Vol 38 (06) ◽  
pp. 685-689 ◽  
Author(s):  
Mohamad G. Fakih ◽  
Clariecia Groves ◽  
Angelo Bufalino ◽  
Lisa K. Sturm ◽  
Ann L. Hendrich
Keyword(s):  
Urinary Tract Infection ◽  
Intensive Care ◽  
Urinary Tract ◽  
Tract Infection ◽  
Health System ◽  
Central Line ◽  
Large Reduction ◽  
National Healthcare ◽  
National Healthcare Safety Network ◽  
Event Rates

BACKGROUND The National Healthcare Safety Network (NHSN) catheter-associated urinary tract infection (CAUTI) definition was revised as of January 2015 to exclude funguria and lower bacteriuria levels. We evaluated the effect of the CAUTI definition change on NHSN-defined central-line–associated bloodstream infection (CLABSI) outcomes. METHODS We compared CAUTI and CLABSI NHSN-defined outcomes for calendar years 2014 and 2015 in the adult intensive care units (ICUs) of a single large health system. Changes in the event rates, the associated organisms, and the standardized infection ratio (SIR) were evaluated. RESULTS The study included 137 adult ICUs from 65 hospitals. The CAUTI SIR dropped from 1.04 in 2014 to 0.58 in 2015 (−44.2%), while the CLABSI SIR increased from 0.36 in 2014 to 0.47 in 2015 (+30.6%). CAUTI rates dropped 44.8% from 2.09 to 1.15 events per 1,000 device days (P<.001). Gram-positive–associated CAUTI rates dropped 36.7% from 0.34 to 0.22 per 1,000 device days (P=.007). CLABSI rates increased 27.1% from 0.71 to 0.90 per 1,000 device days (P=.027). Candida-associated CLABSI increased by 91.1% from 0.104 to 0.198 per 1,000 device days (P=.012), and Enterococcus-associated CLABSI increased by 121.6% from 0.071 to 0.16 per 1,000 device days (P=.008). CONCLUSIONS The revised CAUTI definition led to a large reduction in CAUTI rates and, in turn, an increase in candidemia and enterococcemia cases classified as CLABSI events. These findings have important implications on the perceived successes or failures to eliminate both infections. Infect Control Hosp Epidemiol 2017;38:685–689

Urinary tract infection treatment practices in nursing homes reporting to the National Healthcare Safety Network, 2017

2021 ◽  
pp. 1-3
Author(s):  
Sarah Kabbani ◽  
Danielle Palms ◽  
Jeneita M. Bell ◽  
Lauri A. Hicks ◽  
Nimalie D. Stone
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Nursing Homes ◽  
Tract Infection ◽  
Antibiotic Stewardship ◽  
Treatment Practices ◽  
National Healthcare ◽  
National Healthcare Safety Network ◽  
Infection Treatment

Abstract We describe differences between urinary tract infection treatment and events reported by nursing homes enrolled in the National Healthcare Safety Network. In 2017, almost 4 times as many antibiotic starts as infection events were reported, suggesting that opportunities exist for antibiotic stewardship and improvement of urinary tract infection reporting.

scholarly journals Potential Misclassification of Urinary Tract–Related Bacteremia Upon Applying the 2015 Catheter-Associated Urinary Tract Infection Surveillance Definition From the National Healthcare Safety Network

2016 ◽  
Vol 37 (4) ◽  
pp. 469-471 ◽  
Author(s):  
M. Todd Greene ◽  
David Ratz ◽  
Jennifer Meddings ◽  
Mohamad G. Fakih ◽  
Sanjay Saint
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urine Culture ◽  
National Healthcare Safety Network ◽  
Infection Surveillance ◽  
Colony Forming Units ◽  
Control And Prevention ◽  
Definition Of ◽  
Tract Infections

The Centers for Disease Control and Prevention recently updated the surveillance definition of catheter-associated urinary tract infection to include only urine culture bacteria of at least 1×105 colony-forming units/mL. Our findings suggest that the new surveillance definition may fail to capture clinically meaningful catheter-associated urinary tract infections.Infect. Control Hosp. Epidemiol. 2016;37(4):469–471

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