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- Title
Evaluation of the accuracy in the application of the Canadian Nosocomial Infection Surveillance Program (CNISP) bloodstream infection surveillance definitions.
- Authors
Ellison, Jennifer; Cayen, Joelle; Pelude, Linda; Mitchell, Robyn; Bush, Kathryn
- Abstract
Background: There is an ongoing need to track and prevent infections acquired within healthcare facilities. The goal of this study was to evaluate the validity and reliability of Canadian Nosocomial Infection Surveillance Program (CNISP) healthcare-associated (HA) bloodstream infection (BSI) surveillance data by assessing the application of case definitions. Methods: In September 2019, a survey with nine BSI case studies and 19 associated questions was provided to staff from 78 eligible hospitals, representing 40 hospital networks. Results: A total of 723 responses were received from 58% of CNISP sites. Correct responses were reported as a proportion of all responses, with a mean survey score of 87.6% (Median, 89.5%, Range, 52.6%-100%). Scores were similar across all question types: case definition, case classification, and source of infection (88.5%, 84.5% and 88.2% respectively). Conclusion: CNISP case definitions, case classifications and criteria for source of infection were correctly and consistently applied in most case scenarios, highlighting the high quality of BSI surveillance data collected through CNISP. Ongoing data quality reviews to check inter-rater interpretation are important to ensure the validity and reliability of national surveillance of healthcare-acquired infections.
- Subjects
CANADA; CROSS infection prevention; PUBLIC health surveillance; VANCOMYCIN resistance; DATA quality; EVALUATION of human services programs; CATHETER-related infections; RESEARCH evaluation; CROSS infection; METHICILLIN-resistant staphylococcus aureus; SURVEYS; ENTEROCOCCUS; CLINICAL competence; QUALITY assurance; DESCRIPTIVE statistics; DATA analysis software; BLOODBORNE infections; CENTRAL venous catheters
- Publication
Canadian Journal of Infection Control / Revue Canadienne de Prévention des Infections, 2023, Vol 38, Issue 1, p19
- ISSN
1183-5702
- Publication type
Article