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J Hosp Infect. 2018 May;99(1):85-88. doi: 10.1016/j.jhin.2017.10.006. Epub 2017 Oct 12.

Validation of healthcare-associated infection surveillance in smaller Australian hospitals.

Author information

1
Victorian Healthcare Associated Infection Surveillance System Coordinating Centre, Doherty Institute for Infection and Immunity, Melbourne, Victoria, Australia. Electronic address: alex.hoskins@mh.org.au.
2
Victorian Healthcare Associated Infection Surveillance System Coordinating Centre, Doherty Institute for Infection and Immunity, Melbourne, Victoria, Australia; Department of Medicine, University of Melbourne, Melbourne, Victoria, Australia.
3
Victorian Healthcare Associated Infection Surveillance System Coordinating Centre, Doherty Institute for Infection and Immunity, Melbourne, Victoria, Australia.

Abstract

A validation study was conducted in smaller (<100 acute beds) Victorian hospitals to evaluate case detection for Staphylococcus aureus bloodstream (SAB), meticillin-resistant S. aureus (MRSA) and vancomycin-resistant enterococci (VRE) infections. Overall, 142 infections were identified in 20 hospitals. For routine surveillance of SAB events, sensitivity was 74.4% and specificity was 100.0%. For MRSA infections, sensitivity was 47.5% and specificity was 90.9%. All confirmed VRE infections were reported correctly. Of unreported SAB and MRSA infections, 80% (N = 16) and 83.9% (N = 26) were community-associated infections, respectively. Future programme refinements include targeted education to ensure appropriate application of case definitions, particularly those including community onset.

KEYWORDS:

Australia; Healthcare-associated infections; Small hospitals; Staphylococcus aureus; Surveillance; Validation; Vancomycin-resistant enterococci

PMID:
29031863
DOI:
10.1016/j.jhin.2017.10.006
[Indexed for MEDLINE]

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