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Comparison of Total Hospital-Acquired Bloodstream Infections to Central Line–Associated Bloodstream Infections and Implications for Outcome Measures in Infection Control

Published online by Cambridge University Press:  02 January 2015

Surbhi Leekha*
Affiliation:
Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland
Shanshan Li
Affiliation:
Department of Biostatistics, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland
Kerri A. Thom
Affiliation:
Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland
Michael Anne Preas
Affiliation:
Department of Infection Prevention, University of Maryland Medical Center, Baltimore, Maryland
Brian S. Caffo
Affiliation:
Department of Biostatistics, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland
Daniel J. Morgan
Affiliation:
Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland Veterans Affairs Maryland Healthcare System, Baltimore, Maryland
Anthony D. Harris
Affiliation:
Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland Veterans Affairs Maryland Healthcare System, Baltimore, Maryland
*
University of Maryland School of Medicine, 110 South Paca Street, 6th Floor, Baltimore, MD 21201 (sleekha@epi.umaryland.edu)

Abstract

The validity of the central line-associated bloodstream infection (CLABSI) measure is compromised by subjectivity. We observed significant decreases in both CLABSIs and total hospital-acquired bloodstream infections (BSIs) following a CLABSI prevention intervention in adult intensive care units. Total hospital-acquired BSIs could be explored as an adjunct, objective CLABSI measure.

Type
Concise Communication
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2013

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