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Abbreviated Surveillance of Nosocomial Urinary Tract Infections: A New Approach

Published online by Cambridge University Press:  02 January 2015

Esther E. Costel ,
Sue Mitchell  and
Allen B. Kaiser
Esther E. Costel
Affiliation:
Divisions of Infectious Diseases and Departments of Medicine, Saint Thomas Hospital and Vanderbilt University School of Medicine, Nashville, Tennessee
Sue Mitchell
Affiliation:
Divisions of Infectious Diseases and Departments of Medicine, Saint Thomas Hospital and Vanderbilt University School of Medicine, Nashville, Tennessee
Allen B. Kaiser*
Affiliation:
Divisions of Infectious Diseases and Departments of Medicine, Saint Thomas Hospital and Vanderbilt University School of Medicine, Nashville, Tennessee
*
Saint Thomas Hospital, P.O. Box 380, Nashville, TN 37202
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Abstract

An abbreviated method for the surveillance of nosocomial urinary tract infection is described. Combining desirable features of both active and passive surveillance, this new method involves concurrent review of microbiology reports. Compared to traditional active surveillance methods which require review of individual patient charts, the abbreviated method requires only one-fifth the time commitment while maintaining a 98% sensitivity. Although some degree of overestimation is inherent in this method, the primary goals of surveillance—monitoring infection rates and identifying clusters of infection—should be preserved.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 6 , Issue 1 , January 1985 , pp. 11 - 13
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1985 

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References

1. Haley, RW, Shachcman, RH: The emergence of infection surveillance and control programs in US Hospitals: An assessment, 1976. Am J Epidemiol 1980; 111:574–591.10.1093/oxfordjournals.aje.a112935Google Scholar
2. Emori, TG, Haley, RW, Garner, JS: Techniques and uses of nosocomial infection surveillance in US hospitals, 1976-1977. Am J Med 1981; 70:933–940.10.1016/0002-9343(81)90559-3Google Scholar
3. Blake, S, Cheatle, E, Mack, B: Surveillance: Retrospective versus prospective. Am J Infect Control 1980; 8:75–78.10.1016/S0196-6553(80)80028-9Google Scholar
4. Garner, JS, Bennett, JB, Scheckler, WE, et al: Surveillance of nosocomial infections, in Centers for Disease Control: Proceedings of the International Conference on Nosocomial Infections. Atlanta, Centers for Disease Control, August 1970, pp 277–281.Google Scholar
5. Centers for Disease Control: Outline for Surveillance and Control of Nosocomial Infections, Revised. June 1972.Google Scholar
6. Wenzel, RP, Osterman, CA, Hunting, KJ, et al: Hospital-acquired infections. I. Surveillance in a university hospital. Am J Epidemiol 1976; 103:251–260.10.1093/oxfordjournals.aje.a112223Google Scholar
7. Elder, HA, Leonhardt, DA: Computers and infection surveillance, in Wenzel, RP (ed): Handbook of Hospital Acquired Infections. Boca Raton, FL, CRC Press, 1981; 73–87.Google Scholar
8. Schaberg, DR, Weinstein, RA, Stamm, WE: Epidemics of nosocomial urinary tract infection caused by multiply resistant gram-negative bacilli: Epidemiology and control. J Infect Dis 1976; 133:363–366.10.1093/infdis/133.3.363Google Scholar
9. Platt, R, Polk, BF, Murdock, B, et al: Mortality associated with nosocomial urinary tract infection. N Engl J Med 1982; 307:637–642.10.1056/NEJM198209093071101Google Scholar
10. Wenzel, RP: Nosocomial urinary tract infection, in Mandeli, GL, Douglass, RG Jr, Bennett, JE (eds): Principles and Practice of Infectious Diseases. New York, John Wiley & Sons, 1979; 2234.Google Scholar
11. Mulholland, SG, Brunn, JN, Cariell, LL, et al: Experience with intensive surveillance of urinary tract infection. Surg Gynecol Obstet 1973; 137:789–793.Google Scholar