The Validation of a Novel Surveillance System for Monitoring Bloodstream Infections in the Calgary Zone
Joint Authors
Leal, Jenine R.
Gregson, Daniel B.
Church, Deirdre L.
Henderson, Elizabeth A.
Ross, Terry
Laupland, Kevin B.
Source
Canadian Journal of Infectious Diseases and Medical Microbiology
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-06-07
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background.
Electronic surveillance systems (ESSs) that utilize existing information in databases are more efficient than conventional infection surveillance methods.
The objective was to assess an ESS for bloodstream infections (BSIs) in the Calgary Zone for its agreement with traditional medical record review.
Methods.
The ESS was developed by linking related data from regional laboratory and hospital administrative databases and using set definitions for excluding contaminants and duplicate isolates.
Infections were classified as hospital-acquired (HA), healthcare-associated community-onset (HCA), or community-acquired (CA).
A random sample of patients from the ESS was then compared with independent medical record review.
Results.
Among the 308 patients selected for comparative review, the ESS identified 318 episodes of BSI of which 130 (40.9%) were CA, 98 (30.8%) were HCA, and 90 (28.3%) were HA.
Medical record review identified 313 episodes of which 136 (43.4%) were CA, 97 (30.9%) were HCA, and 80 (25.6%) were HA.
Episodes of BSI were concordant in 304 (97%) cases.
Overall, there was 85.5% agreement between ESS and medical record review for the classification of where BSIs were acquired (kappa = 0.78, 95% Confidence Interval: 0.75–0.80).
Conclusion.
This novel ESS identified and classified BSIs with a high degree of accuracy.
This system requires additional linkages with other related databases.
American Psychological Association (APA)
Leal, Jenine R.& Gregson, Daniel B.& Church, Deirdre L.& Henderson, Elizabeth A.& Ross, Terry& Laupland, Kevin B.. 2016. The Validation of a Novel Surveillance System for Monitoring Bloodstream Infections in the Calgary Zone. Canadian Journal of Infectious Diseases and Medical Microbiology،Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1099978
Modern Language Association (MLA)
Leal, Jenine R.…[et al.]. The Validation of a Novel Surveillance System for Monitoring Bloodstream Infections in the Calgary Zone. Canadian Journal of Infectious Diseases and Medical Microbiology No. 2016 (2016), pp.1-7.
https://search.emarefa.net/detail/BIM-1099978
American Medical Association (AMA)
Leal, Jenine R.& Gregson, Daniel B.& Church, Deirdre L.& Henderson, Elizabeth A.& Ross, Terry& Laupland, Kevin B.. The Validation of a Novel Surveillance System for Monitoring Bloodstream Infections in the Calgary Zone. Canadian Journal of Infectious Diseases and Medical Microbiology. 2016. Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1099978
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1099978