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Clinical Correlates of Surveillance Events Detected by National Healthcare Safety Network Pneumonia and Lower Respiratory Infection Definitions-Pennsylvania, 2011-2012
Journal article   Open access   Peer reviewed

Clinical Correlates of Surveillance Events Detected by National Healthcare Safety Network Pneumonia and Lower Respiratory Infection Definitions-Pennsylvania, 2011-2012

Isaac See, Julia Chang, Nicole Gualandi, Genevieve L Buser, Pamela Rohrbach, Debra A Smeltz, Mary Jo Bellush, Susan E Coffin, Jane M Gould, Debra Hess, …
Infection control and hospital epidemiology, v 37(7), pp 818-824
01 Jul 2016
DOI: https://doi.org/10.1017/ice.2016.74
PMID: 27072043
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://europepmc.org/articles/pmc5662932?pdf=renderView
Accepted (AM)Open Access (License Unspecified),  Open

Abstract

Adult Aged Aged, 80 and over Child Child, Preschool Cross Infection - diagnosis Cross Infection - epidemiology Cross Infection - prevention & control Humans Infant Infant, Newborn Middle Aged Pennsylvania - epidemiology Pneumonia - diagnosis Pneumonia - epidemiology Pneumonia - prevention & control Pneumonia, Ventilator-Associated - diagnosis Pneumonia, Ventilator-Associated - epidemiology Population Surveillance Respiratory Tract Infections - diagnosis Respiratory Tract Infections - epidemiology Respiratory Tract Infections - prevention & control Retrospective Studies
OBJECTIVE To determine the clinical diagnoses associated with the National Healthcare Safety Network (NHSN) pneumonia (PNEU) or lower respiratory infection (LRI) surveillance events DESIGN Retrospective chart review SETTING A convenience sample of 8 acute-care hospitals in Pennsylvania PATIENTS All patients hospitalized during 2011-2012 METHODS Medical records were reviewed from a random sample of patients reported to the NHSN to have PNEU or LRI, excluding adults with ventilator-associated PNEU. Documented clinical diagnoses corresponding temporally to the PNEU and LRI events were recorded. RESULTS We reviewed 250 (30%) of 838 eligible PNEU and LRI events reported to the NHSN; 29 reported events (12%) fulfilled neither PNEU nor LRI case criteria. Differences interpreting radiology reports accounted for most misclassifications. Of 81 PNEU events in adults not on mechanical ventilation, 84% had clinician-diagnosed pneumonia; of these, 25% were attributed to aspiration. Of 43 adult LRI, 88% were in mechanically ventilated patients and 35% had no corresponding clinical diagnosis (infectious or noninfectious) documented at the time of LRI. Of 36 pediatric PNEU events, 72% were ventilator associated, and 70% corresponded to a clinical pneumonia diagnosis. Of 61 pediatric LRI patients, 84% were mechanically ventilated and 21% had no corresponding clinical diagnosis documented. CONCLUSIONS In adults not on mechanical ventilation and in children, most NHSN-defined PNEU events corresponded with compatible clinical conditions documented in the medical record. In contrast, NHSN LRI events often did not. As a result, substantial modifications to the LRI definitions were implemented in 2015. Infect Control Hosp Epidemiol 2016;37:818-824.

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Collaboration types
Domestic collaboration
Web of Science research areas
Infectious Diseases
Public, Environmental & Occupational Health
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