{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T05:22:24Z","timestamp":1776835344170,"version":"3.51.2"},"reference-count":13,"publisher":"Cambridge University Press (CUP)","issue":"12","license":[{"start":{"date-parts":[[2015,9,2]],"date-time":"2015-09-02T00:00:00Z","timestamp":1441152000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[2015,12]]},"abstract":"<jats:sec id=\"S0899823X15001993_abs1\" sec-type=\"general\"><jats:title>OBJECTIVE<\/jats:title><jats:p>To increase reliability of the algorithm used in our fully automated electronic surveillance system by adding rules to better identify bloodstream infections secondary to other hospital-acquired infections.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X15001993_abs2\" sec-type=\"methods\"><jats:title>METHODS<\/jats:title><jats:p>Intensive care unit (ICU) patients with positive blood cultures were reviewed. Central line\u2013associated bloodstream infection (CLABSI) determinations were based on 2 sources: routine surveillance by infection preventionists, and fully automated surveillance. Discrepancies between the 2 sources were evaluated to determine root causes. Secondary infection sites were identified in most discrepant cases. New rules to identify secondary sites were added to the algorithm and applied to this ICU population and a non-ICU population. Sensitivity, specificity, predictive values, and kappa were calculated for the new models.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X15001993_abs3\" sec-type=\"results\"><jats:title>RESULTS<\/jats:title><jats:p>Of 643 positive ICU blood cultures reviewed, 68 (10.6%) were identified as central line\u2013associated bloodstream infections by fully automated electronic surveillance, whereas 38 (5.9%) were confirmed by routine surveillance. New rules were tested to identify organisms as central line\u2013associated bloodstream infections if they did not meet one, or a combination of, the following: (I) <jats:italic>matching<\/jats:italic> organisms (by genus and species) cultured from any other site; (II) <jats:italic>any<\/jats:italic> organisms cultured from sterile site; (III) <jats:italic>any<\/jats:italic> organisms cultured from skin\/wound; (IV) <jats:italic>any<\/jats:italic> organisms cultured from respiratory tract. The best-fit model included new rules I and II when applied to positive blood cultures in an ICU population. However, they didn\u2019t improve performance of the algorithm when applied to positive blood cultures in a non-ICU population.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X15001993_abs4\" sec-type=\"conclusion\"><jats:title>CONCLUSION<\/jats:title><jats:p>Electronic surveillance system algorithms may need adjustment for specific populations.<\/jats:p><jats:p><jats:italic>Infect. Control Hosp. Epidemiol.<\/jats:italic> 2015;36(12):1396\u20131400<\/jats:p><\/jats:sec>","DOI":"10.1017\/ice.2015.199","type":"journal-article","created":{"date-parts":[[2015,9,2]],"date-time":"2015-09-02T08:01:50Z","timestamp":1441180910000},"page":"1396-1400","source":"Crossref","is-referenced-by-count":11,"title":["Increasing the Reliability of Fully Automated Surveillance for Central Line\u2013Associated Bloodstream Infections"],"prefix":"10.1017","volume":"36","author":[{"given":"Rachael E.","family":"Snyders","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashleigh J.","family":"Goris","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathleen A.","family":"Gase","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carole L.","family":"Leone","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua A.","family":"Doherty","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keith F.","family":"Woeltje","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2015,9,2]]},"reference":[{"key":"S0899823X15001993_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2012.11.031"},{"key":"S0899823X15001993_ref13","unstructured":"Healthcare facility HAI reporting requirements to CMS via NHSN: current requirements. Centers for Disease Control and Prevention website. http:\/\/www.cdc.gov\/nhsn\/PDFs\/CMS\/CMS-Reporting-Requirements.pdf. Published 2013. Accessed September 5, 2014."},{"key":"S0899823X15001993_ref12","doi-asserted-by":"publisher","DOI":"10.1086\/677623"},{"key":"S0899823X15001993_ref2","first-page":"44","article-title":"Benchmarking for prevention: the Centers for Disease Control and Prevention\u2019s National Nosocomial Infections Surveillance (NNIS) system experience","volume":"31","author":"Jarvis","year":"2003","journal-title":"Infection"},{"key":"S0899823X15001993_ref3","doi-asserted-by":"publisher","DOI":"10.1086\/519206"},{"key":"S0899823X15001993_ref10","doi-asserted-by":"publisher","DOI":"10.1086\/590261"},{"key":"S0899823X15001993_ref1","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a113990"},{"key":"S0899823X15001993_ref6","doi-asserted-by":"publisher","DOI":"10.1086\/503339"},{"key":"S0899823X15001993_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2014.03.353"},{"key":"S0899823X15001993_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2009.10.001"},{"key":"S0899823X15001993_ref8","doi-asserted-by":"publisher","DOI":"10.1086\/502163"},{"key":"S0899823X15001993_ref9","doi-asserted-by":"publisher","DOI":"10.1086\/662181"},{"key":"S0899823X15001993_ref7","doi-asserted-by":"publisher","DOI":"10.1086\/667378"}],"container-title":["Infection Control &amp; Hospital Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0899823X15001993","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,20]],"date-time":"2019-04-20T02:16:08Z","timestamp":1555726568000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0899823X15001993\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,9,2]]},"references-count":13,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2015,12]]}},"alternative-id":["S0899823X15001993"],"URL":"https:\/\/doi.org\/10.1017\/ice.2015.199","relation":{},"ISSN":["0899-823X","1559-6834"],"issn-type":[{"value":"0899-823X","type":"print"},{"value":"1559-6834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,9,2]]}}}