Validation of a multicenter computer-based surveillance system for hospital-acquired bloodstream infections in neonatal intensive care departments.
Automated systems can facilitate surveillance for health care-associated infections. The New York Antimicrobial Resistance Project (NYARP) electronically monitors trends in bloodstream infections from 6 medical centers in New York, NY. To validate NYARP's data, episodes of health care-associated bloodstream infections detected by this system were compared with those obtained by an infection control practitioner performing an unrelated study in 2 participating neonatal intensive care departments. The sensitivity (84%), specificity (99%), and positive (84%) and negative (99%) predictive values of NYARP were excellent when coagulase-negative staphylococcal bloodstream infections were removed.
Graham
Philip L
PL
Department of Pediatrics, Columbia University, New York, NY 10032, USA. pg143@columbia.edu
San Gabriel
Pablo
P
Lutwick
Suzanne
S
Haas
Janet
J
Saiman
Lisa
L
D016470:Bacteremia / Q000453:epidemiology* / Q000382:microbiology; D017848:Blood-Borne Pathogens / Q000302:isolation & purification*; D002487:Centers for Disease Control and Prevention, U.S.; D003199:Computer Systems; D003428:Cross Infection / Q000453:epidemiology* / Q000382:microbiology; D003625:Data Collection; D003936:Diagnosis, Computer-Assisted; D005260:Female; D016905:Gram-Negative Bacterial Infections / Q000175:diagnosis / Q000453:epidemiology; D016908:Gram-Positive Bacterial Infections / Q000175:diagnosis / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D007363:Intensive Care Units, Neonatal; D008297:Male; D018570:Risk Assessment; D012680:Sensitivity and Specificity; D018571:Sentinel Surveillance; D016019:Survival Analysis; D014481:United States