ArticleInfection control and hospital epidemiology2019
Hospital epidemiologists' and infection preventionists' opinions regarding hospital-onset bacteremia and fungemia as a potential healthcare-associated infection metric.
Article in Infection control and hospital epidemiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- National automated surveillance of hospital onset bacteraemia and fungaemia using data from the national antimicrobial resistance surveillance system: a retrospective exploratory evaluation, the Netherlands, 2018 to 2023.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2026Article
- Preventing bloodstream infections through effective surveillance, AUDIT and FEEDBACK: evaluation of a 20-year hospital program using a TYPE I hybrid design.Antimicrobial resistance and infection control · 2026Article
- The burden of non-CLABSI hospital-onset bloodstream ınfections in pediatric wards outside the ıntensive care units.European journal of pediatrics · 2026Article
- Features of Carbapenem-resistant Gram-negative Bacterial Infections in Japan Based on the Setting of Onset.Open forum infectious diseases · 2025Article
- An openEHR based infection control system to support monitoring of nosocomial bacterial clusters and contacts.NPJ digital medicine · 2025Article
- Automated surveillance of hospital-onset bacteremia and fungemia: feasibility and epidemiological results from a Dutch multicenter study.Infection control and hospital epidemiology · 2025Article
- Epidemiology and preventability of hospital-onset bacteremia and fungemia in 2 hospitals in India.Infection control and hospital epidemiology · 2024Article
- Characteristics, costs, and outcomes associated with central-line-associated bloodstream infection and hospital-onset bacteremia and fungemia in US hospitals.Infection control and hospital epidemiology · 2023Observational
- A comparison of National Healthcare Safety Network surveillance definitions to physician review for central-line-associated bloodstream infections.Infection control and hospital epidemiology · 2023Article
- Implementing and validating a home-infusion central-line-associated bloodstream infection surveillance definition.Infection control and hospital epidemiology · 2023Article
- Clinical analysis of hospital acquired mycoplasma pneumoniae infection after cardiac surgery: a case series.Journal of thoracic disease · 2022Article
- Hospital-onset bacteremia and fungemia: An evaluation of predictors and feasibility of benchmarking comparing two risk-adjusted models among 267 hospitals.Infection control and hospital epidemiology · 2022Article
- Development and evaluation of a structured guide to assess the preventability of hospital-onset bacteremia and fungemia.Infection control and hospital epidemiology · 2022Article
- Burden of multidrug and extensively drug-resistant ESKAPEE pathogens in a secondary hospital care setting in Greece.Epidemiology and infection · 2022Article
- Health Care-Associated Infections Among Critically Ill Children in the US, 2013-2018.JAMA pediatrics · 2020Article
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Authors and funding
14 authors.
Funding
Abstract
objectiveTo ascertain opinions regarding etiology and preventability of hospital-onset bacteremia and fungemia (HOB) and perspectives on HOB as a potential outcome measure reflecting quality of infection prevention and hospital care.
designCross-sectional survey.
participantsHospital epidemiologists and infection preventionist members of the Society for Healthcare Epidemiology of America (SHEA) Research Network.
methodsA web-based, multiple-choice survey was administered via the SHEA Research Network to 133 hospitals.
resultsA total of 89 surveys were completed (67% response rate). Overall, 60% of respondents defined HOB as a positive blood culture on or after hospital day 3. Central line-associated bloodstream infections and intra-abdominal infections were perceived as the most frequent etiologies. Moreover, 61% thought that most HOB events are preventable, and 54% viewed HOB as a measure reflecting a hospital's quality of care. Also, 29% of respondents' hospitals already collect HOB data for internal purposes. Given a choice to publicly report central-line-associated bloodstream infections (CLABSIs) and/or HOB, 57% favored reporting either HOB alone (22%) or in addition to CLABSI (35%) and 34% favored CLABSI alone.
conclusionsAmong the majority of SHEA Research Network respondents, HOB is perceived as preventable, reflective of quality of care, and potentially acceptable as a publicly reported quality metric. Further studies on HOB are needed, including validation as a quality measure, assessment of risk adjustment, and formation of evidence-based bundles and toolkits to facilitate measurement and improvement of HOB rates.
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