Evaluation of manual and electronic healthcare-associated infections surveillance: a multi-center study with 21 tertiary general hospitals in China.

Wen-Sen Chen, Wei-Hong Zhang, Zhan-Jie Li, Yue Yang, Fu Chen, Xue-Shun Ge, Ting-Rui Wang, Ping Fang, Cheng-Yi Feng, Jing Liu, Shan-Shan Liu, Hong-Xia Pan, Tie-Lin Zhu, Yuan-Yuan Tian, Wen-Yi Wang, Hu Xing, Jing Yao, Yong-Mei Yuan, Ping Jiang, Hong-Ping Tang, Jun Zhou, Jin-Cheng Zang, Shan Lu, Hui-Ping Huang, Xiao-Hang Lei, Bing-Hua Huang, Shi-Hao Wang, Feng-Yi Huang, Hong-Ying Tao, Yong-Xiang Zhang, Bo Liu, Hui-Fen Li, Song-Qin Li, Bi-Jie Hu, Yun Liu
Author Information
  1. Wen-Sen Chen: Department of Infection Control, First Affiliated Hospital of Nanjing Medical University. Nanjing 210029, China.
  2. Wei-Hong Zhang: Department of Infection Control, Shengze Branch of Jiangsu Province Hospital & Jiangsu Shengze Hospital, Suzhou 215000, China.
  3. Zhan-Jie Li: Department of Infection Control, First Affiliated Hospital of Nanjing Medical University. Nanjing 210029, China.
  4. Yue Yang: Department of Infection Control, First Affiliated Hospital of Nanjing Medical University. Nanjing 210029, China.
  5. Fu Chen: Department of Infection Control, Northern Jiangsu Province Hospital, Yangzhou 225001, China.
  6. Xue-Shun Ge: Department of Infection Control, People's Hospital of Gaoyou, Yangzhou 225600, China.
  7. Ting-Rui Wang: Department of Infection Control, Affiliated Hospital of Yangzhou University, Yangzhou 225000, China.
  8. Ping Fang: Department of Infection Control, Second People's Hospital of Huai'an, Huai'an 223002, China.
  9. Cheng-Yi Feng: Department of Infection Control, First People's Hospital of Changzhou, Changzhou 213003, China.
  10. Jing Liu: Department of Infection Control, First People's Hospital of Lianyungang, Lianyungang 222000, China.
  11. Shan-Shan Liu: Department of Infection Control, First People's Hospital of Lianyungang, Lianyungang 222000, China.
  12. Hong-Xia Pan: Department of Infection Control, Taixing People's Hospital, Taizhou 225400, China.
  13. Tie-Lin Zhu: Department of Infection Control, Taizhou People's Hospital, Taizhou 225400, China.
  14. Yuan-Yuan Tian: Department of Infection Control, Wuxi No.2 People's Hospital, Wuxi 214000, China.
  15. Wen-Yi Wang: Department of Infection Control, Yancheng First People's Hospital, Yancheng 224005, China.
  16. Hu Xing: Department of Infection Control, Affiliated Hospital of Jiangsu University, Zhenjiang 212001, China.
  17. Jing Yao: Department of Infection Control, Affiliated Hospital of Jiangsu University, Zhenjiang 212001, China.
  18. Yong-Mei Yuan: Department of Infection Control, Affiliated Hospital of Nantong University, Nantong 226001, China.
  19. Ping Jiang: Department of Infection Control, First People's Hospital of Nantong, Nantong 226001, China.
  20. Hong-Ping Tang: Department of Infection Control, People's hospital of Qidong, Nantong 226200, China.
  21. Jun Zhou: Department of Infection Control, People's hospital of Qidong, Nantong 226200, China.
  22. Jin-Cheng Zang: Department of Infection Control, Luoyang Central Hospital, Luoyang 471009, China.
  23. Shan Lu: Department of Infection Control, Kaifeng Second People's Hospital, Kaifeng 475000, China.
  24. Hui-Ping Huang: Department of Infection Control, First Affiliated Hospital of Xiamen, Xiamen 361003, China.
  25. Xiao-Hang Lei: Department of Infection Control, Xi'an First Hospital, Xi'an 710002, China.
  26. Bing-Hua Huang: Department of Infection Control, Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250000, China.
  27. Shi-Hao Wang: Department of Infection Control, Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250000, China.
  28. Feng-Yi Huang: Department of Infection Control, People's Hospital of Changshou District in Chongqing, Chongqing 401220, China.
  29. Hong-Ying Tao: Department of Infection Control, People's Hospital of Changshou District in Chongqing, Chongqing 401220, China.
  30. Yong-Xiang Zhang: Department of Infection Control, First Affiliated Hospital of Nanjing Medical University. Nanjing 210029, China.
  31. Bo Liu: Department of Infection Control, First Affiliated Hospital of Nanjing Medical University. Nanjing 210029, China.
  32. Hui-Fen Li: Department of Infection Control, First Affiliated Hospital of Nanjing Medical University. Nanjing 210029, China.
  33. Song-Qin Li: Department of Infection Control, First Affiliated Hospital of Nanjing Medical University. Nanjing 210029, China.
  34. Bi-Jie Hu: Department of Infectious Disease and and Infection Control, Zhongshan Hospital, Fudan University, Shanghai 200000, China.
  35. Yun Liu: Department of Geriatrics Endocrinology, First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China.

Abstract

BACKGROUND: Healthcare-associated infections (HAIs) are still a major health threats worldwide. Traditional surveillance methods involving manual surveillance by infection control practitioners (ICPs) for data collection processes are laborious, inefficient, and generate data of variable quality. In this study, we sought to evaluate the impact of surveillance and interaction platform system (SIPS) for HAIs surveillance compared to manual survey in tertiary general hospitals.
METHODS: A large multi-center study including 21 tertiary general hospitals and 63 wards were performed to evaluate the impact of electronic SIPS for HAIs.
RESULTS: We collected 4,098 consecutive patients and found that the hospitals installed with SIPS significantly increased work efficiency of ICPs achieving satisfactory diagnostic performance of HAIs with 0.73 for sensitivity, 0.81 for specificity and 0.81 area under the curve (AUC). However, there were significant heterogeneity own to regions, time of SIPS installation, departments and sample size.
CONCLUSIONS: SIPS significantly improved ICPs efficiency and HAIs monitoring effectiveness, but there were shortcomings such as untimely maintenance and high cost.

Keywords

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Word Cloud

Created with Highcharts 10.0.0HAIsSIPSsurveillancehospitalsinfectionsmanualICPsstudytertiarygeneral0Healthcare-associateddataevaluateimpactinteractionplatformsystemmulti-center21electronicsignificantlyefficiency81BACKGROUND:stillmajorhealththreatsworldwideTraditionalmethodsinvolvinginfectioncontrolpractitionerscollectionprocesseslaboriousinefficientgeneratevariablequalitysoughtcomparedsurveyMETHODS:largeincluding63wardsperformedRESULTS:collected4098consecutivepatientsfoundinstalledincreasedworkachievingsatisfactorydiagnosticperformance73sensitivityspecificityareacurveAUCHoweversignificantheterogeneityregionstimeinstallationdepartmentssamplesizeCONCLUSIONS:improvedmonitoringeffectivenessshortcomingsuntimelymaintenancehighcostEvaluationhealthcare-associatedsurveillance:China

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