HAIInternationalperspectiveanddefinitions.Part2-EpiNorth.pptVIP

Standardized surveillance of Healthcare-Associated Infections in European hospitals Surveillance of Surgical Site Infections (SSI) Surveillance of ICU-acquired Infections (ICU) Point Prevalence Surveys as alternative to hospital-wide surveillance of all HAI types (PPS) Standardisation of SSI ICU surveillance methods Methodological differences between national protocols: Fair agreement in 2000 for SSI surveillance (7 countries), similar to CDC/NNIS methodology Larger differences for surveillance of ICU-acquired infections in 2000 (5 countries, 4 patient-based, 1 unit-based) Agree on common surveillance methodology and case definitions: questionnaire (2000), meetings (2000-2002), final protocols 2002-2003 Work towards standardized interpretation of standard methodology Develop indicators that take into account inter-country differences in methodology and case-mix Surveillance of Surgical Site Infections: EU methods vs CDC/NHSN Same as CDC/NHSN methodology, except: Hospital discharge date required Options: ICD9-CM codes, post-discharge date status Selection of procedures: CABG, CHOL, COLO, CSEC, HPRO, KPRO, LAM Indicators: % SSI within 30 d / 1 year % in-hospital SSI (post-discharge excluded) Incidence density: # in-hospital SSI/1000 patient-days: Adjustment for differences in post-discharge surveillance Adjustment for differences in post-operative length of stay Incidence density for Deep-Organ/Space infections only: adjustment for differences in reporting superficial infections Stratification per NNIS risk index for all indicators European surveillance of Surgical Site Infections 2000-2001: protocol analysis, questionnaire, meetings 6 countries in 2000 = 12 countries (15 networks), 1422 hospitals in 2008 SSI cumulative incidence by operation category and year, 2004-2008 Surveillance of SSI in hip prosthesis, 2004-2008 Differences in post-discharge surveillance and type of SSI EU reference tables, e.g. SSI incidence density in HPRO European surveillance of