The Centers for Disease Control and Prevention definition of mucosal barrier injury-associated bloodstream infection improves accurate detection of preventable bacteremia rates at a pediatric cancer center in a low- to middle-income country

Highlights • Forty-four percent of CLABSI events met the NHSN criteria for MBI-LCBI. • Removal of MBI-LCBI events from the numerator nearly halved the CLABSI rate. • Patients with MBI-LCBI were significantly younger than those with non-MBI-LCBI. • Patients with MBI-LCBI had significantly longer medi...

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Bibliographic Details
Published in:American journal of infection control 2016-04, Vol.44 (4), p.432-437
Main Authors: Torres, Dara, MD, González, Miriam L., MD, MSc, Loera, Adriana, MD, Aguilera, Marco, RN, Relyea, George, MS, Aristizabal, Paula, MD, Caniza, Miguela A., MD
Format: Article
Language:English
Subjects:
Adolescent
Bacteremia - epidemiology
Bacteremia - prevention & control
Bacteria
Central venous access device
Child
Child, Preschool
Cross Infection - epidemiology
Cross Infection - prevention & control
Developing Countries
Developing countries, children, malignancies
Female
Healthcare-associated
Hospitals, Pediatric
Humans
Infant
Infant, Newborn
Infection Control
Infectious Disease
Length of stay
Male
Mexico
Middle income
Mucous Membrane - injuries
Neoplasms - complications
Nosocomial infections
Oncology
Pediatrics
Retrospective Studies
United States
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Summary:Highlights • Forty-four percent of CLABSI events met the NHSN criteria for MBI-LCBI. • Removal of MBI-LCBI events from the numerator nearly halved the CLABSI rate. • Patients with MBI-LCBI were significantly younger than those with non-MBI-LCBI. • Patients with MBI-LCBI had significantly longer median hospitalization. • The CDC/NHSN MBI-LCBI surveillance protocol can be implemented in LMICs.
ISSN:0196-6553
1527-3296
DOI:10.1016/j.ajic.2015.11.007