Comparison of metrics used to track central-line-associated bloodstream infections (CLABSIs) and catheter-associated urinary tract infections (CAUTIs) across a regional network

Sonali D Advani; Becky A Smith; Jessica Seidelman; Nicholas Turner; Deverick J Anderson; Sarah S Lewis

doi:10.1017/ice.2021.297

Comparison of metrics used to track central-line-associated bloodstream infections (CLABSIs) and catheter-associated urinary tract infections (CAUTIs) across a regional network

Infect Control Hosp Epidemiol. 2022 Nov;43(11):1712-1714. doi: 10.1017/ice.2021.297. Epub 2021 Jul 16.

Authors

Sonali D Advani^{1

2}, Becky A Smith^{1

2}, Jessica Seidelman^{1

2}, Nicholas Turner^{1

2}, Deverick J Anderson^{1

2}, Sarah S Lewis^{1

2}

Affiliations

¹ Division of Infectious Diseases, Duke University School of MedicineDurham, North Carolina.
² Duke Infection Control Outreach Network, Durham, North Carolina.

PMID: 34266514
DOI: 10.1017/ice.2021.297

Abstract

The paradoxical relationship between standardized infection ratio and standardized utilization ratio for catheter-associated urinary tract infections (CAUTIs) in contrast to central-line-associated bloodstream infections (CLABSIs), in addition to CAUTI definition challenges, incentivizes hospitals to focus their prevention efforts on urine culture stewardship rather than catheter avoidance and care.

MeSH terms

Benchmarking
Catheter-Related Infections* / epidemiology
Catheter-Related Infections* / prevention & control
Catheters
Cross Infection* / epidemiology
Cross Infection* / prevention & control
Humans
Sepsis*
Urinary Tract Infections* / epidemiology
Urinary Tract Infections* / prevention & control