Decreased rates of hospital-acquired infection after introduction of an active surveillance, virtual glucose management system

Brenda Ta; Barbara Depczynski; William Ericksson; Bence Siklosi; Gordana Popovic; Anthony O'Sullivan; Sue Mei Lau

doi:10.1016/j.diabres.2023.110880

Decreased rates of hospital-acquired infection after introduction of an active surveillance, virtual glucose management system

Diabetes Res Clin Pract. 2023 Sep:203:110880. doi: 10.1016/j.diabres.2023.110880. Epub 2023 Aug 15.

Authors

Brenda Ta¹, Barbara Depczynski², William Ericksson³, Bence Siklosi³, Gordana Popovic⁴, Anthony O'Sullivan⁵, Sue Mei Lau⁶

Affiliations

¹ Department of Diabetes and Endocrinology, Prince of Wales Hospital, Randwick, NSW 2031, Australia.
² Department of Diabetes and Endocrinology, Prince of Wales Hospital, Randwick, NSW 2031, Australia; School of Clinical Medicine, UNSW, Randwick, NSW, Australia.
³ Clinical Insights and Analytics, South East Sydney Local Health District, NSW, Australia.
⁴ Stats Central, School of Mathematics and Statistics, UNSW, Randwick, NSW, Australia.
⁵ School of Clinical Medicine, UNSW, Randwick, NSW, Australia; Department of Diabetes and Endocrinology, St George Hospital, Kogarah, NSW, Australia.
⁶ Department of Diabetes and Endocrinology, Prince of Wales Hospital, Randwick, NSW 2031, Australia; School of Clinical Medicine, UNSW, Randwick, NSW, Australia. Electronic address: suemei.lau@health.nsw.gov.au.

PMID: 37591345
DOI: 10.1016/j.diabres.2023.110880

Abstract

Addition of an active surveillance virtual glucose management (VGM) system to usual consultation-based diabetes inpatient care at our hospital was associated with a decrease in hospital-acquired infection from 8.7% (17/196) to 3.5% (6/172) with an adjusted odds ratio of 0.17 (95%CI: 0.05-0.61), and a reduction in hypoglycemic and hyperglycemic patient-stay days.

Keywords: Diabetes; Glucose monitoring; Hospital inpatient; Hyperglycemia; Hypoglycemia; Infection; Virtual glucose management.