Clinician practice and the National Healthcare Safety Network definition for the diagnosis of catheter-associated urinary tract infection.

摘要: Background The National Healthcare Safety Network (NHSN) definition for catheter-associated urinary tract infection (CAUTI) is used to evaluate improvements in CAUTI prevention efforts. We assessed whether clinician practice was reflective of the NHSN definition. Methods evaluated all adult inpatients hospitalized between July 2010 and June 2011, with a first positive urine culture > 48 hours admission obtained while catheterized or within catheter discontinuation. Data comprised patients’ signs, symptoms, diagnostic tests; clinician’s diagnosis; impression infectious diseases (ID) consultant. compared ID consultant’s impression. Results Antibiotics were initiated by clinicians treat 216 387 (55.8%) cases, 119 (30.7%) fitting definition, 63 211 (29.9%) considered have CAUTI. sensitivity, specificity, negative predictive values diagnosis 62.2%, 47%, 34.3%, 73.7% when (n = 387) 100%, 57.4%, 50%, 100% consultant evaluation 211), respectively. value 35.1% 211). Conclusion did not reflect practices. Our findings differences surveillance definitions clinical practice.