TY - JOUR
T1 - Do we need to change catheter-related bloodstream infection surveillance in the Netherlands?
T2 - A qualitative study among infection prevention professionals
AU - Verberk, Janneke D.M.
AU - Van Der Kooi, Tjallie I.I.
AU - Derde, Lennie P.G.
AU - Bonten, Marc J.M.
AU - De Greeff, Sabine C.
AU - Van Mourik, Maaike S.M.
N1 - Publisher Copyright:
© 2021 Institute of Electrical and Electronics Engineers Inc.. All rights reserved.
© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
PY - 2021/8/18
Y1 - 2021/8/18
N2 - Objectives Catheter-related bloodstream infections (CRBSI) are a common healthcare-associated infection and therefore targeted by surveillance programmes in many countries. Concerns, however, have been voiced regarding the reliability and construct validity of CRBSI surveillance and the connection with the current diagnostic procedures. The aim of this study was to explore the experiences of infection control practitioners (ICPs) and medical professionals with the current CRBSI surveillance in the Netherlands and their suggestions for improvement. Design Qualitative study using focus group discussions (FGDs) with ICPs and medical professionals separately, followed by semistructured interviews to investigate whether the points raised in the FGDs were recognised and confirmed by the interviewees. Analyses were performed using thematic analyses. Setting Basic, teaching and academic hospitals in the Netherlands. Participants 24 ICPs and 9 medical professionals. Results Main themes derived from experiences with current surveillance were (1) ICPs' doubt regarding the yield of surveillance given the low incidence of CRBSI, the high workload and IT problems; (2) the experienced lack of leadership and responsibility for recording information needed for surveillance and (3) difficulties with applying and interpreting the CRBSI definition. Suggestions were made to simplify the surveillance protocol, expand the follow-up and surveillance to homecare settings, simplify the definition and customise it for specific patient groups. Participants reported hoping for and counting on automatisation solutions to support future surveillance. Conclusions This study reveals several problems with the feasibility and acceptance of the current CRBSI surveillance and proposes several suggestions for improvement. This provides valuable input for future surveillance activities, thereby taking into account automation possibilities.
AB - Objectives Catheter-related bloodstream infections (CRBSI) are a common healthcare-associated infection and therefore targeted by surveillance programmes in many countries. Concerns, however, have been voiced regarding the reliability and construct validity of CRBSI surveillance and the connection with the current diagnostic procedures. The aim of this study was to explore the experiences of infection control practitioners (ICPs) and medical professionals with the current CRBSI surveillance in the Netherlands and their suggestions for improvement. Design Qualitative study using focus group discussions (FGDs) with ICPs and medical professionals separately, followed by semistructured interviews to investigate whether the points raised in the FGDs were recognised and confirmed by the interviewees. Analyses were performed using thematic analyses. Setting Basic, teaching and academic hospitals in the Netherlands. Participants 24 ICPs and 9 medical professionals. Results Main themes derived from experiences with current surveillance were (1) ICPs' doubt regarding the yield of surveillance given the low incidence of CRBSI, the high workload and IT problems; (2) the experienced lack of leadership and responsibility for recording information needed for surveillance and (3) difficulties with applying and interpreting the CRBSI definition. Suggestions were made to simplify the surveillance protocol, expand the follow-up and surveillance to homecare settings, simplify the definition and customise it for specific patient groups. Participants reported hoping for and counting on automatisation solutions to support future surveillance. Conclusions This study reveals several problems with the feasibility and acceptance of the current CRBSI surveillance and proposes several suggestions for improvement. This provides valuable input for future surveillance activities, thereby taking into account automation possibilities.
KW - adult intensive & critical care
KW - audit
KW - epidemiology
KW - health & safety
KW - infection control
KW - quality in health care
KW - Reproducibility of Results
KW - Humans
KW - Sepsis
KW - Catheter-Related Infections/epidemiology
KW - Netherlands/epidemiology
KW - Catheters
UR - http://www.scopus.com/inward/record.url?scp=85113516891&partnerID=8YFLogxK
U2 - 10.1136/bmjopen-2020-046366
DO - 10.1136/bmjopen-2020-046366
M3 - Article
C2 - 34408033
AN - SCOPUS:85113516891
SN - 2044-6055
VL - 11
SP - 1
EP - 9
JO - BMJ Open
JF - BMJ Open
IS - 8
M1 - e046366
ER -