Validation of Surveillance in the Intensive Care Unit Component of the German Nosocomial Infections Surveillance System

A validation study was performed for the intensive care unit component of the German nosocomial infections surveillance system (Krankenhaus Infektions Surveillance System [KISS]). A total of 286 reported infections and 1,195 medical records with no reported infection from 20 randomly selected KISS intensive care units were reviewed by trained physicians. The mean sensitivity was 66% (median, 81%), and the mean specificity was 99.4% (median, 99.6%).

[1]  H. Rüden,et al.  Five years working with the German nosocomial infection surveillance system (Krankenhaus Infektions Surveillance System). , 2003, American journal of infection control.

[2]  H. Rüden,et al.  Reducing Central Venous Catheter–Associated Primary Bloodstream Infections in Intensive Care Units Is Possible: Data From The German Nosocomial Infection Surveillance System , 2003, Infection Control & Hospital Epidemiology.

[3]  C. Belío-Blasco,et al.  Evaluation of Two Retrospective Active Surveillance Methods for the Detection of Nosocomial Infection in Surgical Patients , 2000, Infection Control & Hospital Epidemiology.

[4]  D. Pittet,et al.  Infection Control and Hospital Epidemiology Outside the United States , 1999, Infection Control & Hospital Epidemiology.

[5]  Jekel Jf,et al.  Utilizing national nosocomial infection surveillance system data to improve urinary tract infection rates in three intensive-care units. , 1998 .

[6]  H. Rüden,et al.  [Diagnostic training for the surveillance of nosocomial infections: what is possible and significant?]. , 1998, Zentralblatt fur Hygiene und Umweltmedizin = International journal of hygiene and environmental medicine.

[7]  R. Gaynes,et al.  Accuracy of Reporting Nosocomial Infections In Intensive-Care–Unit Patients to the National Nosocomial Infections Surveillance System: A Pilot Study , 1998, Infection Control & Hospital Epidemiology.

[8]  M. Meyer,et al.  Infection registration underestimates the risk of surgical wound infections. , 1996, The Journal of hospital infection.

[9]  Ehrenkranz Nj,et al.  Recorded Criteria as a “Gold Standard” for Sensitivity and Specificity Estimates of Surveillance of Nosocomial Infection: A Novel Method to Measure Job Performance , 1995 .

[10]  N. J. Ehrenkranz,et al.  Recorded Criteria as a “Gold Standard” for Sensitivity and Specificity Estimates of Surveillance of Nosocomial Infection: A Novel Method to Measure Job Performance , 1995, Infection Control & Hospital Epidemiology.

[11]  D. Cardo,et al.  Validation of Surgical Wound Surveillance , 1993, Infection Control & Hospital Epidemiology.

[12]  W J Martone,et al.  National nosocomial infections surveillance system (NNIS): description of surveillance methods. , 1991, American journal of infection control.

[13]  R. Wenzel,et al.  NOSOCOMIAL INFECTIONS: VALIDATION OF SURVEILLANCE AND COMPUTER MODELING TO IDENTIFY PAT AT RISK , 1990 .

[14]  B. Yangco,et al.  CDC definitions for nosocomial infections. , 1989, American journal of infection control.

[15]  J M Hughes,et al.  CDC definitions for nosocomial infections, 1988. , 1988, American journal of infection control.

[16]  R. Haley,et al.  The efficacy of infection surveillance and control programs in preventing nosocomial infections in US hospitals. , 1985, American journal of epidemiology.

[17]  S. Blake,et al.  Surveillance: retrospective versus prospective. , 1980, American journal of infection control.

[18]  D. McClish,et al.  The accuracy of retrospective chart review in measuring nosocomial infection rates. Results of validation studies in pilot hospitals. , 1980, American journal of epidemiology.

[19]  R. Wenzel,et al.  Development of a statewide program for surveillance and reporting of hospital-acquired infections. , 1979, The Journal of infectious diseases.

[20]  J. F. Brown,et al.  Surveillance of nosocomial infections in community hospitals. I. Surveillance methods, effectiveness, and initial results. , 1969, Journal of Infectious Diseases.

[21]  M. Żywicki.  Monitoring hospital-acquired infections to promote patient safety--United States, 1990-1999. , 2000, MMWR. Morbidity and mortality weekly report.

[22]  C. Reed,et al.  Utilizing national nosocomial infection surveillance system data to improve urinary tract infection rates in three intensive-care units. , 1998, Clinical performance and quality health care.