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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
11
|
| pubmed:dateCreated |
1990-1-11
|
| pubmed:abstractText |
To improve the efficiency of nosocomial infection detection, a highly structured system combining initial reporting by the bedside night nurse of symptoms possibly related to infection with follow-up by the infection control nurse (ICN) was developed: The Infection Control Sentinel Sheet System (ICSSS). Between July 1, 1987 and February 28, 1988, a prospective comparison of results obtained through ICSSS and daily bedside observation/chart review by a full-time trained intensivist was undertaken in the pediatric intensive care unit (PICU). Ratios of nosocomial infections and nosocomially-infected patients were 15.8 and 7.0 respectively among 685 admissions; included are seven infections identified only through the ICSSS so that the "gold standard" became an amalgamation of the two systems. The sensitivity for detection of nosocomially-infected patients by bedside observation/chart review and ICSSS was 100% and 87% respectively. The sensitivity for detection of standard infections (blood, wound and urine) was 88% and 85% respectively. The sensitivity for detection of nosocomial infections at all sites was 94% and 72% respectively. Missed infections were minor (e.g., drain, skin, eye), required physician diagnosis (e.g., pneumonia), were not requested on the sentinel sheet (SS) (e.g., otitis media), related to follow-up of deceased patients or were minor misclassifications or failures to associate with device (e.g., central-line related). Daily PICU surveillance by the ICN required only 20 minutes a day. The ICSSS appears highly promising and has many unmeasured benefits.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Nov
|
| pubmed:issn |
0899-823X
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
10
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
515-20
|
| pubmed:dateRevised |
2007-11-15
|
| pubmed:meshHeading |
pubmed-meshheading:2685101-Bias (Epidemiology),
pubmed-meshheading:2685101-Canada,
pubmed-meshheading:2685101-Cross Infection,
pubmed-meshheading:2685101-Data Interpretation, Statistical,
pubmed-meshheading:2685101-Evaluation Studies as Topic,
pubmed-meshheading:2685101-Humans,
pubmed-meshheading:2685101-Incidence,
pubmed-meshheading:2685101-Intensive Care Units, Pediatric,
pubmed-meshheading:2685101-Methods,
pubmed-meshheading:2685101-Nursing Assessment,
pubmed-meshheading:2685101-Nursing Diagnosis,
pubmed-meshheading:2685101-Nursing Records,
pubmed-meshheading:2685101-Prospective Studies,
pubmed-meshheading:2685101-Sensitivity and Specificity
|
| pubmed:year |
1989
|
| pubmed:articleTitle |
Evaluation of a new method of detection of nosocomial infection in the pediatric intensive care unit: the Infection Control Sentinel Sheet System.
|
| pubmed:affiliation |
Department of Pediatrics, Hospital for Sick Children, University of Toronto, Ontario, Canada.
|
| pubmed:publicationType |
Journal Article
|