Definition Recognition Among Taiwan Nosocomial Infections Surveillance(TNIS) System HospitalsDOI: 10.6525/TEB.20160105.32(1).001
Yu-Tsang Wang1,2, Chiu-Hsia Su1,3, Li-Jung Chien1, Shan-Chwen Chang4, 5, Shu-Hui Tseng1＊
2016 Vol.32 NO.1
Correspondence Author： Shu-Hui Tseng1＊
Hospitals in Taiwan have routinely conducted surveillance on healthcare-associated infections(HAIs) for years. In this article, we introduced the timeline of changes in HAI definitions, presented results of a survey conducted in 2012, and described the mistakes usually occurred in medical centers and regional hospitals in defining a patient as device-associated infection case or counting device-days. The results demonstrated that 79%, 83% and 76% hospitals identified central line-associated bloodstream infection(CLABSI), ventilator-associated pneumonia,and catheter-associated urinary tract infection(CAUTI) cases respectively based on the criteria conformed to Taiwan Nosocomial Infections Surveillance(TNIS) definition. The most common inconsistency found is to classify a CLABSI case relying on tip culture result, and to count device-days according to the number of central lines on patients. This survey provided useful information for developing strategies in surveillance refinement and data quality improvement.