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Additional resources for Principles and Practice of Pediatric Infectious Disease Revised Reprint, Third Edition
Example text
Sources of Data for Surveillance • Clinical rounds with physicians and/or nurses • Review of: Patient orders Radiology reports/databases Pharmacy reports/databases Operating room diagnoses and procedures Microbiology: bacteriology, virology, mycology, acid-fast bacilli, serology reports autopsy reports data-mining reports • Postdischarge surveillance, especially for surgical site infections • Public health surveillance • Review of: Employee health reports Admission diagnoses Outpatient diagnoses Administrative databases, but should not be used as sole source due to inaccurate coding of healthcare-associated infections typing of isolates during outbreak investigations.
Am J Infect Control 2004;32:470–485. published in December, 2004. Use of more specialized life-saving technologies, such as extracorporeal membrane oxygenation (ECMO), hemodialysis/hemofiltration, pacemakers, and implantable ventricular assist devices (VADs), further increases the risk of infection in the sickest children who require the most intense, invasive support. Many standard infection control procedures for prevention of device-related infections in adults cannot be followed routinely for children.
47–50 The CDC has established a set of standard definitions of HAIs that have been validated and accepted widely51 with updates posted on the CDC website or published in HICPAC/CDC guidelines. 52 Although various surveillance methods are used, the basic goals and elements are similar and include using standardized definitions of infection, finding and collecting cases of HAIs, tabulating data, using appropriate denominators that reflect duration of risk, analyzing and interpreting the data, reporting important deviations from endemic rates (epidemic, outbreaks) to the bedside care providers and to the facility administrators, implementing appropriate control measures, auditing adherence rates for recommended measures, and assessing efficacy of the control measures.