Impact of postnatal age on neonatal intensive care unit bloodstream infection reporting

Viraj Ambalam¹, Anna C Sick-Samuels², Julia Johnson³, Elizabeth Colantuoni⁴, Avinash Gadala⁵, Clare Rock⁶, Aaron M Milstone⁷; CDC Prevention Epicenter Program

Affiliations

¹ Department of Pediatrics, Division of Infectious Diseases, Johns Hopkins University, Baltimore, MD.
² Department of Pediatrics, Division of Infectious Diseases, Johns Hopkins University, Baltimore, MD; Department of Healthcare Epidemiology and Infection Prevention, Johns Hopkins Health System, Baltimore, MD.
³ Department of Pediatrics, Division of Neonatology, Johns Hopkins University, Baltimore, MD.
⁴ Department of Biostatistics, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD.
⁵ Department of Healthcare Epidemiology and Infection Prevention, Johns Hopkins Health System, Baltimore, MD.
⁶ Department of Healthcare Epidemiology and Infection Prevention, Johns Hopkins Health System, Baltimore, MD; Department of Medicine, Division of Infectious Diseases, Johns Hopkins University, Baltimore, MD.
⁷ Department of Pediatrics, Division of Infectious Diseases, Johns Hopkins University, Baltimore, MD; Department of Healthcare Epidemiology and Infection Prevention, Johns Hopkins Health System, Baltimore, MD. Electronic address: amilsto1@jhmi.edu.

PMID: 33819494
PMCID: PMC8405460
DOI: 10.1016/j.ajic.2021.03.018

Impact of postnatal age on neonatal intensive care unit bloodstream infection reporting

Viraj Ambalam et al. Am J Infect Control. 2021 Sep.

. 2021 Sep;49(9):1191-1193.

doi: 10.1016/j.ajic.2021.03.018. Epub 2021 Apr 2.

Authors

Viraj Ambalam¹, Anna C Sick-Samuels², Julia Johnson³, Elizabeth Colantuoni⁴, Avinash Gadala⁵, Clare Rock⁶, Aaron M Milstone⁷; CDC Prevention Epicenter Program

Affiliations

¹ Department of Pediatrics, Division of Infectious Diseases, Johns Hopkins University, Baltimore, MD.
² Department of Pediatrics, Division of Infectious Diseases, Johns Hopkins University, Baltimore, MD; Department of Healthcare Epidemiology and Infection Prevention, Johns Hopkins Health System, Baltimore, MD.
³ Department of Pediatrics, Division of Neonatology, Johns Hopkins University, Baltimore, MD.
⁴ Department of Biostatistics, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD.
⁵ Department of Healthcare Epidemiology and Infection Prevention, Johns Hopkins Health System, Baltimore, MD.
⁶ Department of Healthcare Epidemiology and Infection Prevention, Johns Hopkins Health System, Baltimore, MD; Department of Medicine, Division of Infectious Diseases, Johns Hopkins University, Baltimore, MD.
⁷ Department of Pediatrics, Division of Infectious Diseases, Johns Hopkins University, Baltimore, MD; Department of Healthcare Epidemiology and Infection Prevention, Johns Hopkins Health System, Baltimore, MD. Electronic address: amilsto1@jhmi.edu.

PMID: 33819494
PMCID: PMC8405460
DOI: 10.1016/j.ajic.2021.03.018

Abstract

Due to their short- and long-term impact on patients in the neonatal intensive care unit (NICU), bloodstream infections are a closely monitored quality measure. NICU infection rates are risk-adjusted for birth weight, but not postnatal age. Our findings suggest that infection rates are not constant over time in neonates with long NICU lengths of stay and adjusting for postnatal age in addition to birth weight may improve unit comparisons.

Keywords: Bloodstream infections; Hospital-onset bacteremia; Neonatal intensive care unit; Public reporting; Risk adjustment.

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Conflict of interest statement

Conflict of Interest: A.M. reports receiving unrelated research support from Merck. Other authors report no conflict.

References

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Impact of postnatal age on neonatal intensive care unit bloodstream infection reporting

Affiliations

Impact of postnatal age on neonatal intensive care unit bloodstream infection reporting

Authors

Affiliations

Abstract

Conflict of interest statement

References

Publication types

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources

Other Literature Sources

Medical