Staphylococcus aureus bacteraemia Data

1
(No Transcript)
2
(No Transcript)
3
(No Transcript)
4
(No Transcript)
5
(No Transcript)
6
(No Transcript)
7
(No Transcript)
8
(No Transcript)
9
(No Transcript)
10
(No Transcript)
11
(No Transcript)
12
(No Transcript)
13
(No Transcript)
14
(No Transcript)
15
(No Transcript)
16
(No Transcript)
17
(No Transcript)
18
(No Transcript)
19
(No Transcript)
20
(No Transcript)
21
(No Transcript)
22
(No Transcript)
23
(No Transcript)
24
(No Transcript)
25
(No Transcript)
26
(No Transcript)
27
(No Transcript)
28
(No Transcript)
29
(No Transcript)
30
(No Transcript)
31
(No Transcript)
32
(No Transcript)
33
(No Transcript)
34
(No Transcript)
35
(No Transcript)
36
(No Transcript)
37
(No Transcript)
38
(No Transcript)
39
(No Transcript)
40
(No Transcript)
41
Staphylococcus aureus bacteraemia Data
42
Measurements

• Process Indicators should be linked to Outcome
  Indicators
• PROCESS - HH Compliance rates
• OUTCOME - Staph. aureus bacteraemia rates

43
The key aims of the NHHI

• Achieve sustained improvements in HH compliance
  rates
• Accurately measure rates of staphylococcal
  disease
• a key outcome measure of the program
• Reduce the rates of HCAIs
• Develop an effective education and credentialing
  system to improve knowledge about HH and
  infection control
• Make HH and infection prevention core business
  for all healthcare institutions and the wider
  Australian community

44
Staph. aureus CSI !!

• SAB
• healthcare associated
• or
• community associated

45

• SAB

MSSA/MRSA
lt48 hrs
gt48 hrs
46

• SAB

MSSA/MRSA
gt48 hrs
47

• SAB

MSSA/MRSA
lt48 hrs
48
(No Transcript)
49

• SAB

Healthcare associated SAB
MSSA/MRSA
lt48 hrs
X
50

• SAB

Community associated SAB
MSSA/MRSA
lt48 hrs
Noninpatient Healthcare-associated SAB
Healthcare-associated SAB
51

• SAB

MSSA/MRSA
lt48 hrs Since admission
gt48 hrs since admission lt48 hrs after discharge
Yes to one or more criteria - Healthcare
associated SAB
Healthcare associated SAB
No to all criteria - Community Associated SAB
Total Healthcare associated SAB
52
Basically..

• A patient episode of SAB will be categorised as
  healthcare-associated if
• First SAB blood culture collected gt48 hours
  after hospital admission and lt 48 hrs after
  discharge.
• First SAB collected lt48 hours after hospital
  admission, with one or more key clinical criteria
  met.

53
Contaminated Specimens..

• A contaminated specimen can produce a false
  positive result
• Contamination of blood cultures is rare in adults
  (1- 2 of culture positive episodes) and more
  common in children (5-10).
• If, in the evaluation of a potential event
• the clinical picture is unsupportive of
  infection
• repeat blood culture(s) are negative
• no antimicrobial treatment is given
• Then the positive blood culture should be
  regarded as a contamination and not reported

54
Staph. aureus bacteraemia rates

• Occupied Bed Days Vs Separations
• SAB rate per 10000 Occupied Bed Days
• SAB rate per 100 Separations

55
Reporting of Staph. aureus bacteraemia data
Hospital Data
State/Territory/Private Data
Hand Hygiene Australia
Australian Commission on Safety and Quality
in Healthcare