Classification of positive blood cultures: Computer algorithms versus physicians' assessment - Development of tools for surveillance of bloodstream infection prognosis using population-based laboratory databases

BMC Medical Research Methodology

Volumn 12, Issue , 2012, Pages

  Gradel, Kim O ^a,b   Knudsen, Jenny Dahl ^c   Arpi, Magnus ^d   Østergaard, Christian ^c,d   Schønheyder, Henrik C ^e   Søgaard, Mette ^e  

^a UNIVERSITY OF SOUTHERN DENMARK   (Denmark)

^b ODENSE UNIVERSITY HOSPITAL   (Denmark)

^c HVIDOVRE HOSPITAL   (Denmark)

^d GENTOFTE UNIVERSITY HOSPITAL   (Denmark)

^e AALBORG UNIVERSITY HOSPITAL   (Denmark)

Author keywords

[No Author keywords available]

Indexed keywords

AGED; ALGORITHM; ARTICLE; BACTEREMIA; CLASSIFICATION; COMMUNICABLE DISEASE; COMPARATIVE STUDY; COMPUTER ASSISTED DIAGNOSIS; CROSS INFECTION; DENMARK; EPIDEMIOLOGY; FACTUAL DATABASE; FEMALE; HUMAN; INFECTION CONTROL; MALE; MIDDLE AGED; MORTALITY; VERY ELDERLY;

AGED; AGED, 80 AND OVER; ALGORITHMS; BACTEREMIA; COMMUNITY-ACQUIRED INFECTIONS; CROSS INFECTION; DATABASES, FACTUAL; DENMARK; DIAGNOSIS, COMPUTER-ASSISTED; EPIDEMIOLOGIC STUDIES; FEMALE; HUMANS; INFECTION CONTROL; MALE; MIDDLE AGED;

MLCS; MLOWN;

EID: 84866008295     PISSN: None     EISSN: 14712288     Source Type: Journal    
DOI: 10.1186/1471-2288-12-139     Document Type: Article

References (28)

1. The clinical significance of positive blood cultures: a comprehensive analysis of 500 episodes of bacteremia and fungemia in adults. I. Laboratory and epidemiologic observations. Weinstein MP, Reller LB, Murphy JR, Lichtenstein KA, Rev Infect Dis 1983 5 35 53 10.1093/clinids/5.1.35 6828811
2. CDC/NHSN surveillance definition of health care-associated infection and criteria for specific types of infections in the acute care setting. Horan TC, Andrus M, Dudeck MA, Am J Infect Control 2008 36 309 332 10.1016/j.ajic.2008.03. 002 18538699 (Pubitemid 351763841)
3. Definition of polymicrobial bacteremia. Roberts FJ, Rev Infect Dis 1989 11 1029 1030 10.1093/clinids/11.6.1029 2602769
4. Risk factors for recurrence and death after bacteraemia: a population-based study. Jensen US, Knudsen JD, Wehberg S, Gregson DB, Laupland KB, Clin Microbiol Infect 2011 17 1148 1154 10.1111/j.1469-0691.2011.03587.x 21714830
5. CDC definitions for nosocomial infections, 1988. Garner JS, Jarvis WR, Emori TG, Horan TC, Hughes JM, Am J Infect Control 1988 16 128 140 10.1016/0196-6553(88)90053-3 2841893
6. Health care-associated bloodstream infections in adults: a reason to change the accepted definition of community-acquired infections. Friedman ND, Kaye KS, Stout JE, McGarry SA, Trivette SL, Briggs JP, Lamm W, Clark C, MacFarquhar J, Walton AL, Reller LB, Sexton DJ, Ann Intern Med 2002 137 791 797 12435215 (Pubitemid 35334450)
7. Source of infection and other factors associated with case fatality in community-acquired bacteremia-a Danish population-based cohort study from 1992 to 1997. Pedersen G, Schønheyder HC, Sørensen HT, Clin Microbiol Infect 2003 9 793 802 10.1046/j.1469-0691.2003.00599.x 14616699 (Pubitemid 37121081)
8. Computer algorithms to detect bloodstream infections. Trick WE, Zagorski BM, Tokars JI, Vernon MO, Welbel SF, Wisniewski MF, Richards C, Weinstein RA, Emerg Infect Dis 2004 10 1612 1620 10.3201/eid1009.030978 15498164 (Pubitemid 39201513)
9. Nosocomial bacteraemia: the most neglected causes of death in Europe? Raoult D, Richet H, Clin Microbiol Infect 2011 17 1123 10.1111/j.1469-0691.2011. 03583.x 21729193
10. The clinical and prognostic importance of positive blood cultures in adults. Pien BC, Sundaram P, Raoof N, Costa SF, Mirrett S, Woods CW, Reller LB, Weinstein MP, Am J Med 2010 123 819 828 10.1016/j.amjmed.2010.03.021 20800151
11. Data correction pre-processing for electronically stored blood culture results: implications on microbial spectrum and empiric antibiotic therapy. Assadian O, Diab-Elschahawi M, Makristathis A, Blacky A, Koller W, Adlassnig KP, BMC Med Inform Decis Mak 2009 9 27 10.1186/1472-6947-9-27 19500418
12. Comparison of automated strategies for surveillance of nosocomial bacteremia. Bellini C, Petignat C, Francioli P, Wenger A, Bille J, Klopotov A, Vallet Y, Patthey R, Zanetti G, Infect Control Hosp Epidemiol 2007 28 1030 1035 10.1086/519861 17932822 (Pubitemid 47345261)
13. Determining the clinical significance of coagulase-negative staphylococci isolated from blood cultures. Beekmann SE, Diekema DJ, Doern GV, Infect Control Hosp Epidemiol 2005 26 559 566 10.1086/502584 16018432 (Pubitemid 40896146)
14. Minimizing the workup of blood culture contaminants: implementation and evaluation of a laboratory-based algorithm. Richter SS, Beekmann SE, Croco JL, Diekema DJ, Koontz FP, Pfaller MA, Doern GV, J Clin Microbiol 2002 40 2437 2444 10.1128/JCM.40.7.2437-2444.2002 12089259 (Pubitemid 34747344)
15. Simplified surveillance for nosocomial bloodstream infections. Yokoe DS, Anderson J, Chambers R, Connor M, Finberg R, Hopkins C, Lichtenberg D, Marino S, McLaughlin D, O'Rourke E, Samore M, Sands K, Strymish J, Tamplin E, Vallonde N, Platt R, Infect Control Hosp Epidemiol 1998 19 657 660 10.1086/647894 9778164 (Pubitemid 128472188)
16. Evaluation of positive blood cultures. Guidelines for early differentiation of contaminated from valid positive cultures. MacGregor RR, Beaty HN, Arch Intern Med 1972 130 84 87 10.1001/archinte.1972.03650010072013 4556417
17. Automatic detection of patients with nosocomial infection by a computer-based surveillance system: a validation study in a general hospital. Pokorny L, Rovira A, Martin-Baranera M, Gimeno C, Alonso-Tarres C, Vilarasau J, Infect Control Hosp Epidemiol 2006 27 500 503 10.1086/502685 16671032 (Pubitemid 43835533)
18. Danmarks Statistik, Population statistics Denmark http://statistikbanken. dk (accessed 15 August 2010)
19. Epidemiology. When an entire country is a cohort. Frank L, Science 2000 287 2398 2399 10.1126/science.287.5462.2398 10766613 (Pubitemid 30185417)
20. The Danish National Patient Register. Lynge E, Sandegaard JL, Rebolj M, Scand J Public Health 2011 39 30 33 10.1177/1403494811401482 21775347
21. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. Charlson ME, Pompei P, Ales KL, MacKenzie CR, J Chronic Dis 1987 40 373 383 10.1016/0021-9681(87)90171-8 3558716 (Pubitemid 17055592)
22. The Danish Civil Registration System. Pedersen CB, Scand J Public Health 2011 39 22 25 10.1177/1403494810387965 21775345
23. A primer on the precision and accuracy of the clinical examination. Sackett DL, JAMA 1992 267 2638 2644 10.1001/jama.1992.03480190080037 1573753
24. Bacteraemia caused by hospital-type micro-organisms during hospital stay. Leibovici L, Schønheyder HC, Pitlik SD, Samra Z, Moller JK, J Hosp Infect 2000 44 31 36 10.1053/jhin.1999.0661 10633051 (Pubitemid 30074333)
25. Recurrent bacteraemia: A 10-year regional population-based study of clinical and microbiological risk factors. Jensen US, Knudsen JD, Østergaard C, Gradel KO, Frimodt-Møller N, Schønheyder HC, J Infect 2010 60 191 199 10.1016/j.jinf.2009.12.007 20026352
26. Patients with bacteremia dying before notification of positive blood cultures: a 3-year clinical study. Pedersen G, Schønheyder HC, Scand J Infect Dis 1997 29 169 173 10.3109/00365549709035879 9181654
27. Bacteraemia with an unknown focus: is the focus de facto absent or merely unreported? A one-year hospital-based cohort study. Larsen IK, Pedersen G, Schonheyder HC, APMIS 2011 119 275 279 10.1111/j.1600-0463.2011.02727.x 21492227
28. European Centre for Disease Prevention and Control, EARSS Annual Report 2007 http://ecdc.europa.eu/en/activities/surveillance/EARS-Net/Documents/2007- EARSS-Annual-Report.pdf (accessed 13 December 2011)