کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
2638193 1563485 2014 5 صفحه PDF سفارش دهید دانلود کنید
عنوان انگلیسی مقاله ISI
Single-center study of interrater agreement in the identification of central line–associated bloodstream infection
ترجمه فارسی عنوان
مطالعه تک مرکز از توافق بیننده در شناسایی عفونت های جریان خون مرتبط با خط مرکزی
کلمات کلیدی
نظارت؛ پیشگیری از عفونت؛ منبع باکتری؛ شرایط کاپا؛ قابلیت اطمینان نتایج
موضوعات مرتبط
علوم زیستی و بیوفناوری ایمنی شناسی و میکروب شناسی میکروب شناسی
چکیده انگلیسی

BackgroundInterrater reliability of central line–associated bloodstream infection (CLABSI) determination has not been well studied. The present study evaluated interrater reliability between infection preventionists (IPs) for CLABSI- and other bloodstream infection (BSI)-related factors and examined whether any nurse characteristics are associated with interrater reliability.MethodsA total of 165 blood cultures were reviewed by 2 IPs assigned at random. Reliability outcomes were CLABSI, infection type (hospital- or community-acquired), presence of a central line, primary versus secondary BSI, secondary source of BSI, and IP-determined source of BSI (primary, secondary, or indeterminate). Kappa coefficients were calculated. Logistic regression was used to evaluate associations between IP characteristics and agreement on diagnosis of CLABSI.ResultsCLABSI agreement was moderate in IP pairs (κ = 0.562 ± 0.080) and not associated with IP characteristics. After controlling for IP characteristics associated with secondary outcomes, agreement regarding secondary source was more likely in pairs with a larger absolute difference in years employed (P = .013), and agreement regarding infection source was more likely in pairs with larger differences in years employed and duration of certification (P = .025).ConclusionsThe rate of IP agreement regarding CLABSI was moderate and not associated with IP characteristics, reflecting adequate training. Education and reassessment of definitions may promote higher rates of agreement between IPs.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: American Journal of Infection Control - Volume 42, Issue 6, June 2014, Pages 638–642
نویسندگان
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