Development of an investigation form for hemodialysis infection outbreak: Identifying sources in the early stage

IF 3.8 3区医学 Q2 INFECTIOUS DISEASES

American journal of infection control Pub Date : 2025-01-01 DOI:10.1016/j.ajic.2024.08.012

Jiao Shan MM , Yan Wang MD , Wei Huai MM , Xiaoyuan Bao PhD , Meng Jin MS , Yicheng Jin MS , Yixi Jin MM , Zexin Zhang MM , Hong Li MM , Hui Chen MD , Yulong Cao MM

{"title":"Development of an investigation form for hemodialysis infection outbreak: Identifying sources in the early stage","authors":"Jiao Shan MM , Yan Wang MD , Wei Huai MM , Xiaoyuan Bao PhD , Meng Jin MS , Yicheng Jin MS , Yixi Jin MM , Zexin Zhang MM , Hong Li MM , Hui Chen MD , Yulong Cao MM","doi":"10.1016/j.ajic.2024.08.012","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>There are many infectious factors causing the outbreak of hemodialysis infection, which may easily lead to the delay of investigation and treatment. This study aimed to develop an investigation form for hemodialysis infection outbreak (HIO), and to identify sources of outbreak in early stage.</div></div><div><h3>Methods</h3><div>After an exhaustive literature review, we used the Delphi method to determine the indicators and relative risk scores of the assessment tools through 2 rounds of specialist consultation and overall consideration of the opinions and suggestions of 18 specialists.</div></div><div><h3>Results</h3><div>A total of 87 studies of HIOs were eligible for inclusion. The mean authority coefficient (Cr) was 0.89. Kendall’s W coefficient of the specialist consultation was 0.359 after 2 rounds of consultation (<em>P</em> < .005), suggesting that the specialists had similar opinions. Based on 4 primary items and 13 secondary items of the source of HIO, and tripartite distribution characteristics of infected patients, we constructed the investigation form.</div></div><div><h3>Conclusions</h3><div>The investigation form may be implemented during the initial phase of an outbreak investigation, it is a prerequisite for taking effective control measures, avoiding HIO occurrence. However, the efficacy of the investigation form needs to be further evaluated.</div></div>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"53 1","pages":"Pages 87-92"},"PeriodicalIF":3.8000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"American journal of infection control","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0196655324006588","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"INFECTIOUS DISEASES","Score":null,"Total":0}

引用次数: 0

Abstract

Background

There are many infectious factors causing the outbreak of hemodialysis infection, which may easily lead to the delay of investigation and treatment. This study aimed to develop an investigation form for hemodialysis infection outbreak (HIO), and to identify sources of outbreak in early stage.

Methods

After an exhaustive literature review, we used the Delphi method to determine the indicators and relative risk scores of the assessment tools through 2 rounds of specialist consultation and overall consideration of the opinions and suggestions of 18 specialists.

Results

A total of 87 studies of HIOs were eligible for inclusion. The mean authority coefficient (Cr) was 0.89. Kendall’s W coefficient of the specialist consultation was 0.359 after 2 rounds of consultation (P < .005), suggesting that the specialists had similar opinions. Based on 4 primary items and 13 secondary items of the source of HIO, and tripartite distribution characteristics of infected patients, we constructed the investigation form.

Conclusions

The investigation form may be implemented during the initial phase of an outbreak investigation, it is a prerequisite for taking effective control measures, avoiding HIO occurrence. However, the efficacy of the investigation form needs to be further evaluated.

查看原文本刊更多论文

开发血液透析感染爆发调查表：在早期阶段确定感染源。

摘要制定血液透析感染疫情调查表，早期识别疫情源头：在详尽查阅文献后，我们采用德尔菲法，通过两轮专家咨询，综合考虑 18 位专家的意见和建议，确定了评估工具的指标和相对风险分值：共有 87 项关于血液透析感染爆发的研究符合纳入条件。平均权威系数（Cr）为 0.89。经过两轮会诊后，专家会诊的 Kendall's W 系数为 0.359（P 结论：专家会诊的 Kendall's W 系数为 0.359：调查表可在病例聚集的早期阶段使用，是采取有效控制措施、避免血液透析感染暴发的前提。然而，调查表的效果还需要进一步评估。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

American journal of infection control 医学-传染病学

CiteScore

7.40

自引率

4.10%

发文量

479

审稿时长

24 days

期刊介绍： AJIC covers key topics and issues in infection control and epidemiology. Infection control professionals, including physicians, nurses, and epidemiologists, rely on AJIC for peer-reviewed articles covering clinical topics as well as original research. As the official publication of the Association for Professionals in Infection Control and Epidemiology (APIC)