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Development of case vignettes for assessment of the inter-rater variability of national validation teams for the point prevalence survey of healthcare-associated infections and antimicrobial use in European acute care hospitals
- Source :
- The Journal of hospital infection. 101(4)
- Publication Year :
- 2018
-
Abstract
- Summary Background In 2016–17 the European Centre for Disease Prevention and Control (ECDC) organized the second point prevalence survey (PPS) of healthcare-associated infections (HCAIs) and antimicrobial use in European acute care hospitals. This survey included a validation study to maximize the accuracy of case identification and classification. Aim ECDC developed case vignettes to assess the performance of the national validation teams. Methods Case vignettes were developed by two medical doctors with experience in the management of HCAIs and antimicrobial stewardship. The case vignettes were based on actual clinical cases. The distribution of HCAIs among the case vignettes reflected the distribution of HCAIs in the previous PPS. All case vignettes were pilot-tested by three expert raters. Agreement among the expert raters was measured using kappa statistics. Findings Sixty case vignettes were developed. Twenty-nine of them were HCAI cases and 31 were cases without an HCAI. The inter-rater reliability using kappa statistics was 0.78 for the presence of HCAI and 0.89 for the antimicrobial use, respectively. Conclusion The agreement between the expert raters was very good for antimicrobial use and good for the presence of HCAI. Case vignettes can be a tool to support standardization of surveillance, improving the validity and comparability of the data.
- Subjects :
- Microbiology (medical)
Healthcare associated infections
Point prevalence survey
medicine.medical_specialty
Case vignette
030501 epidemiology
03 medical and health sciences
Cohen's kappa
Acute care
Medicine
Antimicrobial stewardship
Humans
0303 health sciences
Cross Infection
Infection Control
030306 microbiology
business.industry
General Medicine
Drug Utilization
Hospitals
Anti-Bacterial Agents
Europe
Inter-rater reliability
Infectious Diseases
Antimicrobial use
Family medicine
Health Services Research
0305 other medical science
business
Emergency Service, Hospital
Subjects
Details
- ISSN :
- 15322939
- Volume :
- 101
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- The Journal of hospital infection
- Accession number :
- edsair.doi.dedup.....c7ed6960ba01c864bbef3eb8e8c57ee4