Impact of the 2013 revised centers for disease control and prevention central line-associated bloodstream infection (CLABSI) surveillance definition on inpatient hospital CLABSI rates: Is it Enough?

摘要

It is with great interest that we read the article entitled "Distribution of Pathogens in Central Line-Associated Bloodstream Infections among Patients with and without Neutropenia following Chemotherapy: Evidence for a Proposed Modification to the Current Surveillance Definition" by Steinberg et al This study found that common microbial residents of the gastrointestinal tract were overrepresented in neutropenic patients, suggesting that central line-associated bloodstream infections (CLABSIs) in neutropenic patients may primarily represent bacterial translocation of gut organisms rather than infections related to the central line catheter. Steinberg and colleagues state that their findings support the efforts by the National Healthcare Safety Network to refine the CLABSI surveillance definition. We present a comparison of the pre-2013 CLABSI surveillance definition with the revised CLABSI surveillance definition in a large tertiary hospital, utilizing 4 years of surveillance data. These data provide additional evidence of the increased validity of the current definition and suggest areas for further refinement.