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The Italian Network Spin-UTI: Protocol Design and Validation for Active Surveillance of ICU-Acquired Infections (pp.165-176) $100.00
Authors:  (Antonella Agodi, Ida Mura, Department GF Ingrassia, and LaPoSS, Laboratorio di Progettazione, Sperimentazione e Analisi di Politiche Pubbliche e Servizi alle Persone, University of Catania, Italy, and others)
Abstract:
The Italian Nosocomial Infections Surveillance in Intensive Care Units (ICUs) (SPINUTI)
project of the Italian Study Group of Hospital Hygiene (GISIO SitI), was implemented
to ensure standardisation of definitions, data collection and reporting procedures coherently
with the HELICS-ICU benchmark. Before starting surveillance, participant ICUs were
gathered in order to involve the key stakeholders in the project through participated planning.
Four electronic data forms for web-based data collection, were designed. The six-months
patient-based prospective survey was performed from November 2006 to May 2007. The
SPIN-UTI network included 49 ICUs, 3,053 patients with length of stay longer than two days
and 35,498 patient-days.
Furthermore, since validity is one of the most critical factors concerning surveillance of
nosocomial infections (NIs). A validation study was performed after the end of the
surveillance survey. For each selected ICU, all medical records including all clinical and
laboratory data were retrospective reviewed by the trained physicians of the validation team
and a positive predictive value, a negative predictive value, sensitivity and specificity were
computed. The results of this study are useful to identify methodological problems within the
surveillance program and they have been used to plan and perform training for surveillance
personnel and to design and implement the second edition of the SPIN-UTI project.
The SPIN-UTI project showed that introduction of ongoing surveillance does seem to be
possible in many Italian hospitals. The study provided the opportunity to participate in the
HELICS project using benchmark data for comparison and for better understanding of factors
that impact on associated risks. 


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The Italian Network Spin-UTI: Protocol Design and Validation for Active Surveillance of ICU-Acquired Infections (pp.165-176)