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Sustainable neonatal CLABSI surveillance: consensus towards new criteria in the Netherlands

Overview of attention for article published in Antimicrobial Resistance & Infection Control, February 2021
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Title
Sustainable neonatal CLABSI surveillance: consensus towards new criteria in the Netherlands
Published in
Antimicrobial Resistance & Infection Control, February 2021
DOI 10.1186/s13756-021-00900-3
Pubmed ID
Authors

I. E. Heijting, T. A. J. Antonius, A. Tostmann, W. P. de Boode, M. Hogeveen, J. Hopman

Abstract

Central line-associated bloodstream infections (CLABSI) are a main focus of infection prevention and control initiatives in neonatal care. Standardised surveillance of neonatal CLABSI enables intra- and interfacility comparisons which can contribute to quality improvement. To date, there is no national registration system for CLABSI in neonatal care in the Netherlands and several criteria are used for local monitoring of CLABSI incidence rates. To achieve standardised CLABSI surveillance we conducted a consensus procedure with regard to nationwide neonatal CLABSI surveillance criteria (SC). A modified Delphi consensus procedure for the development of nationwide neonatal CLABSI SC was performed between January 2016 and January 2017 in the Netherlands. An expert panel was formed by members of the Working Group on Neonatal Infectious Diseases of the Section of Neonatology of the Dutch Paediatric Society. The consensus procedure consisted of three expert panel rounds. The expert panel achieved consensus on Dutch neonatal CLABSI SC. Neonatal CLABSI is defined as a bloodstream infection occurring more than 72 h after birth, associated with an indwelling central venous or arterial line and laboratory confirmed by one or more blood cultures. In addition, the blood culture finding should not be related to an infection at another site and one of the following criteria can be applied: 1. a bacterial or fungal pathogen is identified from one or more blood cultures; 2. the patient has clinical symptoms of sepsis and 2A) a common commensal is identified in two separate blood cultures or 2B) a common commensal is identified by one blood culture and C-reactive protein level is above 10 mg/L in the first 36 h following blood culture collection. The newly developed Dutch neonatal CLABSI SC are concise, specified to the neonatal population and comply with a single blood culture policy in actual neonatal clinical practice. International agreement upon neonatal CLABSI SC is needed to identify best practices for infection prevention and control.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 43 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 43 100%

Demographic breakdown

Readers by professional status Count As %
Unspecified 7 16%
Student > Doctoral Student 5 12%
Other 3 7%
Student > Master 3 7%
Student > Postgraduate 2 5%
Other 5 12%
Unknown 18 42%
Readers by discipline Count As %
Medicine and Dentistry 9 21%
Unspecified 7 16%
Nursing and Health Professions 4 9%
Pharmacology, Toxicology and Pharmaceutical Science 1 2%
Mathematics 1 2%
Other 2 5%
Unknown 19 44%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 16 February 2021.
All research outputs
#18,827,930
of 24,003,070 outputs
Outputs from Antimicrobial Resistance & Infection Control
#1,142
of 1,347 outputs
Outputs of similar age
#365,596
of 511,829 outputs
Outputs of similar age from Antimicrobial Resistance & Infection Control
#42
of 55 outputs
Altmetric has tracked 24,003,070 research outputs across all sources so far. This one is in the 18th percentile – i.e., 18% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,347 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 15.6. This one is in the 11th percentile – i.e., 11% of its peers scored the same or lower than it.
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We're also able to compare this research output to 55 others from the same source and published within six weeks on either side of this one. This one is in the 18th percentile – i.e., 18% of its contemporaries scored the same or lower than it.