Table 1 Overview of all collected variables, the method used, outcome variables that are visualized in the risk profile and improvement plot, and breakpoints for the risk classification
Risk classification | |||||||
|---|---|---|---|---|---|---|---|
variables | Hospital | NH^ | method | Outcome variable | Low | Intermediate | High |
Risk profile | |||||||
Severity of underlying diseases, according to the McCabe score | X | Prevalence survey (file research & interview) | The percentage per category is presented in the risk profile | N.A.& | |||
Independency scale according to Katz-score | X | Prevalence survey (file research & interview) | The percentage per category is presented in the risk profile | N.A. & | |||
indwelling medical devices, including venflon not in use | X | Prevalence survey (file research & interview) | Percentage (n=total number inclusions) | ≤ 15 | >15 and ≤50 | > 50 | |
X | ≤ 5 | >5 and ≤10 | > 10 | ||||
Antibiotic use | X | Prevalence survey (file research & interview) | Percentage (n=total number inclusions) | ≤ 15 | >15 and ≤50 | > 50 | |
X | ≤ 5 | >5 and ≤10 | > 10 | ||||
Rectal carriage of ESBL-Eǂ and CPEǂǂ | X | X | Prevalence survey (culture of faeces or perianal swab) | Percentage (n=total number patients of whom faeces was cultured) | ≤ 7 | >7 and ≤11 | > 11 |
Improvement plot | |||||||
Inappropriate use of medical devices | X | X | Prevalence survey (file research & interview) | Percentage (n=total number of patients with medical devices in use) | ≤ 15 | >15 and ≤25 | >25 |
Inappropriate use of antibiotics | X | X | Prevalence survey (file research & interview) | Percentage (n=total number of patients administered one or more antibiotics) | ≤ 15 | >15 and ≤25 | >25 |
Transmission of ESBL-E and CPE | X | X | Prevalence survey (molecular typing of ESBL-E and CPE) | Transmission = 2 or more identical ESBL-E and CPE with an epidemiological link | No transmission | No transmission | Transmission |
Hand hygiene non-compliance | X | Direct observations of hand hygiene moments per unit | % non-compliance overall (n>200 moments) | ≤ 40 | >40 and ≤60 | >60 | |
Environmental contamination | X | X | ATP detection on pre-defined surfaces/objects per ward. Per tested surface/object, RLU is converted to a score (1, 2, 3 or 4) | Total score per ward/setting (in case of multiple wards within 1 setting, breakpoints will be adjusted as needed) | ≤ 4 ≤ 3 | >4 and ≤12 >3 and ≤9 | >12 ZH >9 VH |
Shortcomings in infection control preconditions | X | X | 10 preconditions are observed per ward | Score from 1 to 10 | ≤ 1 | >1 and ≤3 | >3 |
Personal hygiene of healthcare workers | X | X | 20 nurses and other healthcare employees, per ward, were checked for compliance with the dress code. | Score from 1 to 20 (in case of less observations, breakpoints will be adjusted as needed) | ≤ 1 | >1 and ≤4 | >4 |