Russo Philip L, Bull Ann, Bennett Noleen, Boardman Claire, Burrell Simon, Motley Jane, Berry Kylie, Friedman N Deborah, Richards Michael
VICNISS Hospital Acquired Infection Surveillance System Coordinating Centre, Victoria, Australia.
Am J Infect Control. 2006 Sep;34(7):430-6. doi: 10.1016/j.ajic.2005.06.013.
A 1998 survey of acute Victorian public hospitals (VPH) revealed that surveillance of hospital-acquired infections (HAI) was underdeveloped, definitions and methodology varied considerably, and results disseminated inconsistently. The survey identified the need for an effective surveillance system for HAI.
To develop and support a standardized surveillance program for HAIs in large acute VPH and to provide risk-adjusted, procedure-specific, HAI rates.
In 2002, the independent Victorian Nosocomial Infection Surveillance System (VICNISS) Coordinating Centre (VCC) was established to develop and support the standardized surveillance program. A multidisciplinary team was recruited. A communication strategy, surveillance manual, user groups, and Web site were developed. Formal education sessions were provided to participating infection control nurse consultants (ICCs). Surveillance activities were based on the US Centers for Diseases Control and Prevention's National Nosocomial Infection Surveillance System (NNIS) surgical site infection and intensive care unit (ICU) components. NNIS methods were modified to suit local needs. Data collection was paper based or through existing hospital software. An advisory committee of key stakeholders met every second month.
The surveillance program was rolled out over 12 months to all 28 large adult VPH. Data on over 20,000 surgical procedures performed at participating sites between November 11, 2002, and December 31, 2004, were submitted. Thirteen hospitals contributed to the ICU surveillance activities. Following aggregation and analysis by the VCC, hospital- and state-level results were posted on the Web page for hospitals to review.
A standardized approach for surveillance of HAI was established in a short time frame in over 28 VPH. VICNISS is a tool that will continue to provide participating hospitals with a basis for continuous quality improvement.
1998年对维多利亚州急性公立医院（VPH）的一项调查显示，医院获得性感染（HAI）的监测工作尚不完善，定义和方法差异很大，结果传播也不一致。该调查确定了建立有效的HAI监测系统的必要性。
为大型急性VPH制定并支持HAI的标准化监测计划，并提供风险调整后的、特定手术的HAI发生率。
2002年，独立的维多利亚医院感染监测系统（VICNISS）协调中心（VCC）成立，以制定并支持标准化监测计划。招募了一个多学科团队。制定了沟通策略、监测手册、用户群体和网站。为参与的感染控制护士顾问（ICC）提供了正规教育课程。监测活动基于美国疾病控制与预防中心的国家医院感染监测系统（NNIS）的手术部位感染和重症监护病房（ICU）部分。对NNIS方法进行了修改以适应当地需求。数据收集通过纸质方式或利用现有的医院软件。关键利益相关者咨询委员会每两个月召开一次会议。
监测计划在12个月内推广到所有28家大型成人VPH。提交了2002年11月11日至2004年12月31日期间在参与医院进行的20000多例手术的数据。13家医院参与了ICU监测活动。经VCC汇总分析后，医院和州级结果发布在网页上供医院查看。
在28家以上的VPH中，在短时间内建立了HAI监测的标准化方法。VICNISS是一种工具，将继续为参与的医院提供持续质量改进的基础。
