Letter to the editor: Towards effective implementation of hospital-onset bacteraemia and fungaemia as a quality metric

Silvia Forni; Guglielmo Arzilli; Fabrizio Gemmi; Agnese Comelli; Gabriele Del Castillo; Simone Villa; Federico Banchelli; Enrico Ricchizzi; Fortunato D’Ancona

doi:10.2807/1560-7917.ES.2025.30.38.2500659

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Letter to the editor: Towards effective implementation of hospital-onset bacteraemia and fungaemia as a quality metric
Silvia Forni¹ , Guglielmo Arzilli^1,2 , Fabrizio Gemmi¹ , Agnese Comelli³ , Gabriele Del Castillo³ , Simone Villa³ , Federico Banchelli⁴ , Enrico Ricchizzi⁴ , Fortunato D’Ancona⁵
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Affiliations: ¹ Regional Health Agency of Tuscany, Florence, Italy ² Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy ³ Directorate General for Health, Lombardy Region, Milan, Italy ⁴ Directorate General for Personal Care, Health and Welfare, Bologna, Italy ⁵ Department of Infectious Diseases, Istituto Superiore Di Sanità, Rome, Italy

Correspondence:
Guglielmo Arzilli
guglielmo.arzilli phd.unipi.it
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Citation style for this article: Forni Silvia, Arzilli Guglielmo, Gemmi Fabrizio, Comelli Agnese, Del Castillo Gabriele, Villa Simone, Banchelli Federico, Ricchizzi Enrico, D’Ancona Fortunato. Letter to the editor: Towards effective implementation of hospital-onset bacteraemia and fungaemia as a quality metric. Euro Surveill. 2025;30(38):pii=2500659. https://doi.org/10.2807/1560-7917.ES.2025.30.38.2500659 Received: 27 Aug 2025; Accepted: 03 Sept 2025

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References

Aghdassi SJ, van der Werff SD, Catho G, Brekelmans M, Peña Diaz LA, Buetti N, et al. Hospital-onset bacteraemia and fungaemia as a novel automated surveillance indicator: results from four European university hospitals, 2018 to 2022. Euro Surveill. 2025;30(24):2400613. https://doi.org/10.2807/1560-7917.ES.2025.30.24.2400613 PMID: 40539312
Yu KC, Ye G, Edwards JR, Gupta V, Benin AL, Ai C, et al. Hospital-onset bacteremia and fungemia: An evaluation of predictors and feasibility of benchmarking comparing two risk-adjusted models among 267 hospitals. Infect Control Hosp Epidemiol. 2022;43(10):1317-25. https://doi.org/10.1017/ice.2022.211 PMID: 36082774
Brekelmans MACM, Vlek ALM, van Dijk Y, Smilde AE, Weersink AJL, Wunderink HF, et al. Automated surveillance of hospital-onset bacteremia and fungemia: feasibility and epidemiological results from a Dutch multicenter study. Infect Control Hosp Epidemiol. 2025;46(5):1-9. https://doi.org/10.1017/ice.2025.29 PMID: 40007429
Leekha S, Robinson GL, Jacob JT, Fridkin S, Shane A, Sick-Samuels A, et al. Evaluation of hospital-onset bacteraemia and fungaemia in the USA as a potential healthcare quality measure: a cross-sectional study. BMJ Qual Saf. 2024;33(8):487-98. https://doi.org/10.1136/bmjqs-2023-016831 PMID: 38782579
Rhee C, Patel P, Szymczak J. Is hospital-onset bacteraemia and fungaemia an actionable quality measure? BMJ Qual Saf. 2024;33(8):479-82. https://doi.org/10.1136/bmjqs-2024-017292 PMID: 38802245
Schrank GM, Madaline T. Hospital onset bacteremia and fungemia should be a pay-for performance measure: a pro/con debate. Infect Control Hosp Epidemiol. 2025;1-6. https://doi.org/10.1017/ice.2025.10216 PMID: 40671597
European Commission (EC). EU Funding & Tenders Portal. Design and Implementation of Multinational Surveillance Systems Using Routinely Collected Electronic Health Records in EU/EEA. Brussels: EC; 2022. Available from: https://ec.europa.eu/info/funding-tenders/opportunities/portal/screen/opportunities/tender-details/9819

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