KISS (Hospital Infection Surveillance System)

Project Description

For over 20 years, it has been known that continuous, systematic collection, analysis, and interpretation of relevant data on nosocomial infections, along with feedback to medical and nursing staff, can reduce the incidence of these infections. This form of internal quality assurance is known as surveillance. Its significance and effectiveness can be increased by comparing one’s own infection data with that of others. Only in the context of data from other departments or units can the level of one's own infection rates be accurately assessed. To avoid incorrect conclusions, such comparisons are only possible when identical methods are used for data collection, including fixed definitions for diagnosis. Since different units and departments use risk factors at varying frequencies and have differences in patient composition, these differences must be accounted for through standardization and stratification procedures in data calculation and analysis.

In 1996, the NRC developed a method to enable units and departments to conduct surveillance of nosocomial infections using a standardized approach that considers major influencing and risk factors, thereby allowing for comparative benchmarking. The data collected in participating units and departments are regularly submitted to the NRC for analysis. The aggregated and anonymized data are provided as reference data in a suitable format.


To enhance the significance of the data and thus the effectiveness of surveillance, KISS does not conduct hospital-wide data collection; instead, it focuses on specific high-risk areas within the hospital. This approach targets particular patient groups (e.g., NEO-KISS) or specialized units (e.g., ITS-KISS) with a high infection risk. For this reason, KISS consists of several modules tailored to different high-risk areas, each with specific surveillance methods.

The following high-risk areas are addressed by the individual KISS modules:

  • Patients in intensive care units (ITS-KISS module)
  • Operated patients (OP-KISS module)
  • Premature infants in neonatal intensive care units (NEO-KISS module)
  • Patients after bone marrow transplantation (ONKO-KISS module)
  • Patients with central venous catheters, urinary catheters, or mechanical ventilation in non-intensive care units (STATIONS-KISS module)
  • Module for methicillin-resistant Staphylococcus aureus (MRSA-KISS module)

A hospital can choose to participate in only one module or select multiple modules according to its individual needs. However, a prerequisite for participating in KISS is the completion of an introductory course, where the data collection methodology is thoroughly explained and diagnosis is practiced using the established definitions. The dates for the upcoming introductory courses will be announced in a timely manner on our homepage under "Events" (registration required).


Infographic: KISS Modules

The adjacent infographic provides an overview of the structural organization of the individual KISS modules. Click to open the enlarged view.