A Comparison Between National Healthcare Safety Network Laboratory-Identified Event Reporting versus Traditional Surveillance for Clostridium difficile Infection
A Comparison Between National Healthcare Safety Network Laboratory-Identified Event Reporting versus Traditional Surveillance for Clostridium difficile Infection
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DOI：
10.1017/ice.2014.42
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发表时间：
2015-02-01
影响因子：
4.5
通讯作者：
Moehring, Rebekah W.
中科院分区：
文献类型：
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作者：
Durkin, Michael J.;Baker, Arthur W.;Moehring, Rebekah W.
目的：2013年1月，国家医疗安全网络中的医院开始报告实验室鉴定（LabID）艰难梭菌感染（CDI）事件。我们的研究量化了LabID与传统监测方法之间的差异。设计：队列研究。背景：美国东南部29家社区医院的队列研究。方法采用LabID和传统监测定义对前瞻性收集的6个月（2013年1月1日至2013年6月30日）数据进行分析。LabID和传统定义监测类别不匹配的CDI事件被进一步识别和表征。采用每种方法计算整个队列医院的住院发病CDI （HO-CDI）率，然后计算医院特异性HO-CDI率和标准化感染率（SIRs）。比较各CDI监测指标的医院排名。结果在708,551患者日期间共发现1,252例LabID CDI事件；检测到286例（23%）CDI不匹配事件。总体HO-CDI率为6.0 vs . LabID和传统监测分别为4.4 / 10,000患者日(P
OBJECTIVE Hospitals in the National Healthcare Safety Network began reporting laboratory-identified (LabID) Clostridium difficile infection (CDI) events in January 2013. Our study quantified the differences between the LabID and traditional surveillance methods.DESIGN Cohort study.SETTING A cohort of 29 community hospitals in the southeastern United States.METHODS A period of 6 months (January 1, 2013, to June 30, 2013) of prospectively collected data using both LabID and traditional surveillance definitions were analyzed. CDI events with mismatched surveillance categories between LabID and traditional definitions were identified and characterized further. Hospital-onset CDI (HO-CDI) rates for the entire cohort of hospitals were calculated using each method, then hospital-specific HO-CDI rates and standardized infection ratios (SIRs) were calculated. Hospital rankings based on each CDI surveillance measure were compared.RESULTS A total of 1,252 incident LabID CDI events were identified during 708,551 patient-days; 286 (23%) mismatched CDI events were detected. The overall HO-CDI rate was 6.0 vs 4.4 per 10,000 patient-days for LabID and traditional surveillance, respectively (P