Failure of Risk-Adjustment by Test Method for C. difficile Laboratory-Identified Event Reporting

Failure of Risk-Adjustment by Test Method for C. difficile Laboratory-Identified Event Reporting
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DOI:
10.1017/ice.2016.227
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发表时间:
2017-01-01
影响因子:
4.5
通讯作者:
Diekema, Daniel J.
Diekema, Daniel J.
中科院分区:
医学4区
文献类型:
--
作者:
Marra, Alexandre R.;Edmond, Michael B.;Diekema, Daniel J.

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使用包括酶免疫测定(ETA)和核酸扩增(NAAT)的算法进行艰难梭菌感染(CDI)诊断,我们发现使用NAAT与EIA相比,几乎使我们的医院发病CDI实验室鉴定(LabID)事件标准化感染率(SIR)增加了一倍。我们建议修改目前的风险调整方法。
Using an algorithm including both enzyme immunoassay (ETA) and nucleic acid amplification (NAAT) for Clostridium difficile infection (CDI) diagnosis, we found that the use of NAAT versus EIA almost doubled our hospital-onset CDI laboratory-identified (LabID) event standardized infection ratio (SIR). We recommend that the current risk adjustment approach be modified.