National Healthcare Safety Network laboratory-identified difficile event reporting: A need for diagnostic stewardship

Details

• Alternative Title:
  Am J Infect Control
• Personal Author:
  Rock, Clare ; Pana, Zoi ; Leekha, Surbhi ; Trexler, Polly ; Andonian, Jennifer ; Gadala, Avinash ; Carroll, Karen C. ; Maragakis, Lisa L.
• Corporate Authors:
  for the CDC Prevention Epicenters Program
• Description:
  We describe the proportion of health care facility-onset Clostridium difficile infection (HO-CDI) National Healthcare Safety Network laboratory-identified events at our facility that were deemed nontrue HO-CDIs. Reasons included testing in a patient without significant diarrhea or with recent laxative use, or delayed testing. Standardized infection ratios using only true HO-CDI in the numerator were improved compared with publically reported standardized infection ratios. A prioritization matrix identifies which clinical services could benefit most from directed diagnostic stewardship interventions.
• Subjects:
  Anti-Bacterial Agents Clinical Laboratory Information Systems Clostridioides Difficile Clostridium Infections Disease Notification Drug Utilization Health Facilities Humans Public Health Surveillance
• Source:
  Am J Infect Control. 46(4):456-458
• Pubmed ID:
  29305285
• Pubmed Central ID:
  PMC6734925
• Document Type:
  Journal Article
• Funding:
  U01 CK000554/CK/NCEZID CDC HHSUnited States/ ; U54 CK000447/CK/NCEZID CDC HHSUnited States/
• Place as Subject:
  United States
• Volume:
  46
• Issue:
  4
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:802e05d0ba0747751053a5eacfbb19b01f4da6d8842d12d5fba96fb523350691
• Download URL:
  https://stacks.cdc.gov/view/cdc/81333/cdc_81333_DS1.pdf
• File Type:
  [PDF - 109.43 KB ]