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Classification of bloodstream infections in patients recently discharged from acute-care facilities: Hospital acquired or healthcare-associated community onset?

Published online by Cambridge University Press:  19 September 2019

Riad Khatib*
Department of Medicine, Ascension St John Hospital, Grosse Pointe Woods, Michigan
Mamta Sharma
Department of Medicine, Ascension St John Hospital, Grosse Pointe Woods, Michigan Department of Infection Control, Ascension St John Hospital, GrossePointe Woods, Michigan
Mohamad G. Fakih
Department of Medicine, Ascension St John Hospital, Grosse Pointe Woods, Michigan
Kathleen M. Riederer
Department of Medical Education, Ascension St John Hospital, Grosse Pointe Woods, Michigan
Leonard B. Johnson
Department of Medicine, Ascension St John Hospital, Grosse Pointe Woods, Michigan
Address for correspondence: Riad Khatib, MD,


Laboratory-identified bloodstream infections (LAB-ID BSIs) in recently discharged patients are likely to be classified as healthcare-associated community-onset (HCA-CO) infections, even though they may represent hospital-onset (HO) infections. A review of LAB-ID BSIs among patients discharged within 14 days revealed that 109 of 756 cases (14.4%) were HO infections. The BSI risk being misclassified as HCA CO may underestimate the hospital infection risk.

Concise Communication
© 2019 by The Society for Healthcare Epidemiology of America. All rights reserved. 

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PREVIOUS PRESENTATION: This study was presented in part at IDWEEK on October 3–7, 2018, in San Francisco California.


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