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Lack of Comprehensive Outbreak Detection in Hospitals

Published online by Cambridge University Press:  12 January 2016

Meghan A. Baker*
Affiliation:
Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts Division of Infectious Diseases, Department of Medicine, Brigham and Women’s Hospital, Boston, Massachusetts
Susan S. Huang
Affiliation:
Division of Infectious Diseases, Department of Medicine, University of California Irvine School of Medicine, Orange, California
Alyssa R. Letourneau
Affiliation:
Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts
Rebecca E. Kaganov
Affiliation:
Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts
Jennifer R. Peeples
Affiliation:
Premier, Charlotte, North Carolina
Marci Drees
Affiliation:
Division of Infectious Diseases, Department of Medicine, Christiana Care Health System, Newark, Delaware.
Richard Platt
Affiliation:
Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts
Deborah S. Yokoe
Affiliation:
Division of Infectious Diseases, Department of Medicine, Brigham and Women’s Hospital, Boston, Massachusetts
*
Address correspondence to Meghan A. Baker, MD, ScD, Department of Population Medicine, Harvard Pilgrim Health Care Institute, 133 Brookline Ave, 6th Fl, Boston, MA 02215 (meghan_baker@harvardpilgrim.org).

Abstract

Timely identification of outbreaks of hospital-associated infections is needed to implement control measures and minimize impact. Survey results from 33 hospitals indicated that most hospitals lacked a formal cluster definition and all targeted a very limited group of prespecified pathogens. Standardized, statistically based outbreak detection could greatly improve current practice.

Infect. Control Hosp. Epidemiol. 2016;37(4):466–468

Type
Concise Communications
Copyright
© 2016 by The Society for Healthcare Epidemiology of America. All rights reserved 

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Footnotes

Presented in part: IDWeek 2014; Philadelphia, Pennsylvania; October 10, 2014 (Abstract 942).

References

REFERENCES

1. Archibald, LK, Jarvis, WR. Health care–associated infection outbreak investigations by the Centers for Disease Control and Prevention, 1946–2005. Am J Epidemiol 2011;174:S47S64.CrossRefGoogle ScholarPubMed
2. Epstein, L, Hunter, JC, Arwady, MA, et al. New Delhi metallo-beta-lactamase-producing carbapenem-resistant Escherichia coli associated with exposure to duodenoscopes. JAMA 2014;312:14471455.CrossRefGoogle ScholarPubMed
3. Palmore, TN, Henderson, DK. Managing transmission of carbapenem-resistant enterobacteriaceae in healthcare settings: a view from the trenches. Clin Infect Dis 2013;57:15931599.CrossRefGoogle ScholarPubMed
4. Maragakis, LL, Cosgrove, SE, Song, X, et al. An outbreak of multidrug-resistant Acinetobacter baumannii associated with pulsatile lavage wound treatment. JAMA 2004;292:30063011.CrossRefGoogle ScholarPubMed
5. Magill, SS, Edwards, JR, Bamberg, W, et al. Multistate point-prevalence survey of health care associated infections. N Engl J Med 2014;370:11981208.CrossRefGoogle ScholarPubMed
6. Hansen, S, Stamm-Balderjahn, S, Zuschneid, I, et al. Closure of medical departments during nosocomial outbreaks: data from a systematic analysis of the literature. J Hosp Infect 2007;65:348353.CrossRefGoogle ScholarPubMed
7. Gastmeier, P, Stamm‐Balderjahn, S, Hansen, S, et al. How outbreaks can contribute to prevention of nosocomial infection: analysis of 1,022 outbreaks. Infect Control Hosp Epidemiol 2002;26:357361.CrossRefGoogle ScholarPubMed
8. Romano-Bertrand, S, Filleron, A, Mesnage, R, et al. Staphylococcus aureus in a neonatal care center: methicillin-susceptible strains should be a main concern. Antimicrob Resist Infect Control 2014;3:21.CrossRefGoogle Scholar
9. Mermel, LA, McKay, M, Dempsey, J, Parenteau, S. Pseudomonas surgical-site infections linked to a healthcare worker with onychomycosis. Infect Control Hosp Epidemiol 2003;24:749752.CrossRefGoogle ScholarPubMed
10. Huang, SS, Yokoe, DS, Stelling, J, et al. Automated detection of infectious disease outbreaks in hospitals: a retrospective cohort study. PLOS MED 2010;7:e1000238.CrossRefGoogle ScholarPubMed
11. Klompas, M, Yokoe, DS. Automated surveillance of health care-associated infections. Clin Infect Dis 2009;48:12681275.CrossRefGoogle ScholarPubMed
12. Curran, ET, Benneyan, JC, Hood, J. Controlling methicillin-resistant Staphylococcus aureus: a feedback approach using annotated statistical process control charts. Infect Control Hosp Epidemiol 2002;23:1318.CrossRefGoogle ScholarPubMed
Supplementary material: File

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