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Methicillin-Resistant Staphylococcus aureus Bloodstream Infection Surveillance: National Healthcare Safety Network’s Laboratory-Identified Event Reporting versus Traditional Laboratory-Confirmed Bloodstream Infection Surveillance

Published online by Cambridge University Press:  10 May 2016

Arthur W. Baker
Affiliation:
Department of Medicine, Division of Infectious Diseases, Duke University Medical Center, Durham, North Carolina; Duke Infection Control Outreach Network, Durham, North Carolina; and Duke Program for Infection Prevention and Healthcare Epidemiology, Durham, North Carolina
Michael J. Durkin
Affiliation:
Department of Medicine, Division of Infectious Diseases, Duke University Medical Center, Durham, North Carolina; Duke Infection Control Outreach Network, Durham, North Carolina; and Duke Program for Infection Prevention and Healthcare Epidemiology, Durham, North Carolina
Kristen V. Dicks
Affiliation:
Department of Medicine, Division of Infectious Diseases, Duke University Medical Center, Durham, North Carolina; Duke Infection Control Outreach Network, Durham, North Carolina; and Duke Program for Infection Prevention and Healthcare Epidemiology, Durham, North Carolina
Sarah S. Lewis
Affiliation:
Department of Medicine, Division of Infectious Diseases, Duke University Medical Center, Durham, North Carolina; Duke Infection Control Outreach Network, Durham, North Carolina; and Duke Program for Infection Prevention and Healthcare Epidemiology, Durham, North Carolina
Rebekah W. Moehring
Affiliation:
Department of Medicine, Division of Infectious Diseases, Duke University Medical Center, Durham, North Carolina; Duke Infection Control Outreach Network, Durham, North Carolina; and Duke Program for Infection Prevention and Healthcare Epidemiology, Durham, North Carolina Durham Veterans Affairs Medical Center, Durham, North Carolina
Luke F. Chen
Affiliation:
Department of Medicine, Division of Infectious Diseases, Duke University Medical Center, Durham, North Carolina; Duke Infection Control Outreach Network, Durham, North Carolina; and Duke Program for Infection Prevention and Healthcare Epidemiology, Durham, North Carolina
Daniel J. Sexton
Affiliation:
Department of Medicine, Division of Infectious Diseases, Duke University Medical Center, Durham, North Carolina; Duke Infection Control Outreach Network, Durham, North Carolina; and Duke Program for Infection Prevention and Healthcare Epidemiology, Durham, North Carolina
Deverick J. Anderson
Affiliation:
Department of Medicine, Division of Infectious Diseases, Duke University Medical Center, Durham, North Carolina; Duke Infection Control Outreach Network, Durham, North Carolina; and Duke Program for Infection Prevention and Healthcare Epidemiology, Durham, North Carolina
Corresponding
E-mail address:

Abstract

Hospitals must report cases of methicillin-resistant Staphylococcus aureus bloodstream infection (BSI) using a new laboratory-identified (LabID) event reporting module. BSI rates obtained using LabID differ from rates of BSI obtained from traditional surveillance (concordance of healthcare facility–onset cases, 61%–76%) because definitions used to report LabID events are inconsistent with traditional BSI definitions

Infect Control Hosp Epidemiol 2014;35(10):1286–1289

Type
Concise Communication
Copyright
© 2014 by The Society for Healthcare Epidemiology of America. All rights reserved.

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References

1. Centers for Disease Control and Prevention (CDC). Operational Guidance for Acute Care Hospitals to Report Facility-Wide Inpatient (FacWideIN) Methicillin-Resistant Staphylococcus aureus (MRSA) Blood Specimen (Bacteremia) Laboratory-Identified (LabID) Event Data to CDC’s NHSN for the Purpose of Fulfilling CMS’s Hospital Inpatient Quality Reporting (IQR) Requirements. Atlanta: CDC, 2012. http://www.cdc.gov/nhsn/PDFs/mrsa-cdi/FINAL-ACH-MRSA-Bacteremia-Guidance.pdf. Accessed January 13, 2014.Google Scholar
2. Centers for Disease Control and Prevention (CDC). Multidrug-Resistant Organism and Clostridium difficile Infection (MDRO/CDI) Module. Atlanta: CDC, 2014. http://www.cdc.gov/nhsn/PDFs/pscManual/12pscMDRO_CDADcurrent.pdf. Accessed January 13, 2014.Google Scholar
3. Centers for Disease Control and Prevention (CDC). LabID Event FAQs. Atlanta: CDC, 2013. http://www.cdc.gov/nhsn/PDFs/faqs/psc/labID-PSC-FAQ-ver5–7.pdf. Accessed December 28, 2013.Google Scholar
4. Centers for Disease Control and Prevention (CDC). CDC/NHSN Surveillance Definitions for Specific Types of Infections. Atlanta: CDC, 2014. http://www.cdc.gov/nhsn/pdfs/pscmanual/17pscnosinfdef_current.pdf. Accessed January 13, 2014.Google Scholar
5. Anderson, DJ, Miller, BA, Chen, LF, et al. The network approach for prevention of healthcare-associated infections: long-term effect of participation in the Duke Infection Control Outreach Network. Infect Control Hosp Epidemiol 2011;32(4):315322.CrossRefGoogle Scholar
6. Chihara, S, Popovich, KJ, Weinstein, RA, Hota, B. Staphylococcus aureus bacteriuria as a prognosticator for outcome of Staphylococcus aureus bacteremia: a case-control study. BMC Infect Dis 2010;10:225.CrossRefGoogle ScholarPubMed

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Methicillin-Resistant Staphylococcus aureus Bloodstream Infection Surveillance: National Healthcare Safety Network’s Laboratory-Identified Event Reporting versus Traditional Laboratory-Confirmed Bloodstream Infection Surveillance
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