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Utilizing the electronic health record to construct antibiograms for previously healthy children with urinary tract infections

Published online by Cambridge University Press:  10 October 2018

Yusuf Y. Chao*
Affiliation:
Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, Illinois
Larry K. Kociolek
Affiliation:
Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, Illinois
Xiaotian T. Zheng
Affiliation:
Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, Illinois
Tonya Scardina
Affiliation:
Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, Illinois
Sameer J. Patel
Affiliation:
Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, Illinois
*
Author for correspondence: Yusuf Y. Chao, MD, Ann & Robert H. Lurie Children’s Hospital of Chicago, Department of Pediatrics, Division of Infectious Diseases, Northwestern University Feinberg School of Medicine, 225 E. Chicago Avenue, Chicago, IL 60611. E-mail: yusuf.chao@phhs.org

Abstract

Traditional antibiograms can guide empiric antibiotic therapy, but they may miss differences in resistance across patient subpopulations. In this retrospective descriptive study, we constructed and validated antibiograms using International Classification of Disease, Tenth Revision (ICD-10) codes and other discrete data elements to define a cohort of previously healthy children with urinary tract infections. Our results demonstrate increased antibiotic susceptibility. This methodology may be modified to create other syndrome-specific antibiograms.

Type
Concise Communication
Copyright
© 2018 by The Society for Healthcare Epidemiology of America. All rights reserved. 

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Footnotes

PREVIOUS PRESENTATION: Some findings reported in this manuscript were presented as preliminary data in an abstract/poster at the IDWeek 2017 conference on October 4, 2017, in San Diego, California. The abstract was included in Open Forum Infectious Diseases, Volume 4, on October 4, 2017.

Cite this article: Chao YY, et al. (2018). Utilizing the electronic health record to construct antibiograms for previously healthy children with urinary tract infections Infection Control & Hospital Epidemiology 2018, 39, 1473–1475. doi: 10.1017/ice.2018.246

References

1. Barlam, TF, Cosgrove, SE, Abbo, LM, et al. Implementing an antibiotic stewardship program: Guidelines by the Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America. Clin Infect Dis 2016;62:e51e77.Google Scholar
2. Tamma, PD, Robinson, GL, Gerber, JS, et al. Pediatric antimicrobial susceptibility trends across the United States. Infect Control Hosp Epidemiol 2013;34:12441251.Google Scholar
3. Feudtner, C, Feinstein, JA, Zhong, W, Hall, M, Dai, D. Pediatric complex chronic conditions classification system version 2: updated for ICD-10 and complex medical technology dependence and transplantation. BMC Pediatr 2014;14:17.Google Scholar
4. Hebert, C, Ridgway, J, Vekhter, B, Brown, EC, Weber, SG, Robicsek, A. Demonstration of the weighted-incidence syndromic combination antibiogram: an empiric prescribing decision aid. Infect Control Hosp Epidemiol 2012;33:381388.Google Scholar
5. Spiekerman, KM, Patel, SJ, Patel, R, Kociolek, LK. Availability, perceptions, and characteristics of antibiograms among Illinois pediatricians. Infect Drug Resist 2016;9:269274.Google Scholar
6. Dahle, KW, Korgenski, EK, Hersh, AL, Srivastava, R, Gesteland, PH. Clinical value of an ambulatory-based antibiogram for uropathogens in children. J Ped Infect Dis Soc 2012;1:333336.Google Scholar
7. Simpao, AF, Ahumada, LM, Larru Martinez, B, et al. Design and implementation of a visual analytics electronic antibiogram within an electronic health record system at a tertiary pediatric hospital. Appl Clin Informat 2018;9:3745.Google Scholar
8. Randhawa, V, Sarwar, S, Walker, S, Elligsen, M, Palmay, L, Daneman, N. Weighted-incidence syndromic combination antibiograms to guide empiric treatment of critical care infections: a retrospective cohort study. Crit Care (London) 2014;18:R112.Google Scholar
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