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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 ,
Mamta Sharma ,
Mohamad G. Fakih ,
Kathleen M. Riederer  and
Leonard B. Johnson
Riad Khatib*
Affiliation:
Department of Medicine, Ascension St John Hospital, Grosse Pointe Woods, Michigan
Mamta Sharma
Affiliation:
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
Affiliation:
Department of Medicine, Ascension St John Hospital, Grosse Pointe Woods, Michigan
Kathleen M. Riederer
Affiliation:
Department of Medical Education, Ascension St John Hospital, Grosse Pointe Woods, Michigan
Leonard B. Johnson
Affiliation:
Department of Medicine, Ascension St John Hospital, Grosse Pointe Woods, Michigan
*
Address for correspondence: Riad Khatib, MD, Email:riad.khatib@ascension.org.
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Abstract

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.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 40 , Issue 11 , November 2019 , pp. 1313 - 1315
Copyright
© 2019 by The Society for Healthcare Epidemiology of America. All rights reserved. 

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Footnotes

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

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