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Impact of 2018 Changes in National Healthcare Safety Network Surveillance for Clostridium difficile Laboratory-Identified Event Reporting

  • Alexandre R. Marra (a1) (a2), Michael B. Edmond (a1) (a3), Bradley A. Ford (a4), Loreen A. Herwaldt (a3), Abdullah R. Algwizani (a5) and Daniel J. Diekema (a1) (a3) (a4)...
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Abstract

Copyright

Corresponding author

Address correspondence to Alexandre Rodrigues Marra, MD, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, IA 52242 (alexandre-rodriguesmarra@uiowa.edu).

References

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1. Marra, AR, Edmond, MB, Ford, BA, Herwaldt, LA, Algwizani, AR, Diekema, DJ. Failure of risk-adjustment by test method for C. difficile laboratory-identified event reporting. Infect Control Hosp Epidemiol 2017;38:109111.
2. The NHSN standardized infection ration (SIR)—a guide to the SIR. Centers for Disease Control and Prevention website. https://www.cdc.gov/nhsn/pdfs/ps-analysis-resources/nhsn-sir-guide.pdf. Updated July 2017. Accessed February 19, 2018.
3. Multi-resistant organism and Clostridium difficile infection (MDRO/CDI) module. Centers for Disease Control and Prevention website. https://www.cdc.gov/nhsn/pdfs/pscmanual/12pscmdro_cdadcurrent.pdf. Accessed February 19, 2018.
4. Moehring, RW, Lofgren, ET, Anderson, DJ. Impact of change to molecular testing for Clostridium difficile infection on healthcare facility associated incidence rates. Infect Control Hosp Epidemiol 2013;34:10551061.
5. McDonald, LC, Gerding, DN, Johnson, S, et al. Clinical practice guidelines for Clostridium difficile infection in adults and children: 2017 update by the Infectious Diseases Society of America (IDSA) and Society for Healthcare Epidemiology of America (SHEA). Clin Infect Dis 2018;66:e1e48.
6. Bartsch, SM, Umscheid, CA, Nachamkin, I, Hamilton, K, Lee, BY. Comparing the economic and health benefits of different approaches to diagnosing Clostridium difficile infection. Clin Microbiol Infect 2015;21:19.
7. Updated guidance on the diagnosis and reporting of Clostridium difficile. United Kingdom National Health Service website. https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/215135/dh_133016. pdf. Accessed March 13, 2018.

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