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Lack of Comprehensive Outbreak Detection in Hospitals

  • Meghan A. Baker (a1) (a2), Susan S. Huang (a3), Alyssa R. Letourneau (a4), Rebecca E. Kaganov (a1), Jennifer R. Peeples (a5), Marci Drees (a6), Richard Platt (a1) and Deborah S. Yokoe (a2)...


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


Corresponding author

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 (


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



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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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
11. Klompas, M, Yokoe, DS. Automated surveillance of health care-associated infections. Clin Infect Dis 2009;48:12681275.
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.
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