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Performance of the Present-on-Admission Indicator for Clostridium difficile Infection

Published online by Cambridge University Press:  20 March 2015

Amy L. Pakyz*
Affiliation:
Department of Pharmacotherapy and Outcomes Science, School of Pharmacy, Virginia Commonwealth University, Richmond, Virginia
Julie A. Patterson
Affiliation:
Department of Pharmacotherapy and Outcomes Science, School of Pharmacy, Virginia Commonwealth University, Richmond, Virginia
Christine Motzkus-Feagans
Affiliation:
Department of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, Massachusetts
Samuel F. Hohmann
Affiliation:
University Health System Consortium, Chicago, Illinois
Michael B. Edmond
Affiliation:
Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, Iowa.
Kate L. Lapane
Affiliation:
Department of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, Massachusetts
*
Address correspondence to Amy Pakyz, PharmD, PhD, 410 N. 12th St, PO Box 980533, Richmond, VA 23298-0533 (apakyz@vcu.edu).

Abstract

The performance of a hospital- and community-onset Clostridium difficile infection definition using administrative data with a present-on-admission indicator was compared with definitions using clinical surveillance. For hospital-onset C. difficile infection, there was moderate sensitivity (68%) and high specificity (93%); for community-onset, sensitivity and specificity were high (both 85%).

Infect Control Hosp Epidemiol 2015;36(7):838–840

Type
Concise Communications
Copyright
© 2015 by The Society for Healthcare Epidemiology of America. All rights reserved 

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