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Recommendations For Metrics For Multidrug-Resistant Organisms In Healthcare Settings: SHEA/HICPAC Position Paper

  • Adam L. Cohen (a1), David Calfee (a2), Scott K. Fridkin (a3), Susan S. Huang (a4), John A. Jernigan, Ebbing Lautenbach (a5), Shannon Oriola (a6), Keith M. Ramsey (a7), Cassandra D. Salgado (a8), Robert A. Weinstein (a9) and The Society for Healthcare Epidemiology of America and the Healthcare Infection Control Practices Advisory Committee...


Monitoring multidrug-resistant organisms (MDROs) and the infections they cause in a healthcare setting is important to detect newly emerging antimicrobial resistance profiles, to identify vulnerable patient populations, and to assess the need for and effectiveness of interventions; however, it is unclear which metrics are the best, because most of the metrics are not standardized. This document describes useful and practical metrics and surveillance considerations for measuring MDROs and the infections they cause in the practice of infection prevention and control in healthcare settings. These metrics are designed to aid healthcare workers in documenting trends over time within their facility and should not be used for interfacility comparison.


Corresponding author

Division of Bacterial Diseases, Centers For Disease Control And Prevention, 1600 Clifton Road, Ms C-23, Atlanta, Ga30333 (


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