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Immediate impact of healthcare-facility–onset Clostridium difficile laboratory-identified events reporting methodology change on standardized infection ratios

Published online by Cambridge University Press:  23 October 2018

Carlos E. Figueroa Castro
Affiliation:
Division of Infectious Diseases, Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin
Louis Palen
Affiliation:
Infection Prevention and Control Department, Froedtert Memorial Lutheran Hospital, Milwaukee, Wisconsin
Carrie Johnson
Affiliation:
Infection Prevention and Control Department, Community Hospital Division, Milwaukee, Wisconsin
Mary Beth Graham
Affiliation:
Division of Infectious Diseases, Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin
David Letzer
Affiliation:
Infection Prevention and Control Department, Community Hospital Division, Milwaukee, Wisconsin
Nathan Ledeboer
Affiliation:
Department of Pathology, Medical College of Wisconsin, Milwaukee, Wisconsin
Blake Buchan
Affiliation:
Department of Pathology, Medical College of Wisconsin, Milwaukee, Wisconsin
Timothy Block
Affiliation:
Froedtert Health System, Milwaukee, Wisconsin.
Heather Seliger
Affiliation:
Infection Prevention and Control Department, Froedtert Memorial Lutheran Hospital, Milwaukee, Wisconsin
Siddhartha Singh
Affiliation:
Division of Hospital Medicine, Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin
Elizabeth Behrens
Affiliation:
Froedtert Health System, Milwaukee, Wisconsin.
Susan Huerta
Affiliation:
Froedtert Health System, Milwaukee, Wisconsin.
L. Silvia Munoz-Price*
Affiliation:
Division of Infectious Diseases, Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin
*
Author for correspondence: L. Silvia Munoz-Price, MD, PhD, 8701 Watertown Plank Road, Milwaukee, WI 53226. E-mail: smunozprice@mcw.edu

Abstract

In 2018, the Clostridium difficile LabID event methodology changed so that hospitals doing 2-step tests, nucleic acid amplification test (NAAT) plus enzyme immunofluorescence assay (EIA), had their adjustment modified to EIA-based tests, and only positive final tests (eg, EIA) were counted in the numerator. We report the immediate impact of this methodological change at 3 Milwaukee hospitals.

Type
Concise Communication
Copyright
© 2018 by The Society for Healthcare Epidemiology of America. All rights reserved. 

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Footnotes

Cite this article: Figueroa Castro CE et al. (2018). Immediate impact of healthcare-facility–onset Clostridium difficile laboratory-identified events reporting methodology change on standardized infection ratios. Infection Control & Hospital Epidemiology 2018, 39, 1484–1486. doi: 10.1017/ice.2018.241

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