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Potential Misclassification of Urinary Tract–Related Bacteremia Upon Applying the 2015 Catheter-Associated Urinary Tract Infection Surveillance Definition From the National Healthcare Safety Network

Published online by Cambridge University Press:  18 January 2016

M. Todd Greene
Affiliation:
Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan Veterans Affairs/University of Michigan Patient Safety Enhancement Program, Ann Arbor, Michigan
David Ratz
Affiliation:
Veterans Affairs/University of Michigan Patient Safety Enhancement Program, Ann Arbor, Michigan Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan
Jennifer Meddings
Affiliation:
Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan Veterans Affairs/University of Michigan Patient Safety Enhancement Program, Ann Arbor, Michigan
Mohamad G. Fakih
Affiliation:
St. John Hospital and Medical Center, Detroit, Michigan.
Sanjay Saint
Affiliation:
Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan Veterans Affairs/University of Michigan Patient Safety Enhancement Program, Ann Arbor, Michigan Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan
Corresponding
E-mail address:

Abstract

The Centers for Disease Control and Prevention recently updated the surveillance definition of catheter-associated urinary tract infection to include only urine culture bacteria of at least 1×105 colony-forming units/mL. Our findings suggest that the new surveillance definition may fail to capture clinically meaningful catheter-associated urinary tract infections.

Infect. Control Hosp. Epidemiol. 2016;37(4):469–471

Type
Concise Communications
Copyright
© 2016 by The Society for Healthcare Epidemiology of America. All rights reserved 

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References

1. Centers for Disease Control and Prevention. Urinary tract infection (catheter-associated urinary tract infection [CAUTI] and non-catheter-associated urinary tract infection [UTI]) and other urinary system infection [USI]) events. CDC website. http://www.cdc.gov/nhsn/PDFs/pscManual/7pscCAUTIcurrent.pdf. Published 2015. Accessed December 30, 2015.Google Scholar
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3. Centers for Disease Control and Prevention. CAUTI: Definition Changes for 2015. YouTube website. https://www.youtube.com/watch?v=M1FxO2WHTno. Published 2015. Accessed December 30, 2015.Google Scholar
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Potential Misclassification of Urinary Tract–Related Bacteremia Upon Applying the 2015 Catheter-Associated Urinary Tract Infection Surveillance Definition From the National Healthcare Safety Network
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