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Utilizing the electronic health record to construct antibiograms for previously healthy children with urinary tract infections

Published online by Cambridge University Press:  10 October 2018

Yusuf Y. Chao*
Affiliation:
Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, Illinois
Larry K. Kociolek
Affiliation:
Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, Illinois
Xiaotian T. Zheng
Affiliation:
Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, Illinois
Tonya Scardina
Affiliation:
Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, Illinois
Sameer J. Patel
Affiliation:
Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, Illinois
*
Author for correspondence: Yusuf Y. Chao, MD, Ann & Robert H. Lurie Children’s Hospital of Chicago, Department of Pediatrics, Division of Infectious Diseases, Northwestern University Feinberg School of Medicine, 225 E. Chicago Avenue, Chicago, IL 60611. E-mail: yusuf.chao@phhs.org

Abstract

Traditional antibiograms can guide empiric antibiotic therapy, but they may miss differences in resistance across patient subpopulations. In this retrospective descriptive study, we constructed and validated antibiograms using International Classification of Disease, Tenth Revision (ICD-10) codes and other discrete data elements to define a cohort of previously healthy children with urinary tract infections. Our results demonstrate increased antibiotic susceptibility. This methodology may be modified to create other syndrome-specific antibiograms.

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

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Footnotes

PREVIOUS PRESENTATION: Some findings reported in this manuscript were presented as preliminary data in an abstract/poster at the IDWeek 2017 conference on October 4, 2017, in San Diego, California. The abstract was included in Open Forum Infectious Diseases, Volume 4, on October 4, 2017.

Cite this article: Chao YY, et al. (2018). Utilizing the electronic health record to construct antibiograms for previously healthy children with urinary tract infections Infection Control & Hospital Epidemiology 2018, 39, 1473–1475. doi: 10.1017/ice.2018.246

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