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Hospital-Onset Staphylococcus aureus Bacteremia Is A Better Measure Than MRSA Bacteremia for Assessing Infection Prevention: Evaluation of 50 US Hospitals

Published online by Cambridge University Press:  12 February 2018

Mohamad G. Fakih ,
Rebecca Battjes ,
Lisa Sturm ,
Lindsey Jones ,
Clariecia Groves ,
Angelo Bufalino  and
Ann Hendrich
Mohamad G. Fakih*
Affiliation:
Care Excellence, Ascension Health, St Louis, Missouri.
Rebecca Battjes
Affiliation:
Care Excellence, Ascension Health, St Louis, Missouri.
Lisa Sturm
Affiliation:
Care Excellence, Ascension Health, St Louis, Missouri.
Lindsey Jones
Affiliation:
Care Excellence, Ascension Health, St Louis, Missouri.
Clariecia Groves
Affiliation:
Care Excellence, Ascension Health, St Louis, Missouri.
Angelo Bufalino
Affiliation:
Care Excellence, Ascension Health, St Louis, Missouri.
Ann Hendrich
Affiliation:
Care Excellence, Ascension Health, St Louis, Missouri.
*
Address correspondence to Mohamad G. Fakih, MD, MPH, Care Excellence, Ascension Healthcare, 4600 Edmundson Rd, St Louis, MO 63134 (Mohamad.Fakih@ascension.org).
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Abstract

Of 500 hospital-onset Staphylococcus aureus bacteremia events (58% methicillin-susceptible S. aureus [MSSA]; 42% methicillin-resistant S. aureus [MRSA]), we found no significant differences in S. aureus bacteremia rates between medium-sized and large hospitals. However, the proportion of S. aureus bacteremia caused by MSSA was greater in medium-sized hospitals and did not correlate with MRSA bacteremia.

Infect Control Hosp Epidemiol 2018;39:476–478

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 39 , Issue 4 , April 2018 , pp. 476 - 478
Copyright
© 2018 by The Society for Healthcare Epidemiology of America. All rights reserved 

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Footnotes

PREVIOUS PRESENTATION. Presented at ID Week 2017 meeting (abstract no. 478) on October 5, 2017, in San Diego, California.

References

REFERENCES

1. National Healthcare Safety Network (NHSN) Patient Safety Component Manual. Multidrug-resistant organism and Clostridium difficile infection (MDRO/CDI) module. Centers for Disease Control and Prevention website. http://www.cdc.gov/nhsn/pdfs/pscmanual/12pscmdro_cdadcurrent.pdf. Undated January 2018. Accessed on January 16, 2018.Google Scholar
2. The NHSN’s standardized infection ratio (SIR). A guide to the SIR. Centers for Disease Control and Prevention website. https://www.cdc.gov/nhsn/pdfs/ps-analysis-resources/nhsn-sir-guide.pdf. Updated June 2017. Accessed on June 20, 2017.Google Scholar
3. Klevens, RM, Edwards, JR, Tenover, FC, et al. Changes in the epidemiology of methicillin-resistant Staphylococcus aureus in intensive care units in US hospitals, 1992–2003. Clin Infect Dis 2006;42:389–391.Google Scholar
4. Klevens, RM, Morrison, MA, Nadle, J, et al. Invasive methicillin-resistant Staphylococcus aureus infections in the United States. JAMA 2007;298:1763–1771.Google Scholar
5. Sievert, DM, Ricks, P, Edwards, JR, et al. Antimicrobial-resistant pathogens associated with healthcare-associated infections: summary of data reported to the National Healthcare Safety Network at the Centers for Disease Control and Prevention, 2009–2010. Infect Control Hosp Epidemiol 2013;34:1–14.Google Scholar
6. Cosgrove, SE, Sakoulas, G, Perencevich, EN, Schwaber, MJ, Karchmer, AW, Carmeli, Y. Comparison of mortality associated with methicillin-resistant and methicillin-susceptible Staphylococcus aureus bacteremia: a meta-analysis. Clin Infect Dis 2003;36:53–59.CrossRefGoogle ScholarPubMed
7. David, MZ, Daum, RS, Bayer, AS, et al. Staphylococcus aureus bacteremia at 5 US academic medical centers, 2008–2011: significant geographic variation in community-onset infections. Clin Infect Dis 2014;59:798–807.Google Scholar
8. Austin, ED, Sullivan, SB, Whittier, S, Lowy, FD, Uhlemann, AC. Peripheral intravenous catheter placement is an underrecognized source of Staphylococcus aureus bloodstream infection. Open Forum Infect Dis 2016;3:ofw072.Google Scholar
9. McMullan, BJ, Bowen, A, Blyth, CC, et al. Epidemiology and mortality of Staphylococcus aureus bacteremia in Australian and New Zealand children. JAMA Pediatr 2016;170:979–986.Google Scholar
10. Schweizer, ML, Chiang, HY, Septimus, E, et al. Association of a bundled intervention with surgical site infections among patients undergoing cardiac, hip, or knee surgery. JAMA 2015;313:2162–2171.Google Scholar