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A comparison between National Healthcare Safety Network laboratory-identified event reporting versus traditional surveillance for Clostridium difficile infection.

Publication ,  Journal Article
Durkin, MJ; Baker, AW; Dicks, KV; Lewis, SS; Chen, LF; Anderson, DJ; Sexton, DJ; Moehring, RW
Published in: Infect Control Hosp Epidemiol
February 2015

OBJECTIVE Hospitals in the National Healthcare Safety Network began reporting laboratory-identified (LabID) Clostridium difficile infection (CDI) events in January 2013. Our study quantified the differences between the LabID and traditional surveillance methods. DESIGN Cohort study. SETTING A cohort of 29 community hospitals in the southeastern United States. METHODS A period of 6 months (January 1, 2013, to June 30, 2013) of prospectively collected data using both LabID and traditional surveillance definitions were analyzed. CDI events with mismatched surveillance categories between LabID and traditional definitions were identified and characterized further. Hospital-onset CDI (HO-CDI) rates for the entire cohort of hospitals were calculated using each method, then hospital-specific HO-CDI rates and standardized infection ratios (SIRs) were calculated. Hospital rankings based on each CDI surveillance measure were compared. RESULTS A total of 1,252 incident LabID CDI events were identified during 708,551 patient-days; 286 (23%) mismatched CDI events were detected. The overall HO-CDI rate was 6.0 vs 4.4 per 10,000 patient-days for LabID and traditional surveillance, respectively (P<.001); of 29 hospitals, 25 (86%) detected a higher CDI rate using LabID compared with the traditional method. Hospital rank in the cohort differed greatly between surveillance measures. A rank change of at least 5 places occurred in 9 of 28 hospitals (32%) between LabID and traditional CDI surveillance methods, and for SIR. CONCLUSIONS LabID surveillance resulted in a higher hospital-onset CDI incidence rate than did traditional surveillance. Hospital-specific rankings varied based on the HO-CDI surveillance measure used. A clear understanding of differences in CDI surveillance measures is important when interpreting national and local CDI data.

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Published In

Infect Control Hosp Epidemiol

DOI

EISSN

1559-6834

Publication Date

February 2015

Volume

36

Issue

2

Start / End Page

125 / 131

Location

United States

Related Subject Headings

  • Southeastern United States
  • Public Health Surveillance
  • Prospective Studies
  • Incidence
  • Humans
  • Hospitals, Community
  • Epidemiology
  • Enterocolitis, Pseudomembranous
  • Disease Notification
  • Cross Infection
 

Citation

APA
Chicago
ICMJE
MLA
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Durkin, M. J., Baker, A. W., Dicks, K. V., Lewis, S. S., Chen, L. F., Anderson, D. J., … Moehring, R. W. (2015). A comparison between National Healthcare Safety Network laboratory-identified event reporting versus traditional surveillance for Clostridium difficile infection. Infect Control Hosp Epidemiol, 36(2), 125–131. https://doi.org/10.1017/ice.2014.42
Durkin, Michael J., Arthur W. Baker, Kristen V. Dicks, Sarah S. Lewis, Luke F. Chen, Deverick J. Anderson, Daniel J. Sexton, and Rebekah W. Moehring. “A comparison between National Healthcare Safety Network laboratory-identified event reporting versus traditional surveillance for Clostridium difficile infection.Infect Control Hosp Epidemiol 36, no. 2 (February 2015): 125–31. https://doi.org/10.1017/ice.2014.42.
Durkin MJ, Baker AW, Dicks KV, Lewis SS, Chen LF, Anderson DJ, et al. A comparison between National Healthcare Safety Network laboratory-identified event reporting versus traditional surveillance for Clostridium difficile infection. Infect Control Hosp Epidemiol. 2015 Feb;36(2):125–31.
Durkin, Michael J., et al. “A comparison between National Healthcare Safety Network laboratory-identified event reporting versus traditional surveillance for Clostridium difficile infection.Infect Control Hosp Epidemiol, vol. 36, no. 2, Feb. 2015, pp. 125–31. Pubmed, doi:10.1017/ice.2014.42.
Durkin MJ, Baker AW, Dicks KV, Lewis SS, Chen LF, Anderson DJ, Sexton DJ, Moehring RW. A comparison between National Healthcare Safety Network laboratory-identified event reporting versus traditional surveillance for Clostridium difficile infection. Infect Control Hosp Epidemiol. 2015 Feb;36(2):125–131.
Journal cover image

Published In

Infect Control Hosp Epidemiol

DOI

EISSN

1559-6834

Publication Date

February 2015

Volume

36

Issue

2

Start / End Page

125 / 131

Location

United States

Related Subject Headings

  • Southeastern United States
  • Public Health Surveillance
  • Prospective Studies
  • Incidence
  • Humans
  • Hospitals, Community
  • Epidemiology
  • Enterocolitis, Pseudomembranous
  • Disease Notification
  • Cross Infection