National Healthcare Safety Network laboratory-identified Clostridium difficile event reporting: A need for diagnostic stewardship

CDC Prevention Epicenters Program

doi:10.1016/j.ajic.2017.10.011

National Healthcare Safety Network laboratory-identified Clostridium difficile event reporting: A need for diagnostic stewardship

CDC Prevention Epicenters Program

Research output: Contribution to journal › Article › peer-review

Abstract

We describe the proportion of health care facility-onset Clostridium difficile infection (HO-CDI) National Healthcare Safety Network laboratory-identified events at our facility that were deemed nontrue HO-CDIs. Reasons included testing in a patient without significant diarrhea or with recent laxative use, or delayed testing. Standardized infection ratios using only true HO-CDI in the numerator were improved compared with publically reported standardized infection ratios. A prioritization matrix identifies which clinical services could benefit most from directed diagnostic stewardship interventions.

Original language	English
Pages (from-to)	456-458
Number of pages	3
Journal	American Journal of Infection Control
Volume	46
Issue number	4
DOIs	https://doi.org/10.1016/j.ajic.2017.10.011
Publication status	Published - Apr 2018
Externally published	Yes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

Facility reimbursement
Facility reputation
Health care-onset infection
Inappropriate testing
Nucleic acid amplification tests

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10.1016/j.ajic.2017.10.011

Cite this

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title = "National Healthcare Safety Network laboratory-identified Clostridium difficile event reporting: A need for diagnostic stewardship",

abstract = "We describe the proportion of health care facility-onset Clostridium difficile infection (HO-CDI) National Healthcare Safety Network laboratory-identified events at our facility that were deemed nontrue HO-CDIs. Reasons included testing in a patient without significant diarrhea or with recent laxative use, or delayed testing. Standardized infection ratios using only true HO-CDI in the numerator were improved compared with publically reported standardized infection ratios. A prioritization matrix identifies which clinical services could benefit most from directed diagnostic stewardship interventions.",

keywords = "Facility reimbursement, Facility reputation, Health care-onset infection, Inappropriate testing, Nucleic acid amplification tests",

author = "\{CDC Prevention Epicenters Program\} and Clare Rock and Zoi Pana and Surbhi Leekha and Polly Trexler and Jennifer Andonian and Avinash Gadala and Carroll, \{Karen C.\} and Maragakis, \{Lisa L.\}",

note = "Publisher Copyright: {\textcopyright} 2018 Association for Professionals in Infection Control and Epidemiology, Inc.",

year = "2018",

month = apr,

doi = "10.1016/j.ajic.2017.10.011",

language = "English",

volume = "46",

pages = "456--458",

journal = "American Journal of Infection Control",

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T1 - National Healthcare Safety Network laboratory-identified Clostridium difficile event reporting

T2 - A need for diagnostic stewardship

AU - CDC Prevention Epicenters Program

AU - Rock, Clare

AU - Pana, Zoi

AU - Leekha, Surbhi

AU - Trexler, Polly

AU - Andonian, Jennifer

AU - Gadala, Avinash

AU - Carroll, Karen C.

AU - Maragakis, Lisa L.

PY - 2018/4

Y1 - 2018/4

N2 - We describe the proportion of health care facility-onset Clostridium difficile infection (HO-CDI) National Healthcare Safety Network laboratory-identified events at our facility that were deemed nontrue HO-CDIs. Reasons included testing in a patient without significant diarrhea or with recent laxative use, or delayed testing. Standardized infection ratios using only true HO-CDI in the numerator were improved compared with publically reported standardized infection ratios. A prioritization matrix identifies which clinical services could benefit most from directed diagnostic stewardship interventions.

AB - We describe the proportion of health care facility-onset Clostridium difficile infection (HO-CDI) National Healthcare Safety Network laboratory-identified events at our facility that were deemed nontrue HO-CDIs. Reasons included testing in a patient without significant diarrhea or with recent laxative use, or delayed testing. Standardized infection ratios using only true HO-CDI in the numerator were improved compared with publically reported standardized infection ratios. A prioritization matrix identifies which clinical services could benefit most from directed diagnostic stewardship interventions.

KW - Facility reimbursement

KW - Facility reputation

KW - Health care-onset infection

KW - Inappropriate testing

KW - Nucleic acid amplification tests

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M3 - Article

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AN - SCOPUS:85039775480

SN - 0196-6553

VL - 46

SP - 456

EP - 458

JO - American Journal of Infection Control

JF - American Journal of Infection Control

IS - 4

ER -

National Healthcare Safety Network laboratory-identified Clostridium difficile event reporting: A need for diagnostic stewardship

Abstract

UN SDGs

Keywords

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