Failure of Risk-Adjustment by Test Method for C. difficile Laboratory-Identified Event Reporting

被引：19

作者：

Marra, Alexandre R. ^{[1
,4
]}

Edmond, Michael B. ^{[1
,2
]}

Ford, Bradley A. ^{[3
]}

Herwaldt, Loreen A. ^{[2
]}

Algwizani, Abdullah R. ^{[1
]}

Diekema, Daniel J. ^{[1
,2
,3
]}

机构：

[1] Univ Iowa Hosp & Clin, Off Clin Qual Safety & Performance Improvement, Iowa City, IA 52242 USA

[2] Univ Iowa, Dept Internal Med, Carver Coll Med, Div Infect Dis, Iowa City, IA 52242 USA

[3] Univ Iowa, Dept Pathol, Div Med Microbiol, Carver Coll Med, Iowa City, IA 52242 USA

[4] Hosp Israelita Albert Einstein, Div Med Practice, Sao Paulo, Brazil

来源：

INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY | 2017年 / 38卷 / 01期

关键词：

INFECTION; RATES;

D O I：

10.1017/ice.2016.227

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Using an algorithm including both enzyme immunoassay (ETA) and nucleic acid amplification (NAAT) for Clostridium difficile infection (CDI) diagnosis, we found that the use of NAAT versus EIA almost doubled our hospital-onset CDI laboratory-identified (LabID) event standardized infection ratio (SIR). We recommend that the current risk adjustment approach be modified.

引用

页码：109 / 111

页数：3

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