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

Clare Rock, Zoi Pana, Surbhi Leekha, Polly Trexler, Jennifer Andonian, Avinash Gadala, Karen C Carroll, Lisa Maragakis

Research output: Contribution to journalArticle

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 languageEnglish (US)
JournalAmerican Journal of Infection Control
DOIs
StateAccepted/In press - Jan 1 2018

Fingerprint

Clostridium difficile
Clostridium Infections
Health Facilities
Delivery of Health Care
Safety
Laxatives
Infection
Diarrhea

Keywords

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

ASJC Scopus subject areas

  • Epidemiology
  • Health Policy
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

National Healthcare Safety Network laboratory-identified Clostridium difficile event reporting : A need for diagnostic stewardship. / Rock, Clare; Pana, Zoi; Leekha, Surbhi; Trexler, Polly; Andonian, Jennifer; Gadala, Avinash; Carroll, Karen C; Maragakis, Lisa.

In: American Journal of Infection Control, 01.01.2018.

Research output: Contribution to journalArticle

@article{06328d95cdb742a2a43ebcd6147b4abf,
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 = "Clare Rock and Zoi Pana and Surbhi Leekha and Polly Trexler and Jennifer Andonian and Avinash Gadala and Carroll, {Karen C} and Lisa Maragakis",
year = "2018",
month = "1",
day = "1",
doi = "10.1016/j.ajic.2017.10.011",
language = "English (US)",
journal = "American Journal of Infection Control",
issn = "0196-6553",
publisher = "Mosby Inc.",

}

TY - JOUR

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

T2 - A need for diagnostic stewardship

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

PY - 2018/1/1

Y1 - 2018/1/1

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

UR - http://www.scopus.com/inward/record.url?scp=85039775480&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85039775480&partnerID=8YFLogxK

U2 - 10.1016/j.ajic.2017.10.011

DO - 10.1016/j.ajic.2017.10.011

M3 - Article

C2 - 29305285

AN - SCOPUS:85039775480

JO - American Journal of Infection Control

JF - American Journal of Infection Control

SN - 0196-6553

ER -