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

CDC PREVENTION EPICENTERS PROGRAM

Research output: Contribution to journalArticlepeer-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 languageEnglish (US)
Pages (from-to)456-458
Number of pages3
JournalAmerican Journal of Infection Control
Volume46
Issue number4
DOIs
StatePublished - Apr 2018

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

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