Failure of Risk-Adjustment by Test Method for C. difficile Laboratory-Identified Event Reporting. (17th October 2016)

• Record Type: Journal Article
• Authors: Marra, Alexandre R.; Edmond, Michael B.; Ford, Bradley A.; Herwaldt, Loreen A.; Algwizani, Abdullah R.; Diekema, Daniel J.
• Is Part Of: Infection control and hospital epidemiology. Volume 38:Number 1(2017)
• Page Start: 109
• Page End: 111
• Publication Date: 2016-10-17
• Subjects: Nosocomial infections -- Epidemiology -- Periodicals; Health facilities -- Sanitation -- Periodicals; Hospital buildings -- Sanitation -- Periodicals; Cross Infection -- Periodicals; Epidemiology -- Periodicals; Hospitals -- Periodicals; Infection Control -- Periodicals; 614.44
• DOI: 10.1017/ice.2016.227
• Languages: English
• ISSNs: 0899-823X

Abstract

Abstract : Using an algorithm including both enzyme immunoassay (EIA) 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. Infect Control Hosp Epidemiol 2016:1–3