Hostname: page-component-cd9895bd7-lnqnp Total loading time: 0 Render date: 2024-12-23T06:32:13.313Z Has data issue: false hasContentIssue false
  • English
  • Français

Classification of Healthcare-Associated Staphylococcus aureus Bacteremia: Influence of Different Definitions on Prevalence, Patient Characteristics, and Outcome

Published online by Cambridge University Press:  27 October 2015

Jesper Smit ,
Mette Søgaard ,
Henrik Carl Schønheyder ,
Henrik Nielsen  and
Reimar Wernich Thomsen
Jesper Smit*
Affiliation:
Department of Clinical Microbiology, Aalborg University Hospital, Denmark Department of Infectious Diseases, Aalborg University Hospital, Denmark Department of Clinical Epidemiology, Aarhus University Hospital, Denmark
Mette Søgaard
Affiliation:
Department of Clinical Epidemiology, Aarhus University Hospital, Denmark
Henrik Carl Schønheyder
Affiliation:
Department of Clinical Microbiology, Aalborg University Hospital, Denmark Department of Clinical Medicine, Aalborg University, Denmark.
Henrik Nielsen
Affiliation:
Department of Infectious Diseases, Aalborg University Hospital, Denmark Department of Clinical Medicine, Aalborg University, Denmark.
Reimar Wernich Thomsen
Affiliation:
Department of Clinical Epidemiology, Aarhus University Hospital, Denmark
*
Address correspondence to Jesper Smit, MD, Department of Clinical Microbiology, Aalborg University Hospital, Hobrovej 18-22, DK-9000 Aalborg, Denmark ([email protected]).
Get access Rights & Permissions [Opens in a new window]

Abstract

We investigated whether different definitions of healthcare-associated infection influenced the prevalence, characteristics, and mortality of patients with Staphylococcus aureus bacteremia. With different definitions, the proportion of patients classified as having healthcare-associated S. aureus bacteremia varied substantially and the distribution of patient characteristics was influenced, whereas 30-day mortality remained robust.

Infect. Control Hosp. Epidemiol. 2016;37(2):208–211

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 37 , Issue 2 , February 2016 , pp. 208 - 211
Copyright
© 2015 by The Society for Healthcare Epidemiology of America. All rights reserved 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

1. Cardoso, T, Almeida, M, Friedman, ND, et al. Classification of healthcare-associated infection: a systematic review 10 years after the first proposal. BMC Med 2014;12:40.CrossRefGoogle ScholarPubMed
2. Friedman, ND, Kaye, KS, Stout, JE, et al. Healthcare-associated infections in adults: a reason to the change the accepted definition of community-acquired infections. Ann Intern Med 2002;137:791–797.Google Scholar
3. Siegman-Igra, Y, Fourer, B, Orni-Wasserlauf, R, et al. Reappraisal of community-acquired bacteremia: a proposal of a new classification for the spectrum of acquisition of bacteremia. Clin Infect Dis 2002;34:1431–1439.Google Scholar
4. Schmidt, M, Pedersen, L, Sørensen, HT. The Danish Civil Registration System as a tool in epidemiology. Eur J Epidemiol 2014;29:541–549.Google Scholar
5. Lynge, E, Sandegaard, JL, Rebolj, M. The Danish National Patient Register. Scand J Public Health 2011;39:30–33.Google Scholar
6. Ehrenstein, V, Antonsen, S, Pedersen, L. Existing data sources for clinical epidemiology: Aarhus University Prescription Database. Clin Epidemiol 2010;2:273–279.Google Scholar
7. Charlson, ME, Pompei, P, Ales, KL, MacKenzie, CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chron Dis 1987;40:373–383.CrossRefGoogle ScholarPubMed
8. Vallés, J, Calbo, E, Anoro, E, et al. Bloodstream infections in adults: importance of healthcare-associated infections. J Infect 2008;56:27–34.CrossRefGoogle ScholarPubMed
9. Lenz, R, Leal, JR, Church, DL, Gregson, DB, Ross, T, Laupland, KB. The distinct category of healthcare associated bloodstream infections. BMC Infect Dis 2012;12:85.CrossRefGoogle ScholarPubMed
10. Shorr, A, Tabak, YP, Killian, AD, Gupta, V, Liu, LZ, Kollef, MH. Healthcare-associated bloodstream infections: a distinct entity? Insights from a large U.S. database. Crit Care Med 2006;10:2588–2595.CrossRefGoogle Scholar