Hostname: page-component-cd9895bd7-gxg78 Total loading time: 0 Render date: 2024-12-29T08:07:14.823Z Has data issue: false hasContentIssue false

Implementing Automated Surveillance for Tracking Clostridium difficile Infection at Multiple Healthcare Facilities

Published online by Cambridge University Press:  02 January 2015

Erik R. Dubberke*
Affiliation:
Washington University School of Medicine, St. Louis, Missouri
Humaa A. Nyazee
Affiliation:
Washington University School of Medicine, St. Louis, Missouri
Deborah S. Yokoe
Affiliation:
Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts
Jeanmarie Mayer
Affiliation:
University of Utah Hospital, Salt Lake City, Utah
Kurt B. Stevenson
Affiliation:
Ohio State University Medical Center, Columbus, Ohio
Julie E. Mangino
Affiliation:
Ohio State University Medical Center, Columbus, Ohio
Yosef M. Khan
Affiliation:
Ohio State University Medical Center, Columbus, Ohio
Victoria J. Fraser
Affiliation:
Washington University School of Medicine, St. Louis, Missouri
*
Box 8051, 660 South Euclid Avenue, St. Louis, MO 63110 ([email protected])

Abstract

Automated surveillance using electronically available data has been found to be accurate and save time. An automated Clostridium difficile infection (CDI) surveillance algorithm was validated at 4 Centers for Disease Control and Prevention Epicenter hospitals. Electronic surveillance was highly sensitive, specific, and showed good to excellent agreement for hospital-onset; community-onset, study facility-associated; indeterminate; and recurrent CDI.

Infect Control Hosp Epidemiol 2012;33(3):305-308

Type
Concise Communication
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2012

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

1. McDonald, LC, Coignard, B, Dubberke, E, et al. Recommendations for Surveillance of Clostridium difficile–associated disease. Infect Control Hosp Epidemiol 2007;28:140145.Google Scholar
2. Dubberke, ER, Butler, AM, Hota, B, et al. Multicenter study of the impact of community-onset Clostridium difficile infection on surveillance for C. difficile infection. Infect Control Hosp Epidemiol 2009;30:518525.CrossRefGoogle ScholarPubMed
3. Hota, B, Lin, M, Doherty, JA, et al. Formulation of a model for automating infection surveillance: algorithmic detection of central-line associated bloodstream infection. J Am Med Inform Assoc 2010;17:4248.CrossRefGoogle Scholar
4. Centers for Disease Control and Prevention. 2008. Multidrug-resistant organism (MDRO) and Clostridium difficile–associated disease (CDAD) module [PowerPoint Slides]. Retrieved from http://www.cdc.gov/nhsn/wc_MDRO_CDAD_ISlabID.html.Google Scholar
5. Dubberke, ER, Butler, AM, Yokoe, DS, et al. Multicenter study of Clostridium difficile infection rates from 2000 to 2006. Infect Control Hosp Epidemiol 2010;31:10301037.CrossRefGoogle ScholarPubMed
6. Klompas, M, Kleinman, K, Piatt, R. Development of an algorithm for surveillance of ventilator-associated pneumonia with electronic data and comparison of algorithm results with clinician diagnoses. Infect Control Hosp Epidemiol 2008;29:3137.Google Scholar
7. Jha, AK, DesRoches, CM, Kralovec, PD, Joshi, MS. A progress report on electronic health records in U.S. hospitals. Health Aff 2010;29:19511957.Google Scholar
8. Dubberke, ER, Han, Z, Bobo, l, et al. Impact of clinical symptoms on interpretation of diagnostic assay for Clostridium difficile infections. J Clin Microbiol 49:28872893.CrossRefGoogle Scholar