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Necessary but Not Sufficient: A Comparison of Surveillance Definitions of Clostridium difficile–Associated Diarrhea

Published online by Cambridge University Press:  02 January 2015

Thomas G. Fraser ,
Cynthia Fatica  and
Steven M. Gordon
Thomas G. Fraser*
Affiliation:
Cleveland Clinic, Department of Infectious Disease, Cleveland, Ohio Quality andPatient Safety Institute, Cleveland, Ohio
Cynthia Fatica
Affiliation:
Quality andPatient Safety Institute, Cleveland, Ohio
Steven M. Gordon
Affiliation:
Cleveland Clinic, Department of Infectious Disease, Cleveland, Ohio
*
Department of Infectious Disease/S32, 9500 Euclid Avenue, Cleveland, OH 44195 ([email protected])
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Abstract

In this article, we describe our comparison of the Cleveland Clinic surveillance definition of Clostridium difficile–associated diarrhe and the definition mandated by the Ohio Department of Health. We found the definitions to be concordant only 71% of the time; the Ohio Department of Health definition identified 278 of the 391 cases identified by the Cleveland Clinic definition. Surveillance definitions mandated by the Ohio Department of Health overrepresented the number of cases attributable to nosocomial transmission at our institution.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 30 , Issue 4 , April 2009 , pp. 377 - 379
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2009

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