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Surveillance for Healthcare-Associated Influenza-Like Illness in Pediatric Clinics: Validity of Diagnosis Codes for Case Identification

Published online by Cambridge University Press:  15 July 2016

Kristen A. Feemster ,
Folasade M. Odeniyi ,
Russell Localio ,
Robert W. Grundmeier ,
Susan E. Coffin  and
Joshua P. Metlay
Kristen A. Feemster*
Affiliation:
Division of Infectious Diseases, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania
Folasade M. Odeniyi
Affiliation:
Division of Infectious Diseases, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania
Russell Localio
Affiliation:
Division of Infectious Diseases, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania Department of Biostatistics and Epidemiology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania
Robert W. Grundmeier
Affiliation:
Department of Biomedical and Health Informatics, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania
Susan E. Coffin
Affiliation:
Division of Infectious Diseases, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania Department of Biomedical and Health Informatics, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania
Joshua P. Metlay
Affiliation:
Department of Biostatistics and Epidemiology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania
*
Address correspondence to Kristen A. Feemster, MD, MPH, MSHP, Assistant Professor, Perelman School of Medicine, University of Pennsylvania, Division of Infectious Diseases, The Children’s Hospital of Philadelphia, CHOP North, 3535 Market Street, Room 1511, Philadelphia, PA 19104 ([email protected]).
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Abstract

Compared to chart review, a definition based on the International Classification of Disease, Ninth Revision, Clinical Modification (ICD-9-CM) diagnosis code for healthcare-associated influenza-like illness (HA-ILI) among young children in a large pediatric network demonstrated high positive and negative predictive values. This finding suggests that electronic health record–based definitions for surveillance can accurately identify medically attended outpatient HA-ILI cases for research and surveillance.

Infect Control Hosp Epidemiol 2016;1–4

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 37 , Issue 10 , October 2016 , pp. 1247 - 1250
Copyright
© 2016 by The Society for Healthcare Epidemiology of America. All rights reserved 

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References

REFERENCES

1. Hall, CB. Nosocomial viral respiratory infections: perennial weeds on pediatric wards. The Am J Med 1981;70:670–676.Google Scholar
2. Hall, CB, Douglas, RG Jr, Geiman, JM, et al. Nosocomial respiratory syncytial virus infections. N Engl J Med 1975;293:1343–1346.Google Scholar
3. Harris, JA. Pediatric nosocomial infections: children are not little adults. Infect Control Hosp Epidemiol 1997;18:739–742.CrossRefGoogle Scholar
4. Marsden-Haug, N, Foster, VB, Gould, PL, et al. Code-based syndromic surveillance for influenza-like illness by International Classification of Diseases, Ninth Revision. Emerg Infect Dis 2007;13:207–216.Google Scholar
5. Hiller, KM, Stoneking, L, Min, A, et al. Syndromic surveillance for influenza in the emergency department—a systematic review. PLoS One 2013;8:e73832.Google Scholar
6. Fowlkes, A, Dasgupta, S, Chao, E, et al. Estimating influenza incidence and rates of influenza-like illness in the outpatient setting. Influenza Other Respir Virus 2013;7:694–700.CrossRefGoogle ScholarPubMed
7. Simmering, JE, Polgreen, LA, Cavanaugh, JE, et al. Are well-child visits a risk factor for subsequent influenza-like illness visits? Infect Control Hosp Epidemiol 2014;35:251–256.Google Scholar
8. Feemster, KA, Localio, AR, Middleton, M, et al. Measuring risk of healthcare associated influenza-like illness (HA-ILI) in pediatric ambulatory practices using a self-controlled case series (1260). Infectious Diseases Society of America Annual Meeting (IDWeek); 2013; San Francisco, CA.Google Scholar
9. Byington, CL, Ampofo, K, Stockmann, C, et al. Community surveillance of respiratory viruses among families in the Utah Better Identification of Germs–Longitudinal Viral Epidemiology (BIG-LoVE) Study. Clin Infect Dis 2015;61:1217–1224.Google Scholar
10. Stockwell, MS, Reed, C, Vargas, CY, et al. MoSAIC: Mobile surveillance for acute respiratory infections and influenza-like illness in the community. Am J Epidemiol 2014;180:1196–1201.Google Scholar
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