Recommendations for Metrics for Multidrug-Resistant Organisms in Healthcare Settings: SHEA/HICPAC Position Paper

被引:137
作者
Cohen, Adam L. [1 ]
Calfee, David [3 ]
Fridkin, Scott K. [2 ]
Huang, Susan S. [4 ]
Jernigan, John A.
Lautenbach, Ebbing [6 ,7 ]
Oriola, Shannon [5 ]
Ramsey, Keith M. [8 ,9 ,10 ]
Salgado, Cassandra D. [11 ]
Weinstein, Robert A. [12 ,13 ]
机构
[1] Ctr Dis Control & Prevent, Div Bacterial Dis, Atlanta, GA 30333 USA
[2] Ctr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, GA 30333 USA
[3] Mt Sinai Sch Med, Dept Med, New York, NY USA
[4] Univ Calif Irvine, Med Ctr, Div Infect Dis, Orange, CA USA
[5] Sharp Metropolitan Med Campus, San Diego, CA USA
[6] Univ Penn, Dept Med, Philadelphia, PA 19104 USA
[7] Univ Penn, Dept Epidemiol, Philadelphia, PA 19104 USA
[8] E Carolina Univ, Pitt Cty Mem Hosp, Dept Safety, Greenville, NC USA
[9] E Carolina Univ, Pitt Cty Mem Hosp, Dept Infect Control, Greenville, NC USA
[10] E Carolina Univ, Dept Med, Brody Sch Med, Greenville, NC 27834 USA
[11] Med Univ S Carolina, Charleston, SC 29425 USA
[12] Cook Cty Bur Hlth Serv, Chicago, IL USA
[13] Rush Med Coll, Chicago, IL 60612 USA
关键词
D O I
10.1086/591741
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The assessment of MDRO infection and colonization should include the identification of known carriers, the detection of hospital-specific and healthcare-associated acquisition, an estimation of the burden of serious infection, an understanding of the reservoir affecting the transmission of MDROs, and an evaluation of the effect of intervention. Several strategies can be used to obtain data that aid in this assessment. We have defined and categorized the recommended metrics for each of these aspects of measuring MDRO infection and colonization, for use by healthcare facilities. © 2008 by The Society for Healthcare Epidemiology of America. All rights reserved.
引用
收藏
页码:901 / 913
页数:13
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