Enhanced Identification of Postoperative Infections among Inpatients

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Enhanced Identification of Postoperative Infections among Inpatients

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Title: Enhanced Identification of Postoperative Infections among Inpatients
Author: Noskin, Gary A.; Cunningham, Susan M.; Plaskett, Theresa; Fraser, Victoria J.; Olsen, Margaret A.; Tokars, Jerome I.; Solomon, Steven; Perl, Trish M.; Cosgrove, Sara E.; Tilson, Richard S.; Greenbaum, Maurice; Herwaldt, Loreen A.; Diekema, Daniel J.; Climo, Michael; Yokoe, Deborah Stephanie; Zuccotti, Gianna; Hooper, David Crittenden; Sands, Kenneth Eliot Frederick; Tully, John Lawrence; Wong, Edward S.; Platt, Richard

Note: Order does not necessarily reflect citation order of authors.

Citation: Yokoe, Deborah S., Gary A. Noskin, Susan M. Cunningham, Gianna Zuccotti, Theresa Plaskett, Victoria J. Fraser, Margaret A. Olsen, et al. 2004. Enhanced identification of postoperative infections among inpatients. Emerging Infectious Diseases 10(11): 1924-1930.
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Abstract: We evaluated antimicrobial exposure, discharge diagnoses, or both to identify surgical site infections (SSI). This retrospective cohort study in 13 hospitals involved weighted, random samples of records from 8,739 coronary artery bypass graft (CABG) procedures, 7,399 cesarean deliveries, and 6,175 breast procedures. We compared routine surveillance to detection through inpatient antimicrobial exposure (>9 days for CABG, >2 days for cesareans, and >6 days for breast procedures), discharge diagnoses, or both. Together, all methods identified SSI after 7.4% of CABG, 5.0% of cesareans, and 2.0% of breast procedures. Antimicrobial exposure had the highest sensitivity, 88%–91%, compared with routine surveillance, 38%–64%. Diagnosis codes improved sensitivity of detection of antimicrobial exposure after cesareans. Record review confirmed SSI after 31% to 38% of procedures that met antimicrobial surveillance criteria. Sufficient antimicrobial exposure days, together with diagnosis codes for cesareans, identified more postoperative SSI than routine surveillance methods. This screening method was efficient, readily standardized, and suitable for most hospitals.
Published Version: doi:10.3201/eid1011.040572
Other Sources: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3329006/pdf/
Terms of Use: This article is made available under the terms and conditions applicable to Other Posted Material, as set forth at http://nrs.harvard.edu/urn-3:HUL.InstRepos:dash.current.terms-of-use#LAA
Citable link to this page: http://nrs.harvard.edu/urn-3:HUL.InstRepos:10125928
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